This is an automatically translated article.
The article is professionally consulted by Master, Doctor Pham Van Hung - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.
Coronary artery bypass surgery is a breakthrough invention in the history of cardiovascular surgery. Currently, this is a method that brings great benefits and effective treatment for coronary artery disease.
1. What is coronary heart disease?
Coronary artery disease is the name for a group of diseases related to the coronary arteries - the blood vessels that provide energy for the heart muscle to work.Patients with coronary heart disease appear because atherosclerotic plaques on the walls of blood vessels narrow the blood vessels, which interferes with the blood flow to the heart muscle. The amount of blood to the heart muscle will be greatly reduced if the blood vessels are narrowed much, the oxygen supply to the heart muscle is also reduced, causing the patient to feel chest pain, chest heaviness or a feeling of suffocation.
The pain in the chest will spread to other parts of the body such as shoulders, neck, jaw and the patient will feel short of breath. Patients are at risk of more serious illnesses such as myocardial infarction, cardiac arrest, and even sudden death.
Bệnh nhân bị bệnh mạch vành sẽ xuất hiện các mảng xơ vữa bám trên thành mạch làm hẹp mạch máu
2. Coronary artery bypass surgery method supports effective treatment of coronary artery disease
2.1 What is coronary artery bypass surgery? Coronary artery bypass surgery is essentially an open heart surgery.Coronary artery bypass is a surgical method used to treat severe coronary artery stenosis in the most thorough and effective way today, helping to create a new path for blood to bypass the damaged artery. occlusion. This method helps to improve the blood supply to the heart muscle and stop the symptoms of chest pain, angina attacks.
When multiple coronary arteries are severely blocked, or the left coronary artery is blocked, coronary artery bypass grafting helps you achieve better treatment than other methods such as stenting or stenting. Take medicines.
For people with acute coronary syndrome, coronary artery bypass surgery can be used to treat.
2.2 Indicated subjects Not all subjects with heart disease need to use this method because many people can control their heart disease through diet, exercise or support. medication and other treatments.
For people with poor left ventricular function, high risk for surgery or short life, patients with only a short stenosis are not suitable for coronary artery bypass surgery .
2.2 How is coronary artery bypass surgery performed? To perform this surgery, the technician will use a piece of the patient's own vessel, which can be an artery from the chest, forearm, vein in the leg, or breast artery used to make a "bridging" graft. . The vascular system in the legs and arms is quite rich, so the patient does not need to worry about losing a piece of blood vessel to make a graft, because your activities are still going on as usual.
Transplant surgery using an artery will usually take longer than using a vein. Each coronary artery bypass surgery takes about 4-6 hours.
The patient may feel discomfort after the surgery, but these symptoms will quickly disappear after a while.
2.3 Advantages of coronary artery bypass graft surgery With patients undergoing vein graft surgery, after about 10-12 years, there will be a phenomenon of blockage again due to coronary atherosclerosis. While with graft surgery using arteries, the ability to recover the contractility of the heart in the patient after surgery is almost complete, because the blood feeding the heart has been followed a new path, ensuring enough blood volume. for the heart to work.
Coronary bypass surgery method helps patients stop chest pain and heaviness, minimize the risk of myocardial infarction, the effect can last from 10-15 years after surgery. If after that time, the patient has recurrent blockage, surgery can be performed again.
This method also helps you to prolong your life in case your coronary disease is already severe (many coronary arteries are blocked, left ventricle is weakened).
2.4 Complications of coronary bypass surgery After coronary artery bypass surgery, it will take weeks or possibly months for the patient to recover.
The patient will feel anorexia, weakness and pain at the incision for several weeks.
About 1/3 of patients after surgery may suffer from depression, if left untreated, the disease will take longer to recover.
Some other complications that may appear after surgery include: myocardial infarction, temporary weakening of the heart muscle, arrhythmia, pleural effusion or infected incision...
Một số biến chứng có thể xuất hiện sau phẫu thuật khác gồm: nhồi máu cơ tim, cơ tim bị suy yếu tạm thời, rối loạn nhịp tim, tràn dịch màng phổi hoặc vết mổ bị nhiễm trùng...
3. Where is the best treatment for coronary heart disease?
At Vinmec International General Hospital, coronary bypass surgery has been performed since 2012 with a very high success rate, no serious complications have been recorded and continues to be the preeminent choice of many patients. current patients with coronary artery disease.Vinmec brings together a team of Cardiology specialists including professors, doctors, specialists 2, masters with experience, great reputation in the field of medical treatment, surgery, cardiac catheterization card. Vinmec also focuses on applying advanced techniques in the diagnosis and treatment of cardiovascular diseases, using a system of modern medical equipment that meets international standards.
In addition, Vinmec also has professional cooperation with prestigious medical units in the world, constantly consolidating and improving its expertise in medical examination and treatment.
Master, Doctor Pham Van Hung has 30 years of experience in examination and treatment of internal diseases, especially in Cardiology: coronary arteries, heart failure, heart valves, arrhythmias. ..Master, Dr. Hung used to hold the position of Deputy Head of Cardiology Department and Head of Interventional Cardiology Unit at Da Nang General Hospital and is currently working at Department of Medical Examination and Internal Medicine, Internal Cardiology, and Cardiology. Interventional circuit at Vinmec Da Nang International General Hospital.
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