In coronary
or heart bypass surgery, the surgeon uses a blood vessel from the leg, arm or
chest to bypass a narrowed section of a coronary artery. The surgery can
relieve chest pain. A doctor suggests a bypass operation to individuals who’ve
been diagnosed with coronary heart disease or angina- that helps improve the
blood supply to your heart muscle which helps to relieve angina symptoms and
improve the quality of life.
Bypass
Surgery:
The main aim
of coronary bypass surgery is to bypass or “get around” the narrowed sections of
the coronary arteries that get narrowed when fatty deposits build up on their
inner walls. The surgeon grafts a blood vessel between the aorta (the main
blood vessel leaving the ticker) and a point along the coronary artery, past the
area that’s narrowed. Mostly, at least one of the blood vessels used as a
bypass graft is an artery from the chest, known as internal mammary artery. For
other grafts, blood vessels like a vein from your legs and sometimes an artery
from the arms are used. Two, three or four grafts are more common, often called
double, triple or quadruple bypasses.
Surgeons,
during the procedure make a cut down the middle of the breastbone to reach the
ticker. The breastbone doesn't need to be cut in some operations though, which
is called minimally invasive surgery. Cutting the breastbone causes a long
wound down the middle of the chest. You’ll also have smaller wounds in places
like your leg or arm if you have had a vein graft from your leg or an artery
graft from your arm. While the surgeon operates on your ticker, what circulates
blood around body is a heart-lung bypass machine, but sometimes surgeons carry
out coronary bypass operations without this machine, called beating heart
surgery.
After
Surgery:
A patient
after the operation is moved to intensive care for close monitoring until he/she
wakes up. After his/her condition becomes stable, they are moved to the high
dependency unit or the cardiac ward.
Benefits
and Risks:
People get
excellent relief from chest pain (angina) and improved quality of life. The
risks of heart bypass surgery vary from person to person, depending on the
severity of heart disease, type of operation, age, and current state of health.
The time to
fully recover depends on an individual’s fitness, age and how severe the
problem was but you are more likely to be out of bed in a day or two and return
home after a week, with full recovery after two or three months.
After
Going Home:
After a
heart bypass operation, a cardiac rehabilitation team member speaks with the
patient to give information about his/her condition and the treatment he/she
has had. They usually talk about making lifestyle changes and how to reduce
your risk factors (the things that increase your risk of cardiovascular
disease) to help protect your ticker in the future.
Always
remember, surgery isn’t a cure so it’s important to look after the health of
your ticker long term.
In the run
up to the surgery, you are most likely to be feeling a whole range of emotions.
You may feel anxious, afraid, angry, worried about the future or glad that you
are about to have treatment which is natural to have. So, talk it out with your
partner, a friend, relative or healthcare professional.
AHA certified CPR Tampa offers CPR training
courses for healthcare and non-healthcare providers. Sign up for a class and
contribute towards the safety of cardiac arrest victims. Call on 727-240-9404
to register for a class. If you cannot find the class day/time that fits your
schedule, check out our Tampa location- 5396 Primrose Lake Circle, Conference
Room, Tampa, FL- 33647.
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