Patients from 105+ countries have trusted us
Join hundreds of happy patients who choose the right treatment and care.
Get A Quote
Minimum Cost
$ 4000
Maximum Cost.
$ 7000
- Days In Hospital 5 days
- Outside Hospital Stay 7 days
- Success Rate 95%
Overview of Coronary Artery Bypass Grafting in India
The purpose of coronary artery bypass grafting, or CABG, is to optimise the flow of blood to the heart by a bypass operation. Coronary artery bypass surgery aids in restoring the blood supply to the heart for optimal function when the artery that supplies the heart with necessary nutrients and blood gets narrowed or obstructed. Coronary artery bypass surgery is done when a person is in need of treatment for a severe heart attack or when there is a danger of having one.
The blood vessels used in coronary artery bypass surgery are taken from any part of the body and used to connect the area above and below the blocked vessel, creating a new blood flow conduit. Traditionally, the treatment can be carried out with the heart stopping and an external machine performing the heart's functions. In the majority of sophisticated methods, however, the heart does not have to be stopped.
The arteries are taken from the patient's own arm or chest, or from the legs' veins. As with any other surgery, there are risks and complications involved complicated by coronary artery bypass surgery, that must be managed with medications, diet, and healthy lifestyle after the surgery. Depending upon the procedure, individuals activity level must increase gradually to elicit a general improvement on quality of life.
The cost of coronary artery bypass graft in India is usually ranges from 2000 USD-4000 USD. The cost may vary according to the hospital facilities and location of hospital in different cities of India, severity of the patient's condition and possible complications before, or after the procedure.
What is Coronary Artery Bypass Grafting (CABG)?
The surgical treatment known as Coronary Artery Bypass Grafting (CABG), which is often pronounced as "cabbage," is used to treat coronary artery disease (CAD). Plaque, a mixture of fat, cholesterol, and other materials, builds up in the coronary arteries, causing them to narrow or become blocked. This condition is known as coronary artery disease (CAD). Due to the restriction of blood flow, this constriction may result in angina, dyspnoea, or heart attacks.
By avoiding the clogged or constricted arteries, CABG increases blood flow to the heart. To make a new path around the blocked artery, surgeons utilise a healthy blood vessel, known as a graft, from another area of the body, usually a vein from the leg, an artery from the wrist, or an artery from the chest. This helps the heart get the oxygen and nourishment it needs and restores proper blood flow.
To reach the heart, an incision must be made in the chest, and the sternum (breastbone) must be opened. Depending on the complexity of the patient, CABG might take several hours to complete and is typically conducted under general anaesthesia. Patients usually spend a few days in the hospital recovering from surgery.
In cases where medicine or angioplasty have failed, or when a patient has substantial blockages in several coronary arteries, CABG is advised. In order for patients to resume their regular activities with improved heart health, CABG aims to alleviate the symptoms of CAD, boost overall heart function, lower the risk of heart attacks, and improve quality of life.
Why Is Coronary Bypass Surgery Done?
Your heart pumps blood to every part of your body throughout the clock. The network of supply arteries that encircle your heart provides the blood flow it requires to function. The term "ischaemia" (pronounced "iss-key-me-uh") refers to a condition in which your body's tissues do not receive adequate blood flow.
When ischaemia is severe, the heart's muscle cells, which are particularly vulnerable to it, will begin to die. Coronary artery bypass grafting, or CABG for short, is a procedure that restores blood flow to the damaged heart muscle in order to treat ischaemia.
Here are other reasons why CABG is performed:
Relieve Angina
Angina, or chest pain or discomfort is a common symptom associated with coronary artery disease (CAD). CABG relieves angina through improving blood flow to the heart muscle. CABG is needed to alleviate angina via bypassing disease in coronary arteries or reducing the workload on the heart to improve blood flow. Sometimes, patients can manage their angina through medications but keeping the heart and arteries healthy is ideal.
Lessen the Risk of Heart Attacks
Severe coronary artery disease can elevate the likelihood of heart attacks or myocardial infarctions. CABG will significantly decrease that risk by bypassing diseased coronary arteries and creating new routes for blood flow. The surgery protects the heart from damage to heart muscle from heart attack, because it ultimately restores blood supply to the heart.
Improve Heart Function
When coronary arteries become severely blocked, your heart will have a very difficult time pumping appropriately. Because of the blockage from the coronary arteries, heart muscle becomes deprived of the blood it needs and as a result heart function can become compromised.
CABG is about improving heart function to improve blood flow through the heart. This is important because without adequate blood flow to the heart muscle, the heart cannot receive the appropriate supply of oxygenated blood and nutrients and overall heart performance can be compromised. All this can be very significant for the patient's quality of life.
When Other Treatments are Inadequate
When medication or angioplasty (a treatment to open constricted arteries) are inadequate or inappropriate for the patient, CABG is taken into consideration. It is frequently advised for people who have multiple blockages, substantial or complex coronary artery disease, or a history of unsuccessful treatments. For severe coronary artery disease, CABG offers a more thorough and long-lasting treatment.
Types of Coronary Artery Bypass Grafting:
Traditional Coronary Artery Bypass Grafting (on-pump CABG)
Using a heart-lung bypass machine, the surgeon creates an incision in the chest to temporarily replace the heart's function while bypass grafts are made using veins or arteries from other parts of the body. This is the traditional method.
Off-pump Coronary Artery Bypass Grafting (OPCAB)
Bypass grafting is done by the surgeon in this method without the use of a heart-lung bypass machine. Rather, the grafts are attached to the targeted coronary arteries while the heart is stabilised with specialised tools. Patients with underlying fatal conditions or those who are more likely to experience complications from the heart-lung machine are frequently the ones who undergo OPCAB.
Minimally Invasive Direct Coronary Artery Bypass (MIDCAB)
During this treatment, tiny incisions are made on the left side of the chest; the front of the chest is left open. Accessing particular coronary arteries is its purpose. Certain blockages in the coronary artery's branches can benefit from it.
Robotically Assisted Coronary Artery Bypass Grafting
Robotic-assisted CABG is a minimally invasive procedure in which the bypass grafting is carried out by the surgeon using robotic arms. The surgeon uses a panel to control the robotic instruments while making tiny incisions. Compared to conventional approaches, this methodology offers greater precision and dexterity.
Procedure:
Following is a general description of coronary artery bypass grafting:
Anesthesia: The patient receives general anesthesia to provide deep sleep and no pain during the procedure. Anesthesia will limit irritation and discomfort experienced during the procedure of coronary artery bypass grafting.
Incision: The surgeon makes a large incision in front of the chest or small incisions at the side of the chest depending on the particular branch of the coronary artery involved.
Heart and Lung Bypass: During the procedure the heart is stopped, and a machine outside of the body will take over the function of the heart. This machine is a temporary form of heart and lung bypass.
Obtaining Graft Vessels - Healthy blood vessels (the artery from chest or arm or vein from the leg) are taken from the patient's body to act as grafts. More than one vessel may be needed to obtain, as appropriate.
Graft Preparation - The vessels from other areas are prepared by trimming away side branches and fat, making them capable of bypassing the conduits that are blocked.
Grafting - The surgeon connects one end of the graft vessel to the aorta as the inflow and the other end beyond the blocked area of coronary artery (the graft), also acts as an outflow creating new blood flow.
Restoring Blood Flow - The heart-lung bypass machine is gently weaned to allow the heart to beat on its own. The surgeon checks for blood flow through the grafts.
Closure - The surgeon reconnects the breastbone with wires and closes the chest incision with sutures or staples. Sterile dressings are put in place to avoid infection.
Recovery - The patient is carefully monitored after the major surgery of coronary artery bypass grafting. This monitoring detects any areas of risk or complication if any is active. The degree of care needed to recover from coronary artery bypass grafting will depend on the condition and severity of the disease that was present before the CABG was necessary.
Best Doctors in India
Cost of Coronary Artery Bypass Grafting in India
|
Treatment Cost in India |
Min in USD |
Max in USD |
|
Coronary Artery Bypass Surgery (CABG) |
2184.48 |
2912.64 |
|
Minimally Invasive Coronary Artery Bypass Graft |
2131.20 |
2841.60 |
|
Coronary Artery Surgery |
2664.00 |
3552.00 |
Top Hospitals in India
Indications of Coronary Artery Bypass Grafting:
There are many clinical scenarios and diagnoses that can suggest that a patient might be a candidate for CABG. Some of these include:
Severe Coronary Artery Disease: These are patients with severe coronary artery disease to two or more vessels (with the greatest risk if there is left main coronary artery disease). The left main coronary artery is the vessel of most concern since it supplies most of the heart. Critical lesions in the left main coronary artery can lead to a major risk to the patient.
Poor Heart Function: Patients with poor heart function (as seen by echocardiograms) might benefit from CABG to improve blood flow to better stabilize heart function.
Diabetes: A patient with diabetes will often have more severe coronary artery disease, and may do better with revascularisation with CABG than many other treatments.
Recurrent Symptoms: Patients who have recurrent angina or other symptoms, despite being on optimal medical therapy or having had previous interventions, may be referred for CABG.
Complex Coronary Anatomy: In selected patients who have complex coronary anatomy, CABG may functionally improve coronary blood flow better than angioplasty or stenting.
High-Risk Patients: In selected high-risk patients, the safety profile of CABG may be better than alternative procedures for the management of their coronary artery disease.
Recommendations for CABG are made after a complete review of the patient's history, symptoms, and diagnostic tests. The cardiologist and cardiac surgeon work together to make a recommendation best for the patient.
Risk Factors:
Since CABG is a large open operation and extremely risky, there are numerous risk factors linked to it.
General Surgical Risks
Anaesthesia responses, bleeding, infection, blood clots, and respiratory issues are among the inherent dangers associated with CABG, which entails the use of anaesthesia and chest opening.
Bleeding
There is a chance of severe bleeding both during and after the procedure. Careful observation and the right medical treatments can help manage this.
Infection
An infection is a risk associated with any surgical procedure. The surgical site, which includes the graft sites and the chest incision, may develop contaminated during CABG. Antibiotics and sterile methods are used, among other measures, to reduce the danger.
Haemorrhage in the brain
During or during CABG, there is a slight chance of brain haemorrhage. People who are older or who already have health issues like diabetes, hypertension, or other deadly diseases are typically at a higher risk.
A heart attack
There is also a chance of a heart attack if the patient has severe coronary artery disease or has problems.
Graft Failure
In certain situations, the grafts utilised in CABG might not work as intended or might eventually obstruct. This may result in recurring symptoms or necessitate further treatments.
An irregular heartbeat
Occasionally, CABG can result in irregular heartbeats, which can complicate the healing process. Medication or other therapies can typically be used to control them.
Kidney Problems
Kidney function may potentially be impacted by CABG, particularly in patients who already have kidney disease or other risk factors. Appropriate management and careful observation are crucial.
Breathing Problems
Due to lung issues or the use of a heart-lung bypass machine during the treatment, some patients may have trouble breathing after the surgery.
Death
Although it is extremely uncommon, CABG has a little risk of death. The patient's age, general health, and the procedure's intricacy are some of the variables that affect the risk.
Frequently Asked Questions (FAQ’s)
There live the blind texts separated they right at the coast of the Semantics.
When coronary arteries become narrowed or clogged, a technique called coronary artery bypass graft (CABG) surgery, sometimes referred to as heart bypass surgery, is performed to increase blood flow to the heart. In order to get around the blocked or constricted portions of the coronary arteries, it leverages healthy blood vessels from other areas of the body to form a new blood artery.
In order to build a new blood flow pathway around a blocked or restricted piece of a coronary artery, a surgeon performs coronary artery bypass graft (CABG) surgery by using a healthy blood vessel from another area of the patient's body, such as the arm, chest, or leg. This "bypasses" the obstruction and allows the heart muscle to receive blood again.
Several arteries can be utilised as grafts in coronary artery bypass graft (CABG) surgery. The saphenous vein from the leg, the radial artery from the arm, and the internal mammary artery (IMA) are the most prevalent. Because of its greater long-term patency, the IMA—in particular, the left internal mammary artery, or LIMA—is frequently used for grafts to the left anterior descending (LAD) artery. Saphenous veins are frequently utilised for numerous bypasses or in situations when other arteries are not available. Because radial arteries are more durable than saphenous veins, they are also being utilised more frequently.
The price of coronary artery bypass grafting in India typically ranges between 2000 USD- 4000 USD. The price may vary according to the hospital facilities, the location of the hospital in different cities in India, severity of the patient's condition, and complications during or after the surgery.