Clínica Universidad de Navarra
Coronary bypass without extracorporeal circulation
A coronary bypass is the surgical alternative to treat coronary obstructions by cholesterol plaques. It restores blood flow to the heart creating a new route or bypass around the blocked section of the coronary artery.
Coronary bypass improves heart work and prevent future cardiac problems.
Coronary bypass can be performed with extracorporeal circulation or not. Both surgeries are done under general anesthesia and lasts about three or four hours.
Coronary bypass surgery involves suturing a section of healthy vein from another part of the body to the damaged coronary artery, to skip the obstruction. There are simple, double, triple, etc. bypass operations depending on the patients.
Bypass without extracorporeal circulation is made through a sternotomy while the heart is beating. Surgeons use clamping systems to fix the coronary artery. It is not necessary to open any chambers of the heart.
Coronary bypass are performed under general anesthesia and usually last between 3 and 6 hours, depending on how many arteries are affected.
BEFORE THE PROCEDURE
Patients should undergo a preliminary test to evaluate the specific characteristics of their intervention.
Furthermore, they must undergo a standard preoperative study that includes blood tests, electrocardiogram, etc.
Also, if they have any chronic illness or regularly take medications, especially anticoagulants, they should inform the surgeon before surgery.
AFTER THE PROCEDURE:
Patients remain hospitalized for about two days in the intensive care unit and between 4 and 6 days in the hospital.
We recommend starting cardiopulmonary rehabilitation plan in one of Spaincares hospitals to speed up the recovery.
The first four weeks patients should not make sudden movements with arms or carry weight. After the first month patients can gradually return to normal activities and return to work.