CABG - Redo

Treatment and Cost

28

Total Days
In Country
  • 7 Day in Hospital
  • 2 No. Travelers
  • 21 Days Outside Hospital

Treatment cost starts from

USD 7000

115 Hospitals


Wockhardt Hospital - A New Age Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • 20-storeyed building at Mumbai Central (South Mumbai)
  • Capacity of 350-beds
  • Two highly-advanced cath labs with ultra-modern technologies to perform high risk coronary procedures and neurological surgeries
  • 8 Operation Theatres- Cardiac, Joint Replacement, Neurology, Oncology, MAS and Organ Transplantation
  • 100 beds dedicated to Critical Care, which are connected to IntelliSpace Critical Care & Anaesthesia (ICCA) system
  • Largest Paediatric Cardiac Unit
  • It has the largest Intelligent ICCA System
  • Possess Hi-tech GPS-enabled Ambulances and largest state-of-the-art Accident & Emergency unit in South Mumbai
  • As far as accommodation facility is considered, the Hospital makes it easily accessible for the patients in nearby hotels/lodges

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8

DOCTORS IN 12 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 7030 - 8590

FOR CABG - Redo


Sri Ramachandra Medical Centre located in Chennai, India is accredited by ISO, JCI, NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • The best minds in healthcare including specialists, and other healthcare professionals work together to treat patients with simple to complex and critical conditions.
  • The number of inpatients and outpatients (annually) are 35,000 and 2,50,000 respectively.
  • A wide range of surgical specialties, sub specialties are available in Sri Ramachandra Medical Centre Chennai.
  • The bed capacity of the hospital is 800 which is inclusive of 200 Intensive Care Unit beds.
  • Blood Bank and Eye Bank are available on a 24/7 basis.

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35

DOCTORS IN 10 SPECIALITIES

4+

FACILITIES & AMENITIES

USD 7610 - 8580

FOR CABG - Redo


Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 333 beds
  • Intensive Care Unit beds
  • Endoscopy beds
  • Day ward with 20 beds
  • 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • 24/7 Accident & Emergency Department
  • Maternity ward
  • 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
  • In-house Pharmacy
  • Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more

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14

SPECIALITIES

6+

FACILITIES & AMENITIES

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Fortis Hiranandani Hospital located in Mumbai, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • The hospital has a bed capacity of 138.
  • The healthcare organisation is present on a 1, 20,000 sq. ft. area.
  • A super ICU enables healthcare delivery to critically conditions.
  • Fortis Hiranandani Hospital, Mumbai possesses world class diagnostic equipment.
  • Attractive healthcare packages are available.
  • Over 5 lakh patients have been treated till date.
  • Over 13 years of experience in healthcare delivery.
  • There are more than 38 health departments.
  • 150 plus beds are available in the hospital.
  • The hospital has many specialty areas, some of the important ones are Cardiology & Cardiac Surgery, Gastroenterology & Gastrointestinal Surgery, Gynecology & Obstetrics, Neurology & Neurosurgery etc.

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21

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 7680 - 8600

FOR CABG - Redo


Fortis Hospital, Shalimar Bagh is a super-speciality hospital which occupies a unique place when it comes to providing world class patient care. The hospital is equipped with 262 beds and is expanded over a total area of 7.34 acres. It provides the highest quality of medical care via its team of doctors, technicians, nurses, and management professionals.

Infrastructure & facilities:

  • PET-CT
  • Radiation Oncology: VERSA HD - Elektra (Linac) for Intensity Modulated Radiation Therapy (IMRT), Volumetric Modulated Arc Therapy, Image
  • Guided Radiation Therapy, Stereotactic Radiotherapy, Brachytherapy
  • EUS, 3D Laparoscopic system, Capsule Endoscopy
  • Fibro Scan, Stereotactic Frame for Neurosurgery, ERCP
  • Cardiac Catheterization Lab with Hybrid Operating Room
  • Flat Panel Cath Lab
  • Endo Bronchial Ultrasound
  • 100-Watt Holmium Laser, lithotripsy
  • Flexible Ureteroscope
  • NABH Accredited Hospital
  • NABL Accredited Lab
  • High-tech labs
  • Advanced intensive care units
  • Modular operation theaters
  • Luxury rooms for patients
  • Consultation available on Call / Email / Skype
  • Visa and Travel assistance
  • Local transport available as per the requirements of patients
  • Provision of ambulance/car pickup at airports
  • Rehabilitation facilities wherein experts train you for the therapies and exercises
  • Patient dropped to airports in car / ambulance
  • Fully Air-conditioned Deluxe-Suite rooms
  • Hassle-free discharge as per your flight timings
  • One of Asia’s largest Bone Marrow Transplant Centre
  • Advanced Robotic Surgery Systems
  • Liver Transplant | Kidney Transplant | Heart Transplant
  • Cancer Centre | Centre for Chest and Respiratory Diseases
  • Centre for Child Health | Centre for Critical Care
  • Centre for Bone Marrow Transplant

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26

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 7000 - 8570

FOR CABG - Redo


Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • One of the biggest tertiary care hospitals in India
  • Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
  • 230 beds
  • 70 bedded medical and surgical and Critical Care Unit
  • Ward Bed Options- Twin, Deluxe, Sharing and Economy
  • Pneumatic Tube System
  • Ambulance Services 24x7
  • 15 Bedded dialysis unit
  • Advanced Neonatal ICU
  • Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
  • 8 modular OTs
  • Flat Panel Cath Labs
  • LASIK - SMILE Suite
  • Wellness Lounge
  • State-of-the-art diagnostic equipment
  • 15 Dialysis beds
  • 24x7 ‘Trauma & Emergency Center
  • Dedicated blood bank
  • 24x7 comprehensive patient care.
  • Deployed high-end technologies & smart digital system
  • Robust Hospital Information Systems to meet complex medical needs of patients
  • Robotic assisted surgeries
  • International Patients Lounge
  • Airport Pick-up and Drop
  • Accommodation and Food for Attendant
  • Language Interpreter Services
  • 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
  • Robotic knee replacement surgery
  • ATM
  • Lounge for visitors
  • Internet Access: The whole facility is Wi-Fi enabled
  • Travel Desk: Provides an all-round patient care.
  • 24x7 pharmacy

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32

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 7160 - 8150

FOR CABG - Redo


  • 670 bed facility
  • 24 hours Emergency and Trauma Care

Aster Centres of Excellence

    • Cardiac Sciences
    • Orthopaedics & Rheumatology
    • Neurosciences
    • Nephrology & Urology
    • Oncology
    • Gastroenterology
    • Integrated Liver Care
    • Womens Health
    • Child & Adolescent Health
    • Multi Organ Transplant
  • Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
  • Streamlined Application of Therapeutic Technology
  • Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
  • ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
  • Completely digital Anesthesia facility
  • Pharmacy which possesses completely Automated Drug Dispensing

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39

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 7080 - 8590

FOR CABG - Redo


Pushpawati Singhania Research Institute located in New Delhi, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Multi-bed hospital with state-of-art infrastructure
  • Advanced medical equipment
  • High-tech labs
  • Modular operation theaters
  • Cath labs with Clarity Platform, 128 channel CARTO 3 version 4 with ICE mapping facility, FD 10 Prucka 2D EP system
  • High-end Intensive Coronary Care Unit
  • Dedicated Pre-Post Cath Unit
  • Multislice CT Scan, 1.5 Tesla MRI
  • 24 *7*365 functional cardiac Cath lab & operation theatre
  • Fifteen bedded Coronary Care Unit
  • 3D, 4D Echo & Trans-oesophageal Echo, Non Invasive cardiology (Holter, TMT, Echo, 24hrs ambulatory BP Monitoring
  • Radio Frequency Ablation like Complex Arrhythmia such as ischemic VT, AF with 3 D Mapping imaging
  • RFA using ICE Intra-cardiac Echo
  • Well-equipped inpatient and intensive care services
  • Ultra-modern Blood Bank Facility
  • Advanced Physiotherapy center, 24/7 Emergency &Trauma services
  • Gastroenterology department equipped with Capsule endoscopy, Endoscopic retrograde cholangiopancreatography, Single balloon enteroscopy, High resolution esophageal and anorectal manometry, Endoscopic ultrasound, and hydrogen breath test
    Sustained low-efficiency daily dialysis and Continuous Renal Replacement Therapy
  • Exhaled Nitric oxide (FeNO) and allergy testing for the management of asthma
  • Conventional PAP/ Liquid PAP/ HPV-DNA test for the patients with the High risk of cervical cancer

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28

DOCTORS IN 12 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 7630 - 8750

FOR CABG - Redo


Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 150 bedded Hospital
  • Specialty-based clinics
  • Fully-equipped patient rooms

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31

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES


Tel Aviv Sourasky Medical Center -Ichilov Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
  • There are 60 departments in Tel Aviv Sourasky Medical Center
  • The center has as many as 6 institutions:
  • Ichilov General Hospital
  • Ted Arison Medical Tower
  • Dana-Dwek Children's Hospital
  • Sammy Ofer Heart & Brain Building
  • Adams Health Science & Rehabilitation Building (in the planning stage)
  • Lis Maternity and Women's Hospital
  • Patient Care Numbers (annual) are as follows:
    • 400,000 patients
    • 36,000 surgeries
    • 220,000 ER visits
    • 12,000 births
  • The bed capacity of the center is 1300.
  • Good success rates during treatment for the majority of conditions.

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26

DOCTORS IN 10 SPECIALITIES

6+

FACILITIES & AMENITIES


Max Smart Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • 50-bed facility with 12 high-end modular operation theatres
  • High-tech observation unit, 72 critical care beds
  • 18 HDU beds for patients
  • Dedicated endoscopy unit, and advanced dialysis units
  • Tertiary care hospital that is equipped with 256 Slice CT Angio, 3.0 Tesla digital broadband MRI,
  • Cath Lab with electrophysiology navigation, a ?at panel C-Arm detector
  • Da Vinci Xi Robotic System
  • GE Lightspeed 16-slice CT scanners
  • Interventional Radiology Suite, X-rays
  • Novalis Tx-a highly powerful radiosurgery system, which offers a combination of advanced technology for the treatment of tumours and other body parts
  • Allegretto Wave Eye-Q excimer laser, which uses technical innovations to get laser vision correction, with excellent clinical results
  • Optical Coherence Tomography
  • Bi-Plane Digital Cathlab for producing high-resolution 3D images of blood vessels in the brain
  • Offers services in medical disciplines of Cardiac Sciences, Neurology, Paediatrics, Orthopaedics, Urology, Obstetrics, and Gynaecology
  • Over 300 leading specialists, strong nursing staff, state-of-the-art innovative medical tools
  • A hub for complex procedures such as heart surgeries, orthopaedic surgeries, neurovascular intervention, targeted cancer treatments, liver & kidney transplant, and fertility treatments.
  • Interpreter Facility
  • Stay and Food Arrangement
  • Visa and Travel Arrangement
  • 3D (4D) imaging and Pure wave x Matrix technology
  • Live 3D TEE
  • 20-Inch high resolution articulating flat panel display
  • Automated Stress Echo
  • Premium Image Quality
  • Full Doppler functions

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24

DOCTORS IN 12 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 7160 - 8660

FOR CABG - Redo


Acibadem Kadikoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The number of beds in the hospital are 138 and Intensive Care beds are 23.
  • There are as many as 6.500 access points for a building control system.
  • There are 10 Operating theatres and more than 500 employees.
  • There are specific healthcare facilities in Acibadem Kadikoy Hospital, Istanbul, Turkey which have been established per integrated healthcare outreach such as Breast Health Center, Check-up Center, and Diabetes Clinic etc.
  • The hospital has the very best of Medical Technologies such as Flast CT, da Vinci robot, Magnetom Area MRI, Greenlight, Ortophos XG 3D and Full Body MRI, 4-Dimensional Breast Ultrasound, 3-Dimensional Tomosynthesis Digital Mammography.

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28

DOCTORS IN 10 SPECIALITIES

6+

FACILITIES & AMENITIES


Central Clinic of Athens located in Athens, Greece is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of the clinic is 140.
  • The clinic is equipped with the latest technological imaging equipment such as the ones mentioned here:
    • Multislice CT scan 256
    • 1.5 Tesla MRI
    • Digital x-ray machines
    • Bone density scanner
    • Electromyography
    • Modern foot scanner
  • Facilities for various procedures are upgraded with the latest technologies. This includes several operating rooms as well.
  • There are exceptional facilities for arthroscopic and minimally invasive surgeries.
  • The clinic is being maintained in an area of 5,000 square meters.
  • The Central Clinic of Athens S.A, Athens has a 24/7 emergency care center.
  • Mobile units and ambulances are available for any eventuality.

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10

SPECIALITIES

6+

FACILITIES & AMENITIES


Thumbay University Hospital, Ajman located in Ajman, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The hospital has a 250 bed capacity.
  • Excellent quality of healthcare facilities and services at par with developed countries.
  • Multilingual and multinational healthcare professionals working in the Thumbay Hospital Ajman (belonging to 20 nations and fluent in 50 plus languages).
  • Equipped with the newest facilities to ensure highest standards of healthcare delivery to patients at economical costs.
  • Dedicated, compassionate and highly educated healthcare professionals work in Thumbay Hospital Ajman.
  • Well developed diagnostic facilities are also available.
  • A 24/7 functioning emergency care department and advanced facilities in Radiology.
  • There is presence of an ultramodern Catheterization Lab (Cath Lab) and Electrosurgery Cryotherapy in dermatology, Interlocking intramedullary nailing.
  • Also available under dental departments Panoramic, digital intra-oral X-rays, Cephalogram are present.
  • Some of the important specialties in Thumbay Hospital Ajman are:
    • Ear, nose, and throat
    • Cardiovascular
    • Bariatric surgery
    • General surgery
    • Urology
    • Nephrology


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22

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES


Apart from in-detail treatment procedures available, Medical Park Karadeniz Hospital located in Trabzon, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Situated in an area of 12.000 square meter
  • Capacity of 107 beds
  • Intensive Care Unit (17 beds)
  • Neonatal ICU (NICU- 12 beds)
  • 6 Operating Rooms
  • Cafeteria

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6

DOCTORS IN 11 SPECIALITIES

5+

FACILITIES & AMENITIES

About the CABG - Redo

In the United States Coronary artery bypass graft which is a common kind of an open heart surgery if found to be executed in good numbers. Cardiothoracic surgeons are the doctors who are involved in performing the procedure on the concerned patients. This kind of procedure is very appropriate for coronary heart diseases which can become a life-threatening issue later.

About CABG - Redo

Awaxy substance called plaque hets deposited in good amount in the coronary arteries of the heart, they supply oxygen to the heart. With time the plaque starts hardening and eventually ruptures and breaks open. This plaque interferes with blood flow as arteries grow narrow at that region. A blood clot develops when the plaque ruptures open on the surface.  The artery gets blocked if the blood clot developed is very large. This can be the cause of heart attack in a later stage becoming the cause of a life risk.

Symptoms of CABG - Redo

When the heart gets deprived of rich oxygenated blood there is chest pain and discomfort felt by the patient. This pain is referred to as angina. Breathlessness and fatigue are some of the other kinds of problems that are associated with coronary heart disease. In worse case scenario a heart attack which can be life-threatening may affect the patient severely

About CABG - Redo

Coronary artery bypass surgery aims at improving the general blood circulation to the heart. A healthy artery or vein is taken the body and is grafted or connected to the blocked coronary artery for the purpose of bypassing. This artery or vein goes around the blocked portion of the coronary artery and establishes a new path for the blood to flow to the heart thus reducing the chance of a heart attack. In one surgery surgeons can bypass multiple coronary arteries. Severe blockages can be treated with this procedure.

How is CABG - Redo performed?

  • In open heart surgery a general anesthesia is usually involved since it is considered as one of the major surgeries.
  • An incision down the middle of the chest is made by the cardiac surgeon. He then uses a saw like movement to access the breastbone or the sternum. This cutting of the middle of the sternum is referred to as median sternonomy.
  • The heart has to be cooled with iced salt water. Along with this a preservative solution has to be injected in the arteries of the heart. This procedure is referred to as cardioplegia where damage is minimized due to reduced blood flow happening during the surgery.
  • A cardiopulmonary bypass must be established before a bypass surgery can take place.
  • For channelizing venous blood out of the body, plastic tubes must be placed in the right atrium. A membrane oxygenator which is like a plastic sheeting is employed to channelize it to the heart lung machine.
  • The oxygenated blood is then returned to the body. To allow the bypasses to connect with the aorta the main aorta is cross clamped during the surgery. This maintains a bloodless field.
  • Saphenous vein from the leg is the commonly employed vessel for the bypass grafting.
  • Beyond the narrowing of the vessel or the coronary artery, the graft vessel is sewed to the coronary arteries. The other end of the grafted vein or vessel is made to attach with the aorta.
  • Nowadays, chest wall arteries or more specifically the internal mammary artery is used commonly for the purpose of bypass graft. The artery is then separated from the wall of the chest to connect to the left anterior descending artery. It can also be connected to one of the major branches which is beyond the blockage. Internal mammary arteries have an advantage over venous grafts is that it remains open for a longer period of time. The percentage rate of being open in case of venous grafts are 66% while for internal mammary arteries it is 90%. but then artery grafts are of limited lenghth and can hence be only employed to bypass diseases which are located near the proximal or beginning of coronary arteries. The time required in CABG where internal mammary arteries are employed is more since they must be separated from the chest wall. Hence they are not very suitable for emergency cases where blood flow must be quickly resolved to restore the condition of the coronary artery.
  • The aorta must be clamped off for only 60 minites while the body is supported bycardiopulmonary bypass for a period of 90 minutes. The use of 3, 4 or 5 bypasses have grown very common.
  • After the end of the surgery the sternum with the help of stainless steel is wired together while the incision madein the chest is sewn. Plastic tubes are kept undisturbed to allow any blood drainage from the region around the heart.
  • Exploration may be required for 5% f patients within first 24 hours to monitor bleeding after surgery. While chest tubes are removed right after surgery along with the breathing tube.

What are the alternatives for CABG?

The other alternatives for CABG can be balloon surgery or angioplasty which is a less invasive technique but then your cardiologist is the best person to decide which of the surgeries is best suited for  the patient. Percutaneous coronary intervention can also be employed where a stent may be used to keep the artery open. This is also a less invasive technique.

Recovery from CABG - Redo

Aftercare and recovery

The patients are transferred out of ICU right after the day of the surgery. Heart rhythm disturbances are found in 25% patients within a period of 3 or 4 days after the surgery. They are temporary atrial fibrillations which are associated with surgical trauma. They respond well to standard mediacal therapies used. They can be weaned within a period of a month after the surgery. From one week to 1 day, the range of stay in the hospital may vary, Young patients are usually discharged within two days. The recovery time can be very long and the physical activities must be kept minimum.

How long will the effects last?

Unfortunately even after such a major surgery, problems can again come back requiring another surgery where heart blocakges can get detected.

Pros and Cons

Pros
  • Reduces pain or angina and other symptoms of coronary heart diseases
  • One can resume a normal lifestyle
  • the pumping action of heart improves after suffering the damage from a heart attack
  • chances of pumping action improves
Cons
  • Very invasive procedure
  • can be quite expensive and complicated
  • requires quite a lot of preparation before the surgery
  • significant change in lifestyle after surgery

Patient Stories

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