Conventional Bypass Surgery
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG) is one of our comprehensive and compassionate cardiac services. Conventional bypass surgery is performed on a stopped heart through a 10”-12” incision down in the middle of the chest. Using CPB (Cardiopulmonary Bypass), a heart lung machine, the machine the functions as the patient’s heart is being operated on.
When you need a Bypass?
CABG is administered to patients with 50-99 percent of coronary arteries obstructions. Some of the major causes of the obstruction are due to arteriosclerosis, atherosclerosis or both.
Arteriosclerosis:
Characterized by the thickening, loss of elasticity and calcification of the arterial wall that results in the generalized narrowing the affected coronary artery.
Atherosclerosis:
Characterized by plaques of cholesterol, lipids, cellular debris deposited into the inner layer of the wall of the large or medium-sized coronary artery, resulting in the partial obstruction in the artery.
Is convention Heart Bypass Surgery Risky?
There are times when even the best cardiac surgeons have found heat-lung machines to be the most “invasive” component of conventional bypass surgery. But with the advent of new age technologies we are today able to perform surgeries on a beating heart, in fact 98% surgeries are now accounted as Beating Heart Bypass Surgery. The procedure is safe and eliminates the complications of stroke, seizure, multiple organ dysfunction, compromised immunity and others.
How Can We Cure the Both Problem?
Both the conditions can limit blood flow, that to at least to about 50%. Heart Bypass Surgery can be a complicated process, and involves a significant amount of preparation and recovery time. Rarely a person is recommended to undergo emergency heart bypass surgery.
It is one of the best and effective ways against blocked arteries and the other problems they cause.
According to the American Heart Association, CABG involves removing of a blood vessel from the chest, arm, or leg and using it to create a detour or a bypass around the blocked artery, allowing blood to reach the heart again. Also, cardiac surgeons can address more than one artery in the single operation.
- Open Heart Surgery
The conventional Heart Surgery and the most recommended to the adults. Today we can easily perform an open-heart surgery with a smaller incision and not the wide openings and thus, term open heart doesn’t imply now. Done to repair or replace valves, repair damaged area, replace a damaged heart with a donated heart.
- Minimum Invasive Cardiac Surgery
IT is an ultimate alternative to the open-heart surgery and a superior method helpful in a number of medical conditions. The operation is not done by sternotomy (cutting the breast bone), involves operating between the ribs. It also involves stopping the heart temporarily, but only in some case. It gives a cardiac surgeon more visibility.
How do you make a choice?
One of the biggest dilemmas that is faced by a patient and their caretaker is how to choose the right treatment. While conventional surgery – open heart surgery is recommended all the time, MIDCAB or Minimum Invasive Cardiac Surgery is not a household name. So, can you really trust the new technique. Dr. Kshitij Dubey a highly-rewarded cardiac surgeon recommended Minimum Invasive Cardiac Surgery and here is why:
| Criterion | Conventional Surgery | MIDCAB or Small Cut Surgery |
| Size of Cut | 8-10 inches | 2-3 inches |
| Type of Cut | On chest cutting through rib bones (sternum) | Just below nipple without cutting any bone |
| Blood Loss | High blood loss causing weakness | Negligible blood loss |
| Recovery Time | Takes couple of months at least to resume day to day work | Routine like driving can start within couple
of weeks after the surgery. |
| Pain | It’s painful as bone gets cut and wound is bigger | No bone cut and wound is very small so
almost pain free. |
| Post-Surgery Infection | Strong possibility as wound is bigger and
takes long to heal |
Near zero possibility due to smaller wound. |
| Mark on Body | With a long cut the mark is very evident | Small cut mark is almost not noticed |
Clearly, MIDCAB or Small Cut Surgery has a leverage, for more information contact now for free consultation from Dr. Kshitij Dubey, best cardiothoracic surgeon in Indore.