Coronary Artery Bypass Grafting (CABG) in Czechia

Treatment and Cost

22

Total Days
In Country

2 No. Travelers

6 Day in Hospital

16 Days Outside Hospital

Treatment cost starts from

USD 15000

Hospitals

About the Coronary Artery Bypass Grafting (CABG)

What is Coronary Artery Bypass Grafting (CABG)

Coronary artery bypass grafting (CABG) is a type of an open heart surgery that intends to improve the flow of blood to the heart. It involves the placement of a coronary artery bypass graft, which is retrieved from a healthy artery in the body, and placed in the position of the blocked portion of the artery that supplies blood to the heart. CABG surgery is a complex, yet common procedure.

A waxy substance called plaque may deposit in good amount in the coronary arteries of the heart over a period of time. As time advances, the plaque starts hardening and eventually ruptures and breaks open. The plaque interferes with blood flow as arteries grow narrow at the affected region. A blood clot develops when the plaque ruptures. The artery may get blocked completely is the size of the clot is big enough to stop the flow of blood to the heart. This may eventually lead to serious events such as heart attack and also put the individual at the risk of death.

The person may experience chest pain and discomfort when the heart is deprived of rich oxygenated blood This pain is referred to as angina. Breathlessness and  fatigue are some of the other problems associated with coronary heart disease.

How does CABG improve the heart condition

Coronary artery bypass surgery aims at improving the overall blood circulation to the heart. A part of healthy artery or vein from another part of the body is taken and is grafted or connected to the blocked coronary artery for bypass. 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 a single surgery, surgeons can bypass multiple coronary arteries. Severe blockages can be treated with this procedure.

CABG is conducted when there are one or two blockages in the artery. High risk CABG is conducted when there are multiple blockages in the artery and the blood flow to the heart is severely restricted.

How is Coronary Artery Bypass Grafting (CABG) performed?

How is Coronary artery bypass grafting (CABG) performed?

There are two approaches to conduct CABG – open heart surgery and laparoscopic bypass heart surgery. The latter is a type of minimally invasive heart bypass surgery, which involves the creation of smaller incisions. This results in minimum discomfort and complications and allows for faster recovery and healing.

Laparoscopic bypass heart surgery is mostly preferred when there is not much blockage in the coronary artery. Open heart surgery, on the other hand, is conducted in complicated cases. High-risk CABG is mostly conducted as an open heart surgical procedure.

  • The selection of a particular approach, however, depends on a number of factors, including the overall health of the patient and the experience of the surgeon. CABG involves the use of general anaesthesia. Typically, an incision down the middle of the chest is made by the cardiac surgeon. He then uses a saw like instrument to access the breastbone or the sternum. This cutting of the middle of the sternum is referred to as median sternonomy. During CABG, the heart has to be first 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 to the heart during the surgery.
  • A cardiopulmonary bypass must be established before a bypass surgery can take place. To channelize 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 bypass 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 used as coronary artery bypass graft.
  • 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 as a coronary artery 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. The former remains open for a longer period of time. The percentage of being open in the case of venous grafts is around 66 percent, while for internal mammary arteries it is 90 percent.
  • The aorta must be clamped off for 60 minutes while the body is supported by cardiopulmonary bypass. The use of 3, 4 or 5 bypasses has grown very common. At the end of the surgery, the sternum is wired together with the help of stainless steel while the incision made in the chest is sewn. Plastic tubes are kept undisturbed to allow any blood drainage from the region around the heart. The chest tubes are removed right after surgery along with the breathing tube.

Recovery from Coronary Artery Bypass Grafting (CABG)

Coronary artery bypass grafting (CABG) Recovery

Patients are transferred to the ICU right after the surgery and shifted to the patient ward a day later. Heart rhythm disturbances are discovered in 25 percent of the patients within a period of 3 or 4 days after the surgery. They are temporary atrial fibrillations associated with surgical trauma. Such patients respond well to standard medical therapies.

They can be weaned within a period of a month after the surgery. From one week to one day, the range of stay in the hospital may vary from one patient to the other. Young patients are usually discharged within two days. The recovery time can be very long and the range of physical activities must be kept to a minimum.

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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