Heart bypass surgery, what kind of surgery is heart bypass surgery performed on?

Please make sure that it is bypass surgery, not stent surgery. The difference between these two surgeries is significant.

For people nowadays, "stent surgery" should be a small operation, just a small operation that can be done with a large needle in the wrist or thigh. Now many secondary and even primary hospitals are carrying out this surgery.

And bypass surgery is a major thoracotomy surgery! During the procedure, the patient will need general anesthesia (including anesthesia for breathing and heartbeat) and cardiopulmonary bypass (artificial heart and ventilator).

Bypass surgery is a surgical method in which the patient's own blood vessels (such as the internal thoracic artery, the saphenous vein of the lower extremities, etc.) or artificial blood vessels are used to connect the two ends of the coronary artery (the blood vessel of the heart) to bypass the obstructed part and continue to move forward.

This new blood vessel is also called a "bridge", and this surgery is also called a "bypass", in which a new vascular bridge is erected at both ends of the obstruction.

This surgery is intolerable to the elderly, and generally people who are not seriously ill will not be recommended by doctors to have this surgery.

Here comes your question.

1. Surgical risk.

It's very big, and the operation itself is very dangerous, so you must go to a big hospital, a very mature hospital to do it, and the best one in the country is Beijing Fuwai Hospital.

2. Will there be any sequelae after surgery?

Definitely, and no less.

But this is a matter of weighing the pros and cons, and the vast majority of the surgeries are successful, and your father's symptoms will improve significantly after the surgery, and the quality of life will be greatly improved.

And your father's current condition is very dangerous, and there is a possibility of sudden death from a heart attack at any time, and you can only weigh it yourself.

3. How long can it be used after bypass surgery?

4. What are the remedies for **?

These two questions are very important for patients to know, but I don't have exact information at hand (this operation cannot be done in our hospital), so I dare not say.

To be sure, there is generally no possibility of in situ** because the original obstruction is no longer used and the postoperative blood flows through a new vascular bridge.

However, there is a problem of the continued development of blood clots, which requires strict control in the first life and drug control in the second. If the other blood vessels do become blocked again, then the condition is the same as the current one, and you can choose a stent, or you can choose a bypass (although it may no longer be tolerated).

Patients who undergo heart bypass surgery live on the fourth floor of Building 3.

Heart bypass, commonly known as coronary artery bypass, is internationally recognized as the most effective method for coronary heart disease. It is to create a passage between the proximal and distal ends of the coronary artery stenosis, so that the blood can bypass the narrow and reach the distal end, like a bridge that makes the highway flow unimpeded across a mountain and river.

What is a heart bypass?

Heart bypass is the surgical removal of one or more blood vessels from the body. These blood vessels are the patient's. One end of the blood vessel is attached to the thickest aorta in the human body as the blood **.

The other end anastomoses over the coronary artery distal to the stenosis. This provides blood perfusion to these narrow coronary arteries. To ensure a normal blood supply, the most famous of the many grafts that have been removed is our internal mammary artery.

It grows on the chest wall, with one on the left and one on the left, and it is perfect for bridging. It is currently the most patency of graft vessels in our medical development. The patency rate can reach 90%-92% in 10 years, and no material or organization can match it.

What are the complications after heart bypass surgery?

The probability of complications after bypass surgery is relatively low, theoretically less than 1%. But it's very difficult to ask what exactly the complications are. Why?

Because complications are possible with all thoracotomy surgeries, bypass surgery can also occur. These include pain, infection, blood vessel wall congestion, and more. But in general, there are not many complications after bypass surgery.

Who needs heart bypass surgery.

Heart bypass surgery is generally mainly suitable for patients who can not place stents, such as coronary angiography examination found that the patient's blood vessels are blocked or narrowed more severely, and need to be intervened**, like this part of the patient If you can't put a stent, it is best to do this coronary artery bypass surgery to carry out **, now such as drugs**, health awareness, and stents** This means are relatively advanced, and the general patient can avoid bypass surgery after early detection. <>

The main object of heart bypass surgery is coronary heart disease, because it will have a good effect on improving coronary heart disease, but heart bypass surgery is needed, not under what circumstances surgery can improve the disease. Patients need to go to the hospital and discuss the indications for bypass surgery with their doctor to decide whether to proceed with the surgery or not. In patients with abnormal cardiac bypass surgery, intervention** is difficult to improve in order to promote recovery of ischemic myocardium, and bypass surgery is required to improve the situation.

Ordinary heart bypass surgery is necessary and not can be done in all cases, but it still needs to be judged based on the outcome of the disease.

Currently, cardiopulmonary bypass is more commonly used for cardiac bypass surgery. = The biggest advantage of this method is that after the heart stops beating, the heart is very quiet, and the surgeon can perform fine and precise sutures, which is very convenient to operate. Therefore, many patients with coronary heart disease will often be able to alleviate their condition after passing **.

So what are the precautions after heart bypass surgery?

After heart bypass surgery, it is important to maintain a good attitude and avoid stress or overwork. For patients with acute myocardial infarction, there is usually palpitation and shortness of breath. After the onset of the disease, there may be chest tightness, nausea, sweating, panting, etc., which may affect the effect of the surgery.

At this time, it is important to maintain a calm and stable mood, and pay attention to controlling calorie intake in terms of diet. After the surgery, it is important to pay attention to the diet and pay attention to light and easy to digest. After the surgery, it is important to eat small and frequent meals, and pay attention to eating, and avoid eating too much, which is not conducive to the patient's rest and recovery.

Therefore, it is necessary to pay attention to various nutrients after the surgery.

After heart bypass surgery, it is important to have regular follow-ups. Although heart bypass surgery is safe, if there are any problems, it is important to tell the doctor in time to avoid unnecessary surgery and let the doctor decide whether surgery is needed based on the patient's symptoms. After heart bypass surgery, it is important to maintain a good attitude and avoid mental stress or overexertion.

1. Coronary artery stenosis caused by coronary atherosclerotic heart disease. Coronary atherosclerotic heart disease is divided into common angina, severe angina, and myocardial infarction.

2. Non-atherosclerotic coronary heart disease is mainly due to coronary embolism, inflammation, trauma or congenital malformation, the incidence of such diseases is very rare, less than 10%, and it is even less common to need to do heart bypass.

For example, coronary artery aneurysms or syphilitic Takayasu's artery causes compression of the coronary arteries, and sometimes heart bypass is needed to solve the problem.

After heart bypass surgery, it is not that the heart disease is cured and the patient is fine, but that the blockage of a certain blood vessel is temporarily solved, and the contradiction of myocardial ischemia is temporarily alleviated, so three things need to be considered:

1. Because the abnormal state of the blood has not changed, it is possible to have chronic stenosis again, and many patients may have symptoms of chest pain, resulting in a second operation 10 to 20 years after surgery, and then put a stent or do a bypass.

2. The graft used in heart bypass surgery may have blood clots in the case of taking drugs, resulting in myocardial infarction, so it is necessary to take anticoagulant drugs for life, unless there are contraindications to taking anticoagulant drugs.

3. In addition to the graft itself, it is necessary to prevent new stenosis problems in blood vessels in other parts of the coronary artery, so long-term preventive medication is still required after cardiac surgery**.

Countermeasures: Continue to take medications, such as lipid-lowering drugs and anticoagulant drugs. Patients with diabetes and hypertension must control their blood sugar and blood pressure. Light diet, healthy lifestyle.

Cardiac bypass grafting is considered when there is a multivessel or diffuse coronary artery disease, in other words, a coronary heart disease is performed after cardiac bypassing**. The graft vessels used in heart bypass grafting use the patient's own blood vessels, which can use the saphenous vein, internal mammary artery, radial artery, inferior abdominal wall artery, etc.

Heart bypass surgery is a type of surgery used for heart patients with severe loss of heart function such as heart infarction and angina.

When one or more coronary arteries are narrowed or blocked due to atherosclerosis, resulting in insufficient blood supply, a passage is established between the proximal and distal ends of the coronary artery stenosis, so that blood can bypass the stenosis and reach the distal end.

Coronary artery stenosis of coronary artery disease is mostly segmental distribution and mainly located in the proximal and middle of the coronary artery, and most of the distal segments are normal.

Usually heart disease. In some cases, it is a car accident, a fall from a building, and these injuries to the internal organs also require a heart bypass.

This surgery is performed on patients with myocardial infarction and blood flow to the heart to help their heart rejuvenate.

Patients with poor heart function need to alleviate the phenomenon of insufficient blood supply to the heart.

Heart bypass surgery is a type of surgery commonly used by people with heart disease, and is used for people with severe loss of heart function such as heart infarction and angina.

Mainly for patients with coronary heart disease, bypass surgery, as the name suggests, is to take the patient's own blood vessels (such as the internal latonic artery, the saphenous vein of the lower limbs, etc.) or a vascular substitute, connect the distal end of the stenotic coronary artery with the aorta, let the blood pass through the stenosis part, reach the ischemic site, improve the myocardial blood**, and then achieve the purpose of relieving angina symptoms, improving heart function, improving the quality of life of patients and prolonging life.

Heart bypass surgery is a procedure performed on people with heart disease, usually in very severe cases.

Heart bypass is mainly to establish a channel, and the main part of the operation is to restore the blood supply to the coronary artery by allowing the blood flowing in the body to reach the distant place without passing from the narrowed coronary artery.

It is the surgery for the kind of patient with cardiac necrosis, which is actually a heart transplant, which is a very dangerous operation.

Cardiac stent surgery is a new technology carried out in the past 20 years to improve the myocardial insufficiency and cardiac artery blockage caused by coronary heart disease. To put it simply, the process of cardiac stent surgery** is to puncture the blood vessel, so that the catheter travels in the blood vessel, reaches the opening of the coronary artery, and uses a special delivery system to deliver the stent to the part that needs to be placed, and the catheter is placed and withdrawn to end the operation.

Heart bypass surgery, also known as coronary artery bypass grafting, refers to the operation in which one or more coronary arteries are narrowed or blocked due to atherosclerosis and blood supply is insufficient, and a channel is established between the proximal and distal ends of the coronary artery stenosis, so that the blood can bypass the stenosis and reach the distal end.

Entering and heart bypass are two important means of cardiovascular disease.

As the name suggests, bypass surgery is to take the patient's own blood vessels (such as the internal thoracic artery, saphenous vein of the lower limbs, etc.) or a vascular substitute to connect the distal end of the stenotic coronary artery with the aorta, so that the blood can pass through the narrowed part and reach the ischemic site, improve the myocardial blood**, and then achieve the purpose of relieving angina symptoms, improving heart function, improving the quality of life of patients and prolonging life.