Coronary bypass surgery - Mayo Clinic

Coronary bypass surgery redirects blood around a section of a blocked or partially blocked artery in your heart. The procedure involves ... COVID-19:Advice,updatesandvaccineoptions FindoutaboutCOVID-19,COVID-19vaccines,andMayoClinicpatientandvisitorupdates. Skiptositenavigation SkiptoContent ThiscontentdoesnothaveanEnglishversion.ThiscontentdoesnothaveanArabicversion. SectionsforCoronarybypasssurgeryAboutDoctors&DepartmentsCareatMayoClinic Print Overview Coronarybypasssurgery Openpop-updialogbox Close Coronarybypasssurgery Coronarybypasssurgery Coronarybypasssurgerycreatesanewpathforbloodtoflowtotheheart.Ahealthybloodvesselfromanotherpartofthebodyisusedtoredirectbloodaroundablockedareaofanartery.Abloodvesselfromtheleg(saphenusveinbypass)orchest(internalmammaryartery)maybeused. Coronarybypasssurgeryredirectsbloodaroundasectionofablockedorpartiallyblockedarteryinyourheart.Theprocedureinvolvestakingahealthybloodvesselfromyourleg,armorchestandconnectingitbelowandabovetheblockedarteriesinyourheart.Withanewpathway,bloodflowtotheheartmuscleimproves. Coronarybypasssurgerydoesn'tcuretheheartdiseasethatcausedtheblockages,suchasatherosclerosisorcoronaryarterydisease.However,itcaneasesymptoms,suchaschestpainandshortnessofbreath.Forsomepeople,thisprocedurecanimproveheartfunctionandreducetheriskofdyingofheartdisease.Products&ServicesBook:MayoClinicFamilyHealthBook,5thEditionNewsletter:MayoClinicHealthLetter—DigitalEditionShowmoreproductsfromMayoClinic Whyit'sdoneCoronarybypasssurgeryisonetreatmentoptionifyouhaveablockedarterytoyourheart. Youandyourdoctormightconsideritif: Youhaveseverechestpaincausedbynarrowingofseveralarteriesthatsupplyyourheartmuscle,leavingthemuscleshortofbloodduringevenlightexerciseoratrest. Youhavemorethanonediseasedcoronaryartery,andtheheart'smainpumpingchamber—theleftventricle—isn'tfunctioningwell. Yourleftmaincoronaryarteryisseverelynarrowedorblocked.Thisarterysuppliesmostofthebloodtotheleftventricle. Youhaveanarteryblockagethatcan'tbetreatedwithaprocedurethatinvolvestemporarilyinsertingandinflatingatinyballoontowidentheartery(angioplasty). You'vehadapreviousangioplastyorplacementofasmallwiremeshtube(stent)toholdthearteryopenthathasn'tbeensuccessful.Oryou'vehadastentplacement,butthearteryhasnarrowedagain. Coronarybypasssurgerymightalsobeperformedinemergencysituations,suchasaheartattack,ifyou'renotrespondingtoothertreatments. Evenwithcoronarybypasssurgery,you'llneedtomakelifestylechangesaftersurgery.Medicationsareprescribedroutinelyaftercoronarybypasssurgerytoloweryourbloodcholesterol,reducetheriskofdevelopingabloodclotandhelpyourheartworkaswellaspossible.   Thereisaproblemwith informationsubmittedforthisrequest.Review/updatethe informationhighlightedbelowandresubmittheform. FromMayoClinictoyourinbox Signupforfree,andstayuptodateonresearchadvancements,healthtipsandcurrenthealthtopics,likeCOVID-19,plusexpertiseonmanaginghealth. Email ErrorEmailfieldisrequired ErrorIncludeavalidemailaddress LearnmoreaboutMayoClinic’suseofdata. 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Sorrysomethingwentwrongwithyoursubscription Please,tryagaininacoupleofminutes Retry RequestanAppointmentatMayoClinic RisksBecausecoronarybypasssurgeryisanopen-heartsurgery,youmighthavecomplicationsduringorafteryourprocedure.Possiblecomplicationsinclude: Bleeding Anirregularheartrhythm Infectionsofthechestwound Memorylossortroublethinkingclearly,whichoftenimproveswithinsixto12months Kidneyproblems Stroke Heartattack,ifabloodclotbreaksloosesoonaftersurgery Yourriskofdevelopingcomplicationsisgenerallylow,butitdependsonyourhealthbeforesurgery.Yourriskofcomplicationsishigherifthesurgeryisdoneasanemergencyprocedureorifyouhaveothermedicalconditions,suchasemphysema,kidneydisease,diabetesorblockedarteriesinyourlegs. HowyouprepareYourdoctorwillgiveyouspecificinstructionsaboutactivityrestrictionsandchangesinyourdietormedicationsthatyoushouldmakebeforesurgery. Makearrangementsforassistanceafteryoursurgery.Itwilltakeaboutfourtosixweeksforyoutorecovertothepointwhereyoucanresumedriving,returntoworkandperformdailychores. WhatyoucanexpectBeforetheprocedureIfyourcoronarybypasssurgeryisn'tperformedasemergencysurgery,you'lllikelybeadmittedtothehospitalthemorningofthesurgery. DuringtheprocedureCoronarybypasssurgerygenerallytakesbetweenthreeandsixhoursandrequiresgeneralanesthesia.Thenumberofbypassesyouneeddependsonwhereinyourheartandhowsevereyourblockagesare. Forgeneralanesthesia,abreathingtubeisinsertedthroughyourmouth.Thistubeattachestoaventilator,whichbreathesforyouduringandimmediatelyafterthesurgery. Mostcoronarybypasssurgeriesaredonethroughalongincisioninthechestwhileaheart-lungmachinekeepsbloodandoxygenflowingthroughyourbody.Thisiscalledon-pumpcoronarybypasssurgery. Thesurgeoncutsdownthecenterofthechestalongthebreastboneandspreadsopentheribcagetoexposetheheart.Afterthechestisopened,theheartistemporarilystoppedwithmedicationandaheart-lungmachinetakesovertocirculatebloodtothebody. Thesurgeontakesasectionofhealthybloodvessel,oftenfrominsidethechestwallorfromthelowerleg,andattachestheendsaboveandbelowtheblockedarterysothatbloodflowisredirectedaroundthenarrowedpartofthediseasedartery. Othersurgicaltechniquesyoursurgeonmightuseinclude: Off-pumporbeating-heartsurgery.Thisprocedureinvolvesdoingsurgeryonthebeatingheartusingspecialequipmenttostabilizetheareaoftheheartthesurgeonisworkingon.Thistypeofsurgeryischallengingbecausetheheartisstillmoving.It'snotanoptionforeveryone. Minimallyinvasivesurgery.Asurgeonperformscoronarybypassthroughsmallincisionsinthechest,oftenwiththeuseofroboticsandvideoimagingthathelpthesurgeonoperateinasmallarea.Variationsofminimallyinvasivesurgerymightbecalledport-accessorkeyholesurgery. Aftercompletingthegraft,thesurgeonwillrestoreyourheartbeat,disconnectyoufromtheheart-lungmachineandusewiretocloseyourchestbone.Thewirewillremaininyourbodyaftertheboneheals. AftertheprocedureExpecttospendadayortwointheintensivecareunit.Thebreathingtubewillremaininyourthroatuntilyouareawakeandabletobreatheonyourown. Cardiacrehabilitationoftenbeginswhileyou'restillinthehospital.You'llbegivenanexerciseandeducationprogramdesignedtohelpyourecover.You'llcontinuewithmonitoredprogramsinanoutpatientsettinguntilyoucansafelyfollowahome-basedmaintenanceprogram. Barringcomplications,you'lllikelybedischargedfromthehospitalwithinaweek.Youstillmighthavedifficultydoingeverydaytasksorwalkingashortdistance.If,afterreturninghome,youhaveanyofthefollowingsignsorsymptoms,callyourdoctor: Fever Rapidheartrate Neworworsenedpainaroundyourchestwound Reddeningaroundyourchestwoundorbleedingorotherdischargefromyourchestwound Expectarecoveryperiodofaboutsixto12weeks.Ifyouhaveyourdoctor'sOK,youcanreturntowork,beginexercisingandresumesexualactivityafterfourtosixweeks. ResultsAftersurgery,mostpeoplefeelbetterandmightremainsymptom-freeforaslongas10to15years.Overtime,however,it'spossiblethatotherarteriesoreventhenewgraftusedinthebypasswillbecomeclogged,requiringanotherbypassorangioplasty. Yourresultsandlong-termoutcomewilldependinpartontakingyourmedicationstopreventbloodclots,lowerbloodpressure,lowercholesterolandhelpcontroldiabetes.It'salsoimportanttofollowhealthy-lifestylerecommendations,includingthese: Stopsmoking. Followahealthy-eatingplan,suchastheDASHdiet. Achieveandmaintainahealthyweight. Exerciseregularly. Managestress. Clinicaltrials ExploreMayoClinicstudiesoftestsandprocedurestohelpprevent,detect,treatormanageconditions. ByMayoClinicStaff CoronarybypasssurgerycareatMayoClinic RequestanAppointmentatMayoClinic Doctors&Departments Nov.03,2020 Print Shareon:FacebookTwitter Showreferences Coronaryarterybypassgrafting.NationalHeart,Lung,andBloodInstitute.https://www.nhlbi.nih.gov/health-topics/coronary-artery-bypass-grafting.AccessedOct.14,2020. Whatiscoronarybypasssurgery?AmericanHeartAssociation.https://www.heart.org/en/health-topics/consumer-healthcare/answers-by-heart-fact-sheets/answers-by-heart-fact-sheets-treatments-and-tests.AccessedOct.14,2020. JamesonJL,etal.,eds.Ischemicheartdisease.In:Harrison'sPrinciplesofInternalMedicine.20thed.McGrawHill;2018.https://accessmedicine.mhmedical.com.AccessedOct.14,2020. ArankiS,etal.Earlynoncardiaccomplicationsofcoronaryarterybypassgraftsurgery.https://www.uptodate.com/contents/search.AccessedOct.14,2020. AskMayoExpert.Cardiacrehabilitation(adult).MayoClinic;2019. PatelMR,etal.ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS2017appropriateusecriteriaforcoronaryrevascularizationinpatientswithstableischemicheartdisease.JournaloftheAmericanCollegeofCardiology.2017;doi:10.1016/j.jacc.2017.02.001. ArankiS,etal.Earlycardiaccomplicationsofcoronaryarterybypassgraftsurgery.https://www.uptodate.com/contents/search.AccessedOct.14,2020. BrownAY.AllscriptsEPSi.MayoClinic.Oct.8,2020. DoenstT,etal.PCIandCABGfortreatingstablecoronaryarterydisease:JACCreviewtopicoftheweek.JournaloftheAmericanCollegeofCardiology.2019;doi:10.1016/j.jacc.2018.11.053. Related Acutecoronarysyndrome Angina Cardiogenicshock Coronaryarterydisease Coronarybypasssurgery Enlargedheart Heartarrhythmia Heartattack Heartdisease Heartfailure Myocardialischemia Progeria Spontaneouscoronaryarterydissection(SCAD) Suddencardiacarrest Takayasu'sarteritis Ventricularfibrillation Showmorerelatedcontent NewsfromMayoClinic AIalgorithmcanpredictlong-termpatientsurvivalaftercardiacsurgery,MayoClinicstudyfinds Dec.01,2021,04:00p.m.CDT MayoClinicpatientsetsnewworldrecordinswimming Aug.27,2021,03:59p.m.CDT Products&Services Book:MayoClinicFamilyHealthBook,5thEdition Newsletter:MayoClinicHealthLetter—DigitalEdition ShowmoreproductsandservicesfromMayoClinic MayoClinicinRochester,Minn.,hasbeenrecognizedasoneofthetopCardiology&HeartSurgeryhospitalsinthenationfor2021-2022byU.S.News&WorldReport. Learnmoreaboutthistophonor CoronarybypasssurgeryAboutDoctors&DepartmentsCareatMayoClinic Advertisement MayoClinicdoesnotendorsecompaniesorproducts.Advertisingrevenuesupportsournot-for-profitmission. Advertising&Sponsorship Policy Opportunities AdChoices MayoClinicPress Checkoutthesebest-sellersandspecialoffersonbooksandnewslettersfromMayoClinicPress. NEW–TheEssentialDiabetesBook-MayoClinicPressNEW–TheEssentialDiabetesBookCookSmart,EatWell–2FREErecipes-MayoClinicPressCookSmart,EatWell–2FREErecipesNEW–MayoCliniconHearingandBalance-MayoClinicPressNEW–MayoCliniconHearingandBalanceFREEMayoClinicDietAssessment-MayoClinicPressFREEMayoClinicDietAssessmentMayoClinicHealthLetter-FREEbook-MayoClinicPressMayoClinicHealthLetter-FREEbook PRC-20155130 PatientCare&HealthInformation Tests&Procedures Coronarybypasssurgery