Coronary Artery Bypass Grafting, or CABG, is a major heart bypass surgery that is done to restore blood flow in a narrow or blocked artery. Performed by some of the best cardiac surgeons for CABG, it is an open-heart surgery that requires a large incision to be made to access the chest cavity. Here at Manipal Hospital, your trusted healthcare partner for Coronary Artery Bypass Grafting (CABG) surgery in Bangalore, we offers highly experienced cardiologists, advanced technology, and expert care for you. Patients looking for the Best CABG Procedure in Bangalore often choose our hospital for consistent clinical outcomes and compassionate care.
The muscles of your heart are supplied by the left main coronary artery (LMCA) and the right coronary artery (RCA). The LMCA typically gives out two branches namely the left anterior descending (LAD) and circumflex coronary arteries. The circumflex artery divides into obtuse marginal branches, whereas the LAD divides into additional diagonal branches.
Depending on which artery supplies the interventricular septum and Patent ductus arteriosus (PDA), the opening between two major blood vessels from the heart, the coronary circulation can be categorised into left-dominant, right-dominant, and co-dominant systems. The circumflex artery supplies the PDA in a left-dominant system, whereas the RCA does so in a right-dominant system. The PDA is supplied by the RCA and circumflex arteries simultaneously in a co-dominant vascular supply.
Any blockage in a coronary artery will result in ischaemia (decreased blood and oxygen supply), a deficit in myocardial perfusion, and, if left untreated, a permanent infarct or other damage to the myocardium. A cardiac procedure known as coronary artery bypass grafting (CABG) is used to treat these blockages. The procedure involves connecting blocked coronary arteries with blood vessels taken from other sections of the body and bypassing the blockage. You might require more than one bypass graft if more than one artery is occluded. Our facility is a preferred destination for CABG Surgery in Bangalore, especially for those seeking high-quality bypass surgery in Bangalore under expert supervision.
CABG is generally recommended when:
There are high-grade blockages in either of the main coronary arteries and/or percutaneous coronary intervention (PCI) has not been successful in removing the blockages
A higher than 50% LMCA
Two-vessel disease - LAD plus one other major artery
Three-vessel coronary artery disease of greater than 70% with or without proximal LAD involvement
Vascular stenosis in one or more vessels greater than 70% in a survivor of sudden cardiac death with ischemia-related ventricular tachycardia.
Vascular stenosis in one or more vessels greater than 70% in a patient with substantial angina symptoms despite receiving maximum medical treatment
CABG is contraindicated if:
The coronary arteries are not compatible with grafting
The myocardium is not healthy enough for a successful grafting
Patient refusal
Smoking is a high-risk factor for coronary heart disease. It is advisable to quit smoking before undergoing any cardiac procedures such as CABG. Continuing to smoke, will worsen your cardiac condition and also increase the risk of surgical complications.
Make up your mind and get mentally prepared for the surgery by discussing all your doubts and apprehensions with your doctor.
Make necessary arrangements for your post-op care and recuperation.
Give yourself time to recuperate, and attempt to get assistance for daily tasks.
CABG is performed by expert cardiac surgeons. The procedure involves
Making an incision on your chest and cutting open the breastbone to make your heart visibly accessible to the surgeons.
Another incision is made in your leg to obtain the vein that will be inserted into your chest. The internal mammary artery in the chest can also be utilised.
The aorta, the main artery from the heart to the body, is stitched to one end of the vein being utilised for the bypass.
The other end is sewn to the region beyond the coronary artery obstruction. If the mammary artery is used, the lower end of the artery is cut and joined to the coronary artery past the obstruction.
Your chest is stitched shut after the procedure is complete. Depending on how many blood vessels need to be bypassed, the operation may take between 3 and 6 hours.
Following the procedure, you will be shifted to the intensive care unit (ICU) for several days until your condition is stable.
You will be fitted with an electrocardiogram (ECG) monitor which will continuously record the rhythm of your heart.
You will be initiated with chest physiotherapy and respiratory therapy (breathing exercises) to prevent lung problems, such as a collapsed lung, infection, or pneumonia.
You may be prescribed pain medications for better pain management. Gradually you will be eased into physical therapy to teach you how to move your upper arms without hurting your breastbone.
Once your condition is stable, you will be encouraged to walk around the hospital and perform other strengthening exercises under the supervision of therapists.
Before you are relieved from your hospital stay, you will be educated on how to live a healthy lifestyle and follow a nutritious diet to protect your heart.
CABG, although a complex surgery, is a safe procedure and has a high success rate. As per the studies, for a healthy individual under the age of 60, the risk of serious complications is about 1%. In individuals older than 60 years, the risk percentage is about 2-10%, particularly in those with symptoms of chest pains.
However, there are other risks, such as complications due to general anaesthesia
Risk of infection or bleeding from this operation
Risk of stroke during and after the procedure, or development of new blockages in the bypassed vessels.
The expert and skilled team of cardiac surgeons at Manipal Hospitals are highly experienced and capable of handling the procedure efficiently and managing the situation in case of rare complications to ensure the best patient outcomes.
Reduced strain on the heart muscle and an increase in blood flow to the heart, reducing the risk of a heart attack. This is especially important for patients who have already experienced a heart attack or who are at a higher risk due to the severity of their coronary artery disease.
Increased quality of life through better blood circulation, symptom relief, and a lower risk of heart attack, all of which contribute to overall health and wellness. Many patients describe being able to resume their favorite activities and feeling more alive and active.
Improved long-term survival, a longer life expectancy, and a decline in risk factors associated with blocked arteries.
Known for their advanced and comprehensive cardiac care, Manipal Hospitals Bangalore have performed over 700+ Coronary Artery Bypass Grafting (CABG) surgeries across their units in Bangalore in the past two years, securing their position as most reliable hospitals for CABG treatment in Bangalore. This milestone reflects the hospital’s unwavering dedication to clinical precision, safety, and compassionate patient care. When you choose Manipal Hospitals Bangalore for your bypass surgery, you can expect:
State-of-the-art cardiac operating theatres with the most advanced surgical technologies and monitoring systems that ensure superior precision during every step of the bypass procedure.
Highly experienced cardiac surgeons with years of expertise in handling complex and high-risk bypass surgeries with consistently excellent outcomes.
Comprehensive cardiac support with a collaborative multidisciplinary approach involving cardiologists, anaesthetists, intensivists, and rehabilitation to ensure comprehensive care before, during, and after surgery.
Individualised surgical and recovery plans after a thorough assessment based on each individual’s condition and risk factors.
Minimally invasive surgical options and enhanced recovery protocols to ensure faster recovery and reduced hospital stay.
24/7 Cardiac emergency services offering round-the-clock emergency cardiac care, making timely surgical interventions possible for patients presenting with acute cardiac conditions.
When it comes to your heart health, choosing the correct hospital makes all the difference. Manipal Hospitals guarantees that you will receive compassionate, skilled, and top-notch care. Avail best treatment for CABG in Bangalore now at Manipal Hospitals
Sarjapur Road - Bengaluru
Senior Consultant - Medical Oncologist & Hemato oncologist
Sarjapur Road - Bengaluru
Senior Consultant - HOD & Chief of Cardio Thoracic & Vascular Surgery
Sarjapur Road - Bengaluru
Sarjapur Road - Bengaluru
