CABG - Heart Surgery in Iran

Best open-heart surgery (CABG) in Iran with the best price

CABG - Heart Surgery in Iran :

Description

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Description

Coronary artery bypass surgery restores normal blood flow to the heart by creating a bypass around the blocked artery/arteries. This is done by using a healthy blood vessel, called a graft. Grafts usually come from your own arteries and veins located in the chest, leg or arm.
Procedures

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Procedures

You will have general anesthesia for the surgery. The first step in the surgery is for the surgeon to prepare the arteries or remove the veins that will be used as bypass grafts.

To bypass the blockage, the surgeon makes a small opening just below the blockage in the diseased coronary artery. If a saphenous (leg) vein or radial (arm) artery is used, one end is connected to the coronary artery and the other to the aorta. If a mammary artery is used, one end is connected to the coronary artery while the other remains attached to its origin at the left subclavian artery. The graft is sewn into the opening, redirecting the blood flow around this blockage.

The procedure is repeated until all affected coronary arteries are treated. It is common for three or four coronary arteries to be bypassed during surgery.
Patient Eligibility

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Patient Eligibility

The decision to prescribe medical treatment, invasive procedures or cardiac bypass surgery depends on several factors including the extent of cardiovascular disease, the severity of symptoms, your age, and other medical conditions. The cardiologist (heart specialist) and the surgeon will determine the best method of therapy for each patient.
Further Information

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Further Information

1. You will start your recovery in an intensive care unit (ICU). You will stay in the ICU for 1-2 days, so your healthcare team can closely keep track of your condition and vital signs. You will continue your recovery in a step-down unit. Most patients stay in the step-down unit for 3-5 days.

2. It will take about two months to recover from surgery. In the beginning, you may feel worse than you did before surgery. This is normal and usually relates to the trauma of surgery, not how well your heart is working. The way you feel after surgery depends on your overall health, the outcome of the surgery, how well you take care of yourself after surgery, and how well you felt before surgery. Most patients feel better after they recover.

3. Your results and the long-term outcome will depend in part on taking your medications to prevent blood clots, lower blood pressure, lower cholesterol and to help controlling diabetes as directed, as well as following the underneath healthy lifestyle recommendations, including:

• To stop smoking.

• To follow a healthy eating plan, such as the DASH (Dietary Approaches to Stop Hypertension) diet.

• To achieve and maintain a healthy weight.

• To exercise regularly.

• To manage stress.

- It is notable that Individual leaflets based on the patient/client plan will be offered to you including instructions before and after procedure and also for upcoming follow-up. During your staying in Iran, you will be fully supported by Exon English and Arabic translation team, who will be happy to assist with any concerns or queries that arise.
Risks and Benefits

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Risks and Benefits

Because coronary bypass surgery is open-heart surgery, you might have complications during or after your procedure. Possible complications include:

• Bleeding

• Heart rhythm irregularities (arrhythmias)

• Infections of the chest wound

• Memory loss or troubles with thinking clearly, which often improve within six to 12 months

• Kidney problems

• Stroke

• Heart attack, if a blood clot breaks loose soon after surgery

Your risk of developing complications is generally low, but it depends on your health before surgery. Your risk of complications is higher if the operation is done as an emergency procedure or if you have other medical conditions, such as emphysema, kidney disease, diabetes or blocked arteries in your legs (peripheral artery disease).

Note: This package information is provided by the scientific team of Exon Health Paradise Co. and is not intended to replace the medical advice of your doctor or healthcare provider. Please consult your healthcare provider for advice about a specific medical condition.

Duration : 10 to 15 Days (Depends on the patient)

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GOALS

• To relieve symptoms of coronary artery disease (including angina)

• To lower the risk of a heart attack or other heart problems

• To enable the patient to resume a normal lifestyle

CABG - HEART SURGERY IN IRAN : ALL YOU NEED TO KNOW

Open-heart surgery is done to treat heart diseases when other treatments are not workable. In this surgery, the chest will cut open to operate on the muscles, valves, or arteries. The most common type of heart surgery for adult is CABG (Coronary Artery Bypass Graft).

In this procedure a healthy artery or vein is attached to blocked coronary artery so fresh blood can flow in grafted artery (bypass). In spite of the misleading term of open-heart surgery, most of the heart surgeries are operated with small incisions.

Exon in collaboration with cardiovascular and cardiothoracic surgeons in Iran world class hospitals brings you experts in the field. This also includes experienced and friendly manner nurses and staff in quickly and scheduled appointment.

Cause to do open heart surgery

The aim of CABG is correction problems of heart if medication is not effective. Coronary artery bypass is the most common type of heart surgery. CABG is often operated in order to implant medical devices to help heart beat or heart function and blood flow.

It is also performed to:

• Replace or repair heart valve which control blood flow through heart

• Treat structural disorders in the heart

• Treat heart failure or coronary heart disease (CHD)

Preparation for CABG

After complete decision to do CABG surgery you should consult with your surgeon about your current medication (including even over the counter drugs). You should also inform your doctor about you’re past medical and surgical history. Even common cold or flu is important in your current medical situation. Some of the guidelines include stopping smoking and also blood-thinning medications like aspirin, ibuprofen, and naproxen. You should tell your doctor about your allergies or reactions you may have to any medication. This procedure takes three to six hours. Anesthesia is given in this surgery to have a pain free procedure. About 8 to 10 inch cut in the chest is needed. Exon will offer you the relevant leaflet including all necessary information you may need before operation.

Risks of CABG

Nowadays more than 95 percent of CABG surgeries is successful and the risk of death immediately after operation is only 1–2 percent. Some of the probable risks may include:

• Chest wound infection (more common in patients with obesity or diabetes, or those who’ve had a CABG before)

• Heart attack or stroke

• Irregular heartbeat

• Lung or kidney failure

• Chest pain and low fever

• Memory loss or “fuzziness”

• Blood clot

• Blood loss

• Breathing difficulty

• Pneumonia

What to expect from CABG

After CABG you feel that your symptoms have been subsided, you feel better and about 10 to 15 years you will have no symptoms. It is possible that over the time other arteries will become clogged so another bypass or angioplasty may be needed. The result of CABG outcome strongly depends on your lifestyle and medications. So, you should manage your weight, stress and diet. Exon will offer you a leaflet in terms of instructions you should do for your daily activities.

CABG FAQs

1. What is CABG procedure?

CABG or artery bypass grafting or bypass surgery is a surgery to treat coronary artery disease (CAD). Moreover, it improves blood circulation to the heart. CABG is also known as heart bypass surgery. This surgery also helps to flow oxygen-rich blood as a new channel to the heart.

2. Who is the candidate for CABG or bypass grafting?

The patients who have sever blockage in their large coronary artery are common CABG candidates. There are different factors that your doctor suggest you to do CABG. Sometimes an emergency basis is the cause of CABG for some patients. In this regard, the state of your cardiovascular system, heart and lungs and even pulse is so important.

3. What should I do before CABG?

Based on the order of your surgeon you should do some diagnostic tests including blood tests, EKG, Echocardiogram, Chest X-ray, cardiac catheterization and angiography. Exon will offer you a leaflet including the required information for preparation for CABG procedure.

4. What will happen during bypass surgery?

Depending on the number of arteries being bypassed it may last typically take 3 to 5 hours. Anesthesia is applied before surgery. During the procedure, your heartbeat, blood pressure, oxygen levels, and breathing are monitored. Moreover a breathing tube is placed in your lungs and is connected to a ventilator to help you breath.

5. What are the types of open heart surgery?

• Aortic valve surgery that aims to repair or replace an aortic valve that is not working correctly.

• Arrhythmia surgery that aims to correct irregular heart rhythms like atrial fibrillation or ventricular tachycardia.

• Congenital heart surgery

• Coronary artery bypass graft (CABG) surgery

• Heart transplant

6. How is CABG performed in the form of traditional?

CABG involves an incision through chest and also needs the use of a heart-lung machine. Accordingly, the heart is temporarily stopped as a heart-lung machine circulates oxygen-rich blood throughout your body. Then heart is restarted with mild electric shocks. You are disconnected from the heart-lung machine, and the fluid drainage tubes are inserted into your chest. Your chest bone will be enclosed by wires and stitches to close the skin incision. Once you are able to breathe on your own, the breathing tube is removed.

7. What position should I sleep after heart surgery?

If you have difficulty in sleeping in post operation process, there are a few sleep positions you can try upright. After surgery and for a few weeks, while your chest bone heals, sleeping upright in a bed can help you to have the most comfort. A neck pillow to support your neck and spine is also suggested.

8. Does the heart stop beating during surgery?

Yes, heart beating is temporarily stopped during operation however a heart lung machine or CPB (cardiopulmonary bypass) maintains life. Through decreasing heart temperature or injection of a preservative can stop heartbeat.

9. How long does it take to stop heart beat?

It takes 30-90 minutes of the 3-6 hours surgery, to stop the heartbeat. The heart-lung machine helps in this procedure. It is notable that this technique has been used for many years with excellent results.

10. How long should I stay in ICU after CABG?

The recovery process will begin in the hospital's intensive care unit (ICU) then will continue in another area of the hospital for three to five days before you go home. Recovery time after discharge from the hospital often takes six weeks or more.

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