CABG - Redo in Czechia

Treatment and Cost

21

Total Days
In Country

2 No. Travelers

7 Day in Hospital

14 Days Outside Hospital

Treatment Price not available

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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

Frequently Asked Questions

What is the health care infrastructure of Czechia / Why should opt for Czechia as a destination for your medical treatment?
Czechia is recognized for its strict rules and regulations which has kept the country in strict discipline. As an upside, the country has well-maintained regulations for every process and impressive medical healthcare facilities which has garnered thousands of visitors from across the world. The reasons for opting hospitals in Czechia is the astounding treatment options available at a very cost effective price range, which is undoubtedly affordable than most of the developed countries across the world. Besides the well-planned infrastructure, the treatment options and alternatives offered are tempting enough. Apart from that, the country also flaunts high success rates and has thus been able to cure some of the most complex diseases in the world.
What are the conditions of the hospitals in Czechia? Are they JCI certified. What is the quality of the support staff in the hospitals?
Contrary to a few decades back, the hospitals in Czechia have upgraded manifolds. The conditions of the multispecialty clinics have been modified to include the modern amenities and devices at large. This makes it ideally competent to the healthcare infrastructure in other developed countries making it capable of providing uncompromised treatment options to the medical tourists. A few of the hospitals and multispecialty clinics have earned due JCI certification and are thus, counted among the most trusted hospitals in the country. One of the most important aspects of availing healthcare benefits from any hospital is the quality of the support staff. Besides owning proficient doctors and surgeons, the efficiency of the support staff plays a major role on the health of the candidate. Keeping in mind the necessity, the staffs are well-trained to deal with every kind of situation thereby ensuring complete safety to the patients.
Are the doctors/surgeons in Czechia of the best quality?
One of the many reasons for the success of medical and health department of Czechia, is the supreme quality of the medical professionals. The doctors and surgeons providing treatments in Czechia are globally recognized for their service towards the medical field. Furnished with degrees from reputed universities and decades of training and experience, the doctors have earned high success rates throughout their professional career.
What is the process for obtaining medical visa in Czechia?
The Korean embassy follows a strict protocol for obtaining visa for travelling to the country. The necessary documents (photocopies and original) have been listed on their official website and should be strictly adhered to. However, one must definitely keep the documents at hand while applying for the same:
  • Two recent passport size photographs of the candidate not older than six months
  • Visa application fee which needs to be paid
  • Photocopy of the visa application fee paid
  • Confirmation of the duly filled visa application form
  • Civil status of the candidate
  • Copy of the entire travel itinerary
  • Proof of round ticket of flight as well as the accommodation reserved for staying
  • Other documents like birth certificate, residential proof, etc., which may also be required.
What support services does MediGence provide in Czechia?
Keeping in mind every travelling protocol listed by the government, MediGence ensures a hassle-free medical travelling experience in Czechia. Right from the beginning of the journey to the end, MediGence assists the candidates and the family with utmost care thereby making the stay as comfortable as it can be. Hence, here is a list of services provided for candidate satisfaction:
  • Medical travel and insurance query related support
  • Medical travel guidance
  • Visa Assistance
  • Free airport to hospital transfer
  • On-Ground Support
  • Teleconsultations
  • Visa Assistance
  • Accommodations Assistance
  • Free Airport to Hospital Transfer
  • Rehabilitation and recovery services
Which are the best cities in Czechia for medical treatment?
There are several cities which provide impressive medical benefits and are open for both national and international tourists. However, the best cities in Czechia for medical treatment are:
  • Seoul
  • Busan
  • Daegu
  • Incheon

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