CABG is a heart surgery procedure in which one or more blocked coronary arteries are bypassed by a blood vessel graft to restore normal blood flow to the heart. Our Heart Center Hospital distuinguished as a Best CABG Surgery in Bangalore, We provide top class treatment with the help of our CABG Consultants. These grafts usually come from the patient’s own arteries and veins located in the chest (thoracic), leg (saphenous) or arm (radial). The graft goes around the blocked artery (or arteries) to create new pathways for oxygen-rich blood to flow to the heart.
The goals of the procedure are to relieve symptoms of coronary artery disease (including angina), enable the patient to resume a normal lifestyle and to lower the risk of a heart attack or other heart problems.
Off Pump Bypass surgery (Beating Heart bypass surgery) : This is the most commonly used technique at our institution and in this technique the heart is beating normally and a small portion of the heart is stopped with the help of vacuum stabilizers to enable the surgeon do the bypass graft. The technique is of advantage in patients with bad lungs or other reasons where use of the heart lung machine is contraindicated.
On pump Bypass surgery: In this technique the heart is placed on the heart lung machine. The machine consists of a pump and an oxygenator that acts as our lung. The blood is diverted out of the heart to the machine giving the surgeon a blood free operating field. The downside is that in some patients it can cause significant inflammatory response and also predispose more to strokes. It is also not very lung friendly hence patients with poor lung function like long term smokers or asthmatics may not tolerate it well.
Minimally invasive bypass surgery: The days of long incisions are long gone. Now we can do bypass surgery through this technique also called MINI BYPASS Surgery, the length of the incision is 8-10cm and the chest bone is divided partially. Using a vacuum stabilizer on a beating heart one can perform multivessel bypass procedure. The advantages are low risk of infections, less pain and faster recovery.
Minimally invasive direct coronary artery bypass (MIDCAB): Done through a lateral thoracotomy( incision through the rib spaces) applied to do a single vessel bypass. This is used only for left internal mammary artery (LIMA) to the left anterior descending artery (LAD) graft. The length of the incision is 6-8cm.
Totally endoscopic bypass surgery: Done with the use of the Robot. This is new technology and is currently in its early stages with time it will be more used and the long term results will be available for comparison with standard techniques.
