coronary artery bypass surgery (cabg)
CORONARY ARTERY BYPASS GRAFT SURGERY (CABG)
CABG is a surgical procedure for the treatment of the coronary artery disease. In this procedure , the disease is bypassed and the normal blood flow is maintained distal to the disease. In this surgery the disease in the artery is not disturbed with any artificial material , only the disease segment is bypassed using normally occurring patients own body conduits (artery or vein). There is no dye used. No fear of contrast nephropathy.
(Ref. Fig Blausen.com staff (29 August 2014). "Medical gallery of Blausen Medical 2014" )
indication for cabg
CABG is indicated in following condition and gives better results over Angioplasty:
1. Left Main Disease(LM)
2. Triple vessels disease (TVD)
3. Stable disease with complex anatomy
4. Emergency or Urgent CABG when PCI not possible
5. Class I indication for Stable Ischemic Heart Disease for survival benefits
type of cabg
1.BEATING HEART OFF PUMP
1.BEATING HEART OFF PUMP
1.BEATING HEART OFF PUMP
Here the patient is not put on heart lung machine. Bypass surgery is done on beating heart without stopping the heart activity.
2.ON PUMP CABG
1.BEATING HEART OFF PUMP
1.BEATING HEART OFF PUMP
Here the heart is made to stop for bypass surgery and the patient is put on heart lung machine to divert and oxygenate the blood from and to the body.
3.CONVENTIONAL CABG
3.CONVENTIONAL CABG
3.CONVENTIONAL CABG
This type of CABG is being done in majority of cases. Here the sternum (breastbone) is cut to expose the heart for bypass surgery. Then the bone is fixed with stainless steel wires which later on gets embedded in the bone.
4.MICS- CABG
3.CONVENTIONAL CABG
3.CONVENTIONAL CABG
Minimally Invasive CABG also known as MIDCAB or EACAB.
IN MIDCAB left internal mammary artery (LIMA) is harvested under direct vision. In EACAB LIMA is harvested endoscopically.
Both MICS-CABG can done with only 2 to 3 inches incision from left side of the chest without cutting any bone. It also gives better cosmesis. You can ask your surgeon for the MICS-CABG for your CAD , whether you are suitable candidate for the same.