After Heart Surgery

We have seen why bypass operation needs to be done; now we will see what happens after such a major operation. After heart surgery, the recovery takes some time. There may be a little pain and cough, but the tremendous overall benefit of the operation makes it all worthwhile. Specific improvements after a Bypass:  …

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Octopus in the Operation Theatre

Octopus is a device used by the cardiac surgeons during an ‘Off Pump’ Bypass operation to hold a small part of the heart stable while the graft is being attached. It has suckers, which stick to the heart (like an octopus) and hold it still without damaging it.   Minimally Invasive Surgery: Sometimes, off pump…

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‘Off Pump’ Bypass

This is the latest technique of doing CABG where the heart lung machine is not used. This obviates the drawbacks of the heart lung machine mentioned above and makes the Bypass quicker and safer. The patient gets better earlier as compared to On Pump Bypass and may require very little blood transfusion. It is advisable…

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‘On Pump’ Bypass

Bypass operations are done using the heart lung machine, which makes it possible to stop the heart beating during surgery. This is called ‘On Pump Bypass’ because the heart lung machine pumps the blood through our body instead of the heart, which is stopped. While the heart is stopped, the surgeons connect the grafts to…

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CABG: What’s it?

Coronary Artery Bypass Graft (CABG) is a major operation where arteries and/or veins are taken as grafts (replacement blood vessels) from another part of our body to channel more blood flow to the heart muscle. The vessels are directly connected to the coronary arteries on the surface of the heart before and beyond the blockages….

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Treating Blocked Coronaries:Surgery

In a lighter vein, we refer to the interventional cardiologists as the ‘cardiac plumbers’ and ‘electricians’. By the same logic, Cardiac Surgeons are the ‘carpenters’ because they repair diseased hearts. The popular term ‘Bypass Operation’ is short for Coronary Artery Bypass Graft (CABG) surgery. This major operation is undertaken as a treatment in selected cases…

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About modern technology and cost

  As I become older I see more and more high tech objects in our life. Stents are an example. I use this cylindrical object made of fine mesh alloy to open arteries and then keep them open. Now-a-days, the drug-coated stents are the best, though very expensive. Healthcare services have become so expensive that many…

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Other devices used in Angioplasty

Several other devices may be used during an Angioplasty. One is a rotating burr (Rotablator) that helps clean out plaque in a coronary artery. The Directional Coronary Atherectomy device uses a rotating cutter to ‘shave off’ pieces of the arterial blockage. Sometimes, special ‘cutting’ balloons are also used to open the arteries. Laser beams have…

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New Clot Busters

These are a group of medicines called Platelet IIB/IIIa inhibitors and anti-thrombin drugs (Bivalirudin) which make the platelets (blood cells that help in clotting) ‘less sticky’ and reduce the chances of blood clot formation. These drugs are used during stenting, because if a blood clot forms near or about the stent, then all the effort…

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