Coronary bypass surgery chest muscle pain use pain kiler
The chest cavity (thoracic cavity) would need to be opened for coronary bypass surgery to access the heart and perform the surgery.
Heart bypass surgery is performed when one has a blockage in one or more of their coronary arteries. When one or more coronary arteries are blocked, the heart does not receive enough oxygen and the patient may have chest pain or damage to the heart.
Coronary artery bypass graft surgery (also called coronary artery bypass surgery [CABG] and bypass operation) is performed to restore blood flow to the heart. This relieves chest pain and ischemia, improves the patient's quality of life.
A coronary bypass surgery is one in which the surgeon uses vessels taken from other parts of the body to create new passages for blood to flow in and out of the heart due to blockages of the usual passages. This surgery is performed in the thoracic cavity.
A person may need a triple bypass surgery due to severe coronary artery disease, where three major coronary arteries are blocked or narrowed, restricting blood flow to the heart. This condition can lead to chest pain (angina), shortness of breath, and increase the risk of heart attacks. Bypass surgery aims to improve blood flow by creating new pathways for blood to reach the heart muscle, thereby alleviating symptoms and enhancing overall heart function. It's often recommended when other treatments, such as medication or lifestyle changes, are insufficient.
A patient may need a coronary angiogram to evaluate for blockages or narrowing in the coronary arteries that supply blood to the heart. This test helps diagnose conditions such as coronary artery disease and determine the need for further treatment, such as angioplasty or bypass surgery.
It is used when there is nearly complete or totally complete blockage in one or more coronary arteries (often after myocardial infarction/heart attack or coronary syndrome, in which there has been no loss of functioning heart muscle, but there has been significant chest pain along with functional decline).
CABG or coronary artery bypass graft.
Normal anatomyThe heart muscle is supplied blood through the coronary arteries. The left coronary artery supplies blood to the left ventricle. The right coronary artery supplies blood to the right ventricle.IndicationsCoronary artery bypass grafting (CABG) or heart bypass surgery is recommended when one or more coronary arteries are seriously blocked and blood supply to the heart muscle is insufficient. Several tests are done to identify the cause of the chest pain (angina), such as blood tests and x-ray studies (angiograms).Procedure, part 1Although the heart itself is not "opened", the heart-lung bypass machine is used to re-route the blood from the heart while the surgery is being done to provide adequate circulation to the brain and other vital organs.Procedure, part 2Coronary bypass surgery is an open heart surgery (the chest is opened, but not the heart itself). It is done through an opening through the breast bone. While one surgeon is working on the chest, another surgeon works on taking a length of vein (saphenous vein) for the bypass through a long incision along the inside of the lower leg. The vein is sewn in above and below the blockage in the coronary artery. Alternatively, an artery from the interior aspect of the chest wall (internal mammary artery), or the arm (radial artery) is used.Procedure, part 3In many cases, more than one coronary artery must be bypassed, and both the internal mammary and radial arteries and the saphenous vein are used to perform the bypasses.AftercareAfter the operation, the patient will spend 7 to 10 days in the hospital, the first 1 to 3 days in an intensive-care unit (ICU). Chest tubes will be in place for the first 2 to 3 days to drain any residual blood and fluid from around the heart. Heart functions will be monitored. The full benefits from the operation may not be ascertained until 3 to 6 months after surgery. Sexual activity may be resumed 3 to 4 weeks after surgery. All activities that do not cause fatigue are permitted, but the patient must not strain the healing chest bone (sternum).Reviewed ByReview Date: 05/06/2011Shabir Bhimji MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
You had better ask these questions of your doctor.
It is used when there is nearly complete or totally complete blockage in one or more coronary arteries (often after myocardial infarction/heart attack or coronary syndrome, in which there has been no loss of functioning heart muscle, but there has been significant chest pain along with functional decline).
The term "open heart surgery" is really used incorrectly. We use it to mean a surgery where the chest is cut open to get the heart. A "bypass surgery" is where they cut open your chest and reroute the large blood vessels (arteries) on the outside of the heart. We do wrongfully call Bypass Surgery a type of Open Heart Surgery. But I would call a real "open heart surgery" where they cut open the chest and then cut open the heart to work inside the heart, like replace valves.