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Coronary Arthery Bypass(Conventional)

Coronary Artery Bypass(Conventional)

Conventional Coronary Artery Bypass Surgery, commonly known as CABG (Coronary Artery Bypass Grafting), is a well-established and highly effective surgical procedure used to treat severe coronary artery disease (CAD) and improve blood flow to the heart muscle. This surgical intervention involves rerouting blood flow around blocked or narrowed coronary arteries using grafts. Here’s an overview of conventional CABG:

The Surgical Procedure

  • Conventional CABG is performed in an operating room under general anesthesia. The patient is completely asleep and pain-free during the procedure.
  • A large incision, typically in the chest or sometimes the leg, is made to access the heart and the affected coronary arteries.
  • The patient is connected to a heart-lung machine, which takes over the role of the heart and lungs during the surgery. This allows the surgeon to temporarily stop the heart for the grafting process.
  • A healthy blood vessel, often harvested from the patient’s own body (autograft) or, in some cases, from a donor (allograft), is used to create a bypass around the blocked or narrowed portion of the coronary artery.
  • The graft is skillfully attached to the aorta and then routed to the affected coronary artery, creating an alternate path for blood to flow to the heart muscle.
  • The heart is restarted, the heart-lung machine is disconnected, and the chest is closed with sutures or staples.

Benefits and Outcomes

  • Conventional CABG is highly effective in improving blood flow to the heart muscle, relieving symptoms of angina (chest pain), and reducing the risk of heart attacks.
  • It can extend and enhance the quality of life for individuals with severe coronary artery disease.
  • Successful CABG often provides long-term relief, but it also requires a commitment to heart-healthy living, including regular exercise, a balanced diet, and medications to manage risk factors.

Recovery and Follow-Up

  • Recovery from conventional CABG typically involves a few days in the hospital and several weeks to months of recuperation.
  • Cardiac rehabilitation may be recommended to help patients regain strength and stamina.
  • Lifelong follow-up with a cardiologist is essential to monitor the grafts, overall heart health, and the management of risk factors.

Conventional CABG is a well-established and time-tested procedure that offers a second chance at a healthier life for individuals with advanced coronary artery disease. While it is a major surgical intervention, it has been refined over the years, resulting in improved techniques and outcomes. The choice of treatment for coronary artery disease depends on the individual’s specific condition, the location and severity of blockages, and the recommendations of a healthcare team.

What Is Cardiology?

Cardiology is the branch of medicine that focuses on the diagnosis, treatment, and prevention of diseases and conditions related to the heart and cardiovascular system. Cardiologists are medical doctors who specialize in this field.

What Are The Common Heart Conditions Treated by Cardiologists?

Cardiologists diagnose and treat a wide range of heart conditions, including coronary artery disease, heart failure, arrhythmias (irregular heart rhythms), valvular heart disease, congenital heart defects, and cardiomyopathies. They also manage risk factors such as hypertension (high blood pressure), high cholesterol, and diabetes that can contribute to heart disease.

What Is Open Heart Valve Replacement Surgery?

Open heart valve replacement surgery is a surgical procedure performed to replace a damaged or diseased heart valve with a prosthetic valve. It involves making an incision in the chest, opening the chest cavity, and temporarily stopping the heart to access and replace the malfunctioning valve.

Can I Lead a Normal Life After Open Heart Valve Replacement Surgery?

In many cases, patients can lead a normal life after recovering from open heart valve replacement surgery. However, it’s important to follow the recommended lifestyle modifications, take prescribed medications, attend follow-up appointments, and adopt a heart-healthy lifestyle. Regular exercise, a balanced diet, stress management, and avoiding tobacco use are important for maintaining heart health and maximizing the benefits of the surgery.

Will I Need Regular Follow-Up After Open Heart Valve Replacement Surgery?

Yes, regular follow-up visits with your cardiologist or cardiac surgeon are important after open heart valve replacement surgery. These visits allow the healthcare team to monitor your progress, assess the functioning of the replacement valve, make any necessary adjustments to medications, and address any concerns or issues you may have. Follow-up appointments are crucial for long-term care and monitoring of your heart health.

What Is Coronary Angiography?

Coronary Angiography, also known as cardiac catheterization or coronary angiogram, is a diagnostic procedure that allows doctors to visualize the blood vessels of the heart. It involves the injection of a contrast dye into the coronary arteries and taking X-ray images to evaluate the presence of blockages or narrowing in the arteries.

How Long Does Coronary Angiography Take?

The duration of Coronary Angiography can vary, but the procedure usually takes about 30 minutes to 1 hour. However, it may take longer if additional interventions, such as angioplasty or stent placement, are performed during the same procedure.

Will I Be Awake During Coronary Angiography?

During Coronary Angiography, you will usually be given mild sedation to help you relax. While you may be awake and aware during the procedure, you may not remember all the details due to the sedative effects. The medical team will closely monitor your comfort and safety throughout the procedure.

What Should I Expect After Coronary Angiography?

After the procedure, you will be moved to a recovery area where your vital signs will be monitored. You may need to lie flat for a few hours to prevent bleeding from the catheter insertion site. Your medical team will provide specific instructions regarding activities, medications, and follow-up appointments. Most patients can resume normal activities within a day or two after the procedure.

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