Coronary Artery Bypass Grafting (CABG) cost in Lebanon

Treatment and Cost

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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.

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Frequently Asked Questions

What are the factors affecting the cost of Coronary Artery Bypass Grafting (CABG) in Lebanon?

Coronary Artery Bypass Grafting (CABG) cost in Lebanon varies from one hospital to the other. Some of the best hospitals for Coronary Artery Bypass Grafting (CABG) offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Coronary Artery Bypass Grafting (CABG) in Lebanon.

Which are some of the best clinics in Lebanon for Coronary Artery Bypass Grafting (CABG)t?

There are several best hospitals for Coronary Artery Bypass Grafting (CABG) in Lebanon. Some of the best hospitals for Coronary Artery Bypass Grafting (CABG) in Lebanon include the following:

  1. Clemenceau Medical Center
How many days does it take to recover post Coronary Artery Bypass Grafting (CABG) in Lebanon?

After discharge from the hospital, the patient has to stay for another 21 days in the country for complete recovery. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.

Which are some of the other popular destinations for Coronary Artery Bypass Grafting (CABG)?

While Lebanon is considered to be one of the best destinations for Coronary Artery Bypass Grafting (CABG) owing to the standard of Hospitals, and expertise of doctors; there are a select few destinations which provide comparable quality of healthcare for the procedure Some of the other destinations that are popular for Coronary Artery Bypass Grafting (CABG) include the following:

CountryCost
CzechiaUSD 15000
IndiaUSD 4200
IsraelUSD 30000
MalaysiaUSD 18000
PolandUSD 6900
SingaporeUSD 56000
SpainUSD 27000
ThailandUSD 23400
TunisiaUSD 7900
TurkeyUSD 10000
United Arab EmiratesUSD 23500
How much are the other expenses in Lebanon apart from the cost of Coronary Artery Bypass Grafting (CABG)?

There are certain expenses additional to the Coronary Artery Bypass Grafting (CABG) cost that the patient may have to pay for. These are the chanrges for daily meals and hotel stay outside the hospital. The per day extra expenses in Lebanon per person are about USD 50 per person.

Which are the best cities in Lebanon for Coronary Artery Bypass Grafting (CABG) Procedure?

There are many cities that offer Coronary Artery Bypass Grafting (CABG) in Lebanon, including the following:

  1. Mansourieh
  2. Beirut
How many days does one have to spend in the hospital for Coronary Artery Bypass Grafting (CABG) in Lebanon?

The patient has to spend about 5 days in the hospital after Coronary Artery Bypass Grafting (CABG) for proper recovery and to get clearance for discharge. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.

How many hospitals offer Coronary Artery Bypass Grafting (CABG) in Lebanon?

There are more than 1 hospitals that offer Coronary Artery Bypass Grafting (CABG) in Lebanon. The above listed clinics are approved to perform the surgery and have proper infrastructure to handle Coronary Artery Bypass Grafting (CABG) patients. Apart from good services, the hospitals are known to follow all standard and legal guidelines as dictated by the local medical affairs body or organization.

Who are the best doctors for Coronary Artery Bypass Grafting (CABG) in Lebanon?

Some of the most sought after medical specialists for Coronary Artery Bypass Grafting (CABG) in Lebanon are:

  1. Dr. Joseph Nakad
  2. Dr. Ziad Mansour
  3. Dr. Charbel Naim
  4. Dr. Bachir Allam
  5. Dr. Elie Chammas
  6. Dr. Wael Jaroudi

FAQ's Related to Lebanon

What healthcare accreditation standards are followed in Lebanon?

Present in over 100 countries, it is the JCI or Joint Commission International which is responsible for accrediting hospitals in Lebanon. We bring to you the JCI certified hospitals and medical centers in Lebanon.

  1. Advanced Eye Care Hospital, Lebanon
  2. Mount Lebanon Hospital, Hazmieh
  3. American University of Beirut Medical Center (AUBMC), Beirut
  4. Bellevue University Medical Center, Mount Lebanon
  5. Clemenceau Medical Center, affliated with Johns Hopkins International, Beirut

The Joint Commission International not just provides accreditation to health organisations but helps them in maintaining these standards of quality delivery as well. Healthcare providers and academic medical centers in Lebanon strive to get the gold seal of approval from the Joint Commission International.

Which are the popular multispecialty hospitals in Lebanon?

There are several multispecialty hospitals in Lebanon, some of which we have outlined below your convenience:

  1. Saint George Hospital University Medical Center, Beirut
  2. Believue Medical Center (BMC), Mansourieh
  3. Clemenceau Medical Center (CMC), Beirut
  4. American University of Beirut Medical Center (AUBMC), Beirut
  5. Najjar Hospital, Beirut
  6. Trad Hospital, Beirut
  7. Sahel General Hospital, Beirut

The various specialties covered in the multispecialty hospitals in Lebanon are

  1. Hematology/Oncology
  2. Neurology
  3. Cardiology
  4. Paediatrics
  5. Orthopaedics
  6. Nephrology

A class apart, the multispecialty hospitals in Lebanon ensure not only a holistic medical treatment experience to the patients but giving the best patient care. Healthcare professionals responsible for patient care in the multispecialty hospitals in Lebanon are reaching newer heights in their field of expertise.

Why should I opt for healthcare in Lebanon?

The foremost reason for you to choose hospitals in Lebanon for your healthcare needs is the far reaching results that the healthcare providers in the country are showing for individual good health. The individual attention that is given to patients in educating them and keeping them abreast of the newer options of healthcare available is a good reason for you to opt for healthcare in Lebanon. If you choose to get your healthcare from Lebanon you will have access to the excellent specialised clinical programs and services units in the hospitals here which helps you get the treatment you need despite challenges. The improvement approach to healthcare in Lebanon is reflected in their regular upgradation of healthcare infrastructure making Lebanon a good choice to get your medical treatment from.

What is the quality of doctors in Lebanon?

The quality of doctors in Lebanon is unmatched owing to the fine training they receive from experts, the excellent education standards and their dedication to medicine. The doctors in Lebanon are well versed in their knowledge of medicine and well prepared for any new healthcare challenges that may arise. The patients visiting the doctors in Lebanon are confident that they add the research base to their practical application of medicine ensuring the best of healthcare results for them. The combination of having first hand knowledge of the latest treatment methods and the experience in treating innumerable international patients is what makes doctors in Lebanon good quality.

When traveling to Lebanon for medical treatment, what essential documents do I need to carry along?

Let us have a look at the important documents you need to carry with you when you are going to Lebanon for your medical treatment.

  1. Visa
  2. Passport
  3. Healthcare reports and records
  4. Communication between your healthcare providers of both countries
  5. Bank Statement (Proof of your adequate financial resources for travel and treatment )
  6. Invitation letter from healthcare provider in Lebanon
  7. Accommodation and two way travel proof
  8. Credit card/Debit Card/Online payment options

Navigating the healthcare ecosystems and traveling from one country to another and back should become seamless with the documents that you carry with you to Lebanon. Please do make sure to carry documents that show your financial stability or sponsorship details, whichever is applicable and your medical treatment related documents during your medical travel to Lebanon. Please ensure that the checklist of documents for your medical travel to Lebanon is in consonance with all the requirements.

What are the popular procedures available in Lebanon?

Please have a look at the popular procedures which are prevalent in the hospitals in Lebanon:

  1. Sleeve gastrectomy
  2. Gastric bypass
  3. Chemotherapy
  4. Microdiscectomy
  5. Spinal Fusion
  6. Lap hernia repair

Sleeve gastrectomy and Gastric bypass are two of the most popular procedures in Lebanon and this makes it amply clear that surgical weight loss is quite commonly done medical treatment here. An extremely popular procedure is Chemotherapy, a popular cancer treatment which is being performed in the hospitals in Lebanon for medical tourists. Among the medical tourists to Lebanon, it is the minimally invasive procedures such as Lap hernia repair that has become hugely popular.

Is it mandatory to take vaccinations before going to Lebanon?

It is absolutely essential to take vaccinations before going to Lebanon as mentioned by two international healthcare bodies vis a vis. Centers for Disease Control and Prevention, US government body and World Health Organisation, a United Nations agency. Here are the important vaccines before your medical travel to Lebanon.

  1. Chickenpox (Varicella)
  2. Diphtheria-Tetanus-Pertussis
  3. Flu (influenza)
  4. Measles-Mumps-Rubella (MMR)
  5. Polio
  6. Hepatitis A
  7. Hepatitis B
  8. Rabies
  9. Typhoid

When you are traveling to Lebanon, you must be updated with some vaccines which are basis specific hazards and these are MMR (one dose before travel irrespective of the routine vaccine for infants), Rabies, Typhoid, Hepatitis A and B. In order to prevent any health risks or conditions before your Lebanon travel, it is important to get vaccinated irrespective of any mandates by any international organisation.

What are the other facilities provided by hospitals in Lebanon?

Thereare several additional facilities provided by the international patient services office present in the hospitals in Lebanon such as:

  1. Language assistance
  2. Insurance coverage assistance
  3. Planning and scheduling visit
  4. Financial modalities

Pre-admission and online reservation is available to international patients who are headed to the good multidisciplinary hospitals in Lebanon. Please see some more facilities that make your treatment and stay comfortable in the hospitals in Lebanon.

  1. Prayer rooms and services
  2. Local transportation
  3. Internal, local or overseas phone calls

The hospitals in Lebanon function on a patient centric approach and that is visible in all the facilities present for the patients in hospitals in Lebanon.

What are the major medical tourism destinations in Lebanon?

Lebanon is ranked among the 46 countries in the 2020-21 Medical Tourism Index which is defined basis the environment of the destination, the strength of medical tourism industry, quality of services and facilities provided. Lebanon has been a great medical tourism destination for over a century with interludes in between. It has now regained that position and is a on a growth path in this industry. Please find medical tourism destinations in Lebanon listed below:

  1. Beirut
  2. Mansourieh
  3. Tyre
  4. Tripoli
  5. Sidon

Beirut, Lebanon’s capital city is known not just for its healthcare centers but also for its tourism potential and is clearly a major medical tourism destination in the middle east.

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