What is coronary artery bypass surgery?

Coronary artery bypass surgery is an open heart surgery, in which veins (veins or arteries) taken from another part of the body are used to provide blood flow to the coronary arteries that do not receive enough blood. Arteries or veins used in surgery are vessels that can be easily released from the areas where they are located and do not disturb the blood flow in the body area where they are removed.

Arteries used; Typical examples of grafts are the thoracic vein (mammaria interna) running down the inside of the chest wall; An example of a vein is the saphenous vein, which runs just under the skin from the ankle to the groin on the inside of the leg. Sometimes venous grafts can be prepared from the back of the leg or the arm when necessary. Again, as arterial graft, the radial artery from the forearm and the stomach artery from the abdomen can be used for grafting.

During surgery, arterial and venous grafts are attached directly to the coronary vessels running on the surface of the heart. Thus, the grafts act as a bridge and provide blood flow beyond the stenosis.
Coronary artery by-pass surgeries are generally performed using a heart-lung machine. This machine oxygenates the blood and provides blood flow to the body at a certain pressure, making it possible to stop the heart. Thus, by-pass surgery to the coronary vessels is performed.

What does coronary artery bypass surgery provide?

Coronary artery bypass surgery increases the decreased blood flow to the heart muscle. This large incoming blood flow relieves chest pain (angina). It also reduces fatigue and the use of multiple drugs, making patients feel better. Thus, the quality of life of the patients increases. By-pass surgery in people with severe coronary artery disease prolongs the life of the patient.

Coronary Bypass Surgery with Small Incision

By reaching the area where coronary bypass will be applied between the ribs through an incision of approximately 5-6 centimeters made 1 cm above the breast level without cutting the bone in the thorax, blood is supplied by a second vein (by pass) from the obstruction in the coronary artery. In coronary bypass operations performed with small incisions, patients gain a great advantage in the recovery process. When viewed from the front, the trace of the operation is small. In addition, during the recovery process, patients will not have to lie on their back all the time after the operation, and they will be able to turn to the right or left as they wish. An advantage of the operations performed with this method is that there is very little bleeding. Most of the people who have undergone the operation state that their pain is not at a very high level. Not every patient is suitable for surgery with this small incision, it will become clear after a cardiovascular surgeon’s examination whether it is technically possible or not.

What is the Recovery Process in Coronary Bypass Surgery with Small Incision?

People who have undergone coronary bypass surgery with a small incision method can recover in a period of about 3 weeks, as long as there are no different undesirable results. This method also reduced the length of stay in the intensive care unit to 1 day. For this reason, the small incision method is preferred for patients who can return to business life in a short time. The small incision coronary bypass procedure, which shortens the healing process compared to conventional operation methods, also minimizes the possibility of an infection that may occur in the sternum. The freedom provided in sleeping positions provides morale during the recovery process of the patient and makes it possible to accompany a quality sleep in his daily life. Although it varies according to the patient, patients who have had coronary bypass with the small incision method can return to their work in a short time and start their daily life in a shorter time after the operation.