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Coronary Artery Bypass Grafting (CABG / Heart Bypass)
Cardiology & Cardiac SurgeryGenesung
6 to 12 weeks (Patients can walk within 2 to 3 days post-op, Light office work within 4 to 6 weeks)
Krankenhausaufenthalt
5 to 7 days
Erfolgsquote
98% (exceptional long-term success )
Coronary Artery Bypass Grafting (CABG), commonly referred to as heart bypass surgery, is the gold-standard treatment for severe coronary artery disease. It is recommended when a patient has multiple severe blockages (triple-vessel disease), critical narrowing of the left main coronary artery, or blockages that cannot be safely treated with balloon angioplasty and stenting.
When plaque completely or partially blocks blood flow, the heart muscle is starved of oxygen, causing severe angina or a heart attack. During CABG, a highly skilled cardiothoracic surgeon takes a healthy blood vessel—typically from the leg, arm, or chest—and attaches it above and below the blocked artery. This creates a new detour or "bypass" for blood to flow freely around the obstruction, successfully restoring oxygen delivery to the heart muscle, relieving symptoms, and significantly extending life expectancy.
When plaque completely or partially blocks blood flow, the heart muscle is starved of oxygen, causing severe angina or a heart attack. During CABG, a highly skilled cardiothoracic surgeon takes a healthy blood vessel—typically from the leg, arm, or chest—and attaches it above and below the blocked artery. This creates a new detour or "bypass" for blood to flow freely around the obstruction, successfully restoring oxygen delivery to the heart muscle, relieving symptoms, and significantly extending life expectancy.
Details zum Verfahren
The surgery is performed in a dedicated cardiac operating theater under general anesthesia. It typically takes between 3 to 6 hours, depending on how many bypasses (double, triple, or quadruple) are required.
1. Anesthesia & Setup: The patient is placed under general anesthesia. Vital signs are continuously monitored via advanced cardiac monitoring systems.
2. Graft Harvesting: Simultaneously, a surgical assistant harvests healthy blood vessels to use as grafts. Common choices include the Internal Mammary Artery (inside the chest), the Saphenous Vein (from the leg, often harvested using minimally invasive Endoscopic Vein Harvesting), or the Radial Artery (from the wrist).
3. Accessing the Heart: The main surgeon performs a median sternotomy, gently dividing the breastbone (sternum) to gain direct access to the heart.
4. Bypassing the Blockage:
On-Pump CABG: The patient's heart is stopped, and a heart-lung bypass machine temporarily takes over blood circulation and oxygenation.
Off-Pump (Beating Heart) CABG: The surgery is performed while the heart is still beating, utilizing specialized stabilization devices to hold the specific section of the heart still.
5. Suturing the Grafts: The surgeon carefully sews one end of the harvested graft to the aorta (the main artery from the heart) and the other end to the coronary artery just past the blockage.
6. Closing: Once all grafts are secured and checked for blood flow, the heart-lung machine is turned off, the heart restarts its normal rhythm, and the chest bone is secured back together using surgical wires.
1. Anesthesia & Setup: The patient is placed under general anesthesia. Vital signs are continuously monitored via advanced cardiac monitoring systems.
2. Graft Harvesting: Simultaneously, a surgical assistant harvests healthy blood vessels to use as grafts. Common choices include the Internal Mammary Artery (inside the chest), the Saphenous Vein (from the leg, often harvested using minimally invasive Endoscopic Vein Harvesting), or the Radial Artery (from the wrist).
3. Accessing the Heart: The main surgeon performs a median sternotomy, gently dividing the breastbone (sternum) to gain direct access to the heart.
4. Bypassing the Blockage:
On-Pump CABG: The patient's heart is stopped, and a heart-lung bypass machine temporarily takes over blood circulation and oxygenation.
Off-Pump (Beating Heart) CABG: The surgery is performed while the heart is still beating, utilizing specialized stabilization devices to hold the specific section of the heart still.
5. Suturing the Grafts: The surgeon carefully sews one end of the harvested graft to the aorta (the main artery from the heart) and the other end to the coronary artery just past the blockage.
6. Closing: Once all grafts are secured and checked for blood flow, the heart-lung machine is turned off, the heart restarts its normal rhythm, and the chest bone is secured back together using surgical wires.
Kostenvergleich
| Land | Geschätzte Kosten | Einsparungen im Vergleich zu USA |
|---|---|---|
| Indien Bestes Preis-Leistungs-Verhältnis | $4,500 - $7,500 | Sparen Sie bis zu 93% |
| USA | $120,000 | - |
| UK | $30,000 | - |
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