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Best Heart Surgeon for Coronary Artery Bypass Grafting (CABG) Surgery in India

Released Date: 2021-10-31
Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare ·Last updated: ·Editorial policy

Best Heart Surgeon for Coronary Artery Bypass Grafting (CABG) Surgery in India


Coronary Artery Bypass Grafting (CABG)

🖼️ Understand It in Pictures

💡 In simple words
The heart gets blood through small coronary arteries. Fatty plaque can narrow or block them, causing chest pain or heart attack. Bypass surgery uses a healthy blood vessel from your chest, arm or leg to make a new route around the block.

Clear vs blocked heart artery, and after bypass

CABG (Bypass Surgery): normal vs abnormal explained in pictures

👀 Symptoms in Pictures

Symptoms that may need CABG (Bypass Surgery) - in pictures

🩻 Scans & Tests — What Doctors See

Coronary angiogram
Coronary angiogram
Dye injected through a thin tube makes the heart arteries visible on X-ray; narrow spots show up clearly.
Image: Pantaleo et al., CC BY 2.0, via Wikimedia Commons
ECG test
ECG test
Sticky pads on the chest record the heart’s electrical signal in a few minutes — painless.
Image: Suyash.dwivedi, CC BY-SA 4.0, via Wikimedia Commons

🎬 The Treatment Journey in Pictures

CABG (Bypass Surgery) step by step in pictures
How a bypass graft works
How a bypass graft works
A new blood vessel is joined above and below the blocked part of the heart artery.
Image: Blausen Medical, CC BY 3.0, via Wikimedia Commons
How the heart-lung machine works
How the heart-lung machine works
Blood goes out through a tube, gets oxygen in the machine and is pumped back.
Image: NHLBI (NIH), public domain, via Wikimedia Commons
Scars two years after bypass
Scars two years after bypass
Chest scar plus a leg scar where a vein was taken for the bypass graft.
Image: Timpo, CC BY-SA 3.0, via Wikimedia Commons

📅 Recovery at a Glance

Recovery timeline after CABG (Bypass Surgery)

Drawings: Satyug Healthcare (simplified, not to scale). Photos: Wikimedia Commons; author and licence under each photo.

Coronary Heart Disease & Symptoms:

Coronary heart disease (CHD) is a narrowing of the blood vessels that supply blood and oxygen to the heart. The most common symptom of coronary artery disease is angina, or chest pain. Angina can be described as a discomfort, heaviness, pressure, aching, burning, fullness, squeezing, or painful feeling in your chest. It can be mistaken for indigestion or heartburn. Angina may also be felt in the shoulders, arms, neck, throat, jaw, or back. Some other symptoms of coronary artery disease include:

  • Shortness of breath.
  • Palpitations (irregular heartbeats)
  • A faster heartbeat.
  • Weakness or dizziness.
  • Nausea.
  • Sweating

Risk factors for Coronary Heart Disease:

  • Smoking
  • High blood pressure (hypertension)
  • High cholesterol
  • Diabetes
  • Family history
  • Peripheral artery disease

Diagnosis of Coronary Artery Disease:

Investigations such as electrocardiogram (EKG), stress tests, ultrasound imaging of the heart muscle, coronary angiography and high-speed CT scan are done to diagnose this disease.

What is Angiography?

Angiography helps diagnose conditions that affect blood vessels and the flow of blood through them. The image on an angiogram is used to plan surgeries involving the blood vessels, such as Coronary Artery Bypass Grafting (CABG) or Open Heart Surgery & coronary angioplasty (PTCA), which are performed to treat coronary heart disease.

How does coronary artery disease develop?

  • Coronary artery disease (CAD) occurs when plaque (made up of fats and cholesterol) builds up in the walls of the arteries.
  • When the coronary arteries narrow by more than 50 to 70%, the blood supply beyond the blockage becomes inadequate to meet the increased oxygen demand.
  • The heart muscle becomes starved of oxygen (ischemic) and patients often experience chest pain when the blood oxygen supply cannot keep up with demand.
  • When a blood clot (thrombus) forms on top of this plaque, the artery becomes completely blocked causing a heart attack.

What is Coronary Artery Bypass Grafting (CABG) or Open Heart Surgery?

Coronary Artery Bypass Grafting or Open Heart Surgery is the most commonly performed procedure for treatment of patients with coronary heart disease. A Cardiothoracic surgeon performs the procedure to bypass blockages or obstructions of the coronary arteries. The coronary arteries are the blood vessels that supply blood to the heart with oxygen and nutrients. The heart relies on these fuels as it works constantly to pump blood through the body. The heart never rests like the other muscles in the body, and it demands a constant supply of fuel day and night. The term ischemic heart disease refers to the condition when the heart does not get these fuels. When the heart is sufficiently ischemic (when the shortage of fuel is critical enough), the muscle begins to die. This condition may cause a "heart attack" or myocardial infarction.

How do patients recover after CABG surgery?

After the surgery, sutures are removed from the chest prior to discharge and from the leg (if the saphenous vein is used) after 7 to 10 days. Patients are advised not to lift heavy weight or drive for the first four weeks to avoid any injury to the chest. Exercise stress testing is routinely done four to six weeks after CABG. Patients are also counselled to stop smoking, reduce weight and dietary fat, control blood pressure and diabetes, and lower blood cholesterol levels.

If you have any related query, you can send us your reports at the email address below, or you can call or WhatsApp us for a second opinion.

Video/tele consultation is also available

E-mail address- query@satyughealthcare.com
Phone number- +91888-242-4372, +91991-065-5125

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