CABG - Redo cost in South Africa

Treatment and Cost

28

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2 No. Travelers

7 Day in Hospital

21 Days Outside Hospital

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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

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Frequently Asked Questions

What are the factors affecting the cost of CABG - Redo in South Africa?

The CABG - Redo package cost in South Africa varies from one hospital to another and may offer different benefits. The top hospitals for CABG - Redo in South Africa covers all the expenses related to the pre-surgery investigations of the candidate. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the CABG - Redo cost in South Africa.

Which are some of the best clinics in South Africa for CABG - Redot?

Many hospitals in South Africa perform CABG - Redo. Some of the most renowned hospitals for CABG - Redo in South Africa include the following:

  1. Ethekwini Hospital and Heart Centre
  2. Ahmed Kathrada Private Hospital
  3. Life Kingsbury Hospital
How many days does it take to recover post CABG - Redo in South Africa?

The recovery of the patient many vary, depending on several factors. However, on an average, patient is supposed to stay for about 28 days in the country after discharge. This time frame is important to ensure that the surgery was successful and the patient is fit to fly back.

Which are some of the other popular destinations for CABG - Redo?

South Africa is considered to be one of the best places for CABG - Redo in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. Some of the other destinations that are popular for CABG - Redo include the following:

CountryCost
GreeceUSD 23000
IndiaUSD 8500
IsraelUSD 40000
LithuaniaUSD 8000
PolandUSD 10000
SpainUSD 35000
ThailandUSD 35000
TurkeyUSD 14000
How much are the other expenses in South Africa apart from the cost of CABG - Redo?

There are certain additional cost that the patient has to pay apart from the CABG - Redo cost. The per day extra expenses in South Africa per person are about USD 50 per person.

Which are the best cities in South Africa for CABG - Redo Procedure?

There are many cities that offer CABG - Redo in South Africa, including the following:

  1. Johannesburg
  2. Durban
  3. Cape Town
  4. Lenasia
How many days does one have to spend in the hospital for CABG - Redo in South Africa?

After the CABG - Redo takes place, the average duration of stay at the hospital is about 7 days. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

What is the average rating of Hospitals in South Africa offering CABG - Redo?

The average rating for CABG - Redo hospitals in South Africa is 2.9. This rating is calculated on the basis of different parameters such as attitude of the nurses, cleanliness, quality of food and the pricing policy.

How many hospitals offer CABG - Redo in South Africa?

There are more than 3 hospitals that offer CABG - Redo in South Africa. The above mentioned clinics have the required infrastructure and a dedicated unit where patients can be treated. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.

FAQ's Related to South Africa

Which are the popular multispecialty hospital groups in South Africa?

South Africa is one of the leading medical tourism destinations with top hospitals, such as:

  1. Ahmed Al-Kadi Private Hospital
  2. Busamed Hillcrest Private Hospital
  3. Busamed Gateway Private Hospital
  4. Busamed Modderfontein Private Hospital
  5. Busamed Lowveld Hospital
  6. Lenmed Ethekwini Hospital and Heart Centre
  7. Busamed Paardevlei Private Hospital
  8. Life Bay View Private Hospital
  9. Lenmed Shifa Hospital

Below are some of the parameters which reflect the quality of these hospitals:

  1. Providing clear information about medicines to patients
  2. Effective engagement between nursing staff/doctors and patients;
  3. Suitability of the hospital environment for meeting the needs of patients
  4. Effectively managing pain.

South Africa is known to have strict government regulations for controlling the quality of care provided by the government and private hospitals. Supported by state-of-art infrastructure, advanced medical equipment, and highly qualified doctors, the hospitals offer various facilities to improve the patient experience.

What healthcare accreditation standards are followed in South Africa?

Joint Commission International (JCI) and Council for Health Service Accreditation of Southern Africa (COHSASA) are two healthcare accreditation bodies in South Africa. COHSASA develops and evaluates standards in all areas and departments of a healthcare facility in order to make sure that integrated and coordinated care is provided. The SafeCare program launched by COHSASA, JCI, and SafeCare Foundation ensures the implementation of internationally recognized standards to improve health care delivery. The accreditation bodies ensure that the hospitals are consistent in delivering quality care, so, initially, they grant accreditation to hospitals and clinics only for 2 years which gets extended if the quality is maintained.

Why should I opt for healthcare in South Africa?

South Africa is gaining global attention for medical tourism due to affordable treatment costs and world-class infrastructure. South Africa’s growing popularity in medical tourism is also attributed to factors like a large pool of accredited hospitals, advanced technology, world-class facilities provided by hospitals, global exposure of doctors. In addition, South Africa’s liberal laws allow for the use of stem cells in medical practice, making it an invaluable destination for patients in need of advanced medical treatment. The hospitals in South Africa strive to take the stress out of your medical holiday by helping you with all kinds of organization and administrative tasks, as well as provide all-inclusive care and assistance on a 24/7 basis.

How is the quality of doctors in South Africa?

South Africa produces some of the finest doctors in the world who are well-trained and highly qualified to serve patients with quality care. Many doctors in South Africa receive their training in foreign countries like Australia and Cuba which provide them global exposure and make them more competent in handling cases with high precision and accuracy. Doctors in South Africa are known for their deep expertise in dental procedures and fertility treatments. The high quality of doctors in the country is attributed to factors like their patient-centric approach, incorporation of the human touch in treatment, education at reputed colleges, and adherence to global standards.

How to obtain a medical visa in South Africa?

A person can apply for a medical visa to South Africa for a period of 90 days. The High Commission helps one decide for how long a visa can be extended. People who require medical treatment for longer than three months must apply for a temporary residency permit. The validity of a visa starts the day it is granted by the High Commission and not on the date of departure. Also, visa applications will not be accepted more than 30 days prior to departure. Below documents are required for applying for a medical visa:

  1. Passport
  2. Passport-sized photographs
  3. Online Application form
  4. Full return flight reservation
  5. Proof of stay in South Africa
  6. Signed official medical letter from medical institution
  7. Signed medical letter from a recognized local practitioner
What are the popular procedures available in South Africa?

The most sought-after procedures in South Africa are total knee replacement, meniscus repairs, hip replacement, anterior cruciate ligament (ACL) reconstruction. Cosmetic surgery and infertility treatment are some of the other popular procedures in South Africa which have a high success rate. Fertility treatment through egg donation has seen a high success rate in South Africa wherein a person can opt for a surgical or non-surgical procedure, with quite low waiting times. Low-cost treatment, fast recovery, use of advanced medical technology, and highly trained doctors are some of the reasons for the popularity of these procedures.

Which are the most popular cities in South Africa for medical treatment?

South Africa has a number of modern urban centers, such as Cape Town, Johannesburg, Pretoria, and Durban. Cape Town a major tourist attraction that has a rich culture, world-class doctors, and modern health facilities. The reasons for the popularity of these cities are multiple food options, connectivity through airlines, and cheap accommodation. Johannesburg’s public and private healthcare sectors work in coordination with South Africa's medical schools to produce internationally recognized medical specialists and the city’s medical care quality matches with that of Great Britain.

Is it mandatory to take vaccinations before going to South Africa?

Yes, vaccination is compulsory before visiting South Africa. The vaccines recommended by WHO and the National Travel Health Network and Centre are Rabies and tetanus, hepatitis B, typhoid, cholera, Yellow fever, hepatitis A. Infants of 6 to 11 months old are at greater risk of contracting measles, so they must get MMR vaccine before travelling to South Africa. Typhoid vaccine is recommended for most travellers, especially those staying with friends or relatives or visiting smaller cities or rural areas. You need to keep yourself updated with vaccination guidelines issued by the government. Also, check with the doctor, the government authority, or hospitals in South Africa as to what vaccination should be taken.