Open-heart (bypass) surgery: what it is, how it is done, recovery, and how to think about cost

5 min read

Bypass surgery (CABG) is an operation that improves blood flow to the heart by using healthy blood vessels from elsewhere in the body to go around narrowed or blocked arteries. It is usually done as open-heart surgery, takes 3 to 6 hours, and recovery takes a few months. It does not cure heart disease, and whether it is right for someone is a decision for their heart doctor.

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At a glance

What it is
An operation that uses healthy blood vessels to go around blocked heart arteries
How it is done
Under general anaesthetic; usually open-heart surgery through a cut down the middle of the chest, sometimes keyhole surgery
Operation time
Usually 3 to 6 hours
Hospital stay
Usually about a week, including time in intensive care
Recovery
Full recovery usually takes 2 to 3 months; many people are back to normal activities after about 6 weeks
Does it cure heart disease
No, it does not cure heart disease
On this page
  1. Why it is done
  2. How it is done
  3. Recovery
  4. Risks
  5. Alternatives
  6. How to think about cost

Why it is done

Coronary heart disease happens when the arteries that supply the heart become narrowed or blocked. Bypass surgery is considered when medicines are not enough, when the risk of a heart attack is high, or when angioplasty is not suitable. It can relieve symptoms such as angina and help prevent heart attacks.

How it is done

  • The operation is done in hospital under a general anaesthetic.
  • It is usually open-heart surgery through a large cut down the middle of the chest; sometimes keyhole surgery is used.
  • Healthy blood vessels, usually from the leg or chest, are joined on to go around the narrowed or blocked artery.
  • During the operation the heart is usually connected to a heart-lung machine.
  • The whole operation usually takes 3 to 6 hours.

Recovery

After the operation you are usually looked after in intensive care for a while, and the whole hospital stay is usually about a week. Full recovery takes 2 to 3 months, and many people are back to normal activities after about 6 weeks. Your surgeon will tell you when you can drive, lift things or return to work. Medicines and lifestyle habits stay important afterwards.

Risks

Like any major operation, it carries risks. The NHS lists:

  • Wound infection
  • Bleeding
  • An irregular heartbeat
  • Kidney problems
  • Memory problems
  • A heart attack or stroke during or soon after the operation

Your surgeon will explain how these apply to you.

Alternatives

In some cases angioplasty with a stent, a simpler procedure, is an option, and medicines are part of treatment too. Your heart doctor decides which is suitable.

How to think about cost

Costs differ between hospitals and depend on things like the type of operation, the number of vessels treated, the room type and the length of stay. Before you decide, ask the hospital for a written estimate that says what is and is not included (for example tests, medicines, ICU days and follow-up visits), and compare more than one hospital.

Your next step

Heart bypass surgery at Ship International Hospital

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Common questions

Is bypass surgery the same as open-heart surgery?
Bypass surgery (CABG) is usually done as open-heart surgery, through a cut down the middle of the chest, although keyhole surgery is sometimes used.
How long is the hospital stay?
Usually about a week, including time in intensive care.
Does bypass surgery cure heart disease?
No. The NHS says it does not cure heart disease, so medicines and lifestyle changes still matter.
How much does it cost in Bangladesh?
Costs vary by hospital and by the details of the operation and stay. Ask each hospital for a written estimate of what is included, and compare more than one.

Sources

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