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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.
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.
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.
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.
The cost of Coronary Artery Bypass Grafting (CABG) in South Africa may differ from one medical facility to the other. The Coronary Artery Bypass Grafting (CABG) package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The Coronary Artery Bypass Grafting (CABG) procedure in South Africa includes the fees of the surgeon, hospitalization and anesthesia as well. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Coronary Artery Bypass Grafting (CABG) in South Africa.
There are many hospitals that perform Coronary Artery Bypass Grafting (CABG) in South Africa. For quick reference, the following are some of the leading hospitals for Coronary Artery Bypass Grafting (CABG) in South Africa:
While the speed of recovery may vary from patient to patient, they are still required to stay for about 21 days after discharge. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.
South Africa is undoubtedly one of the best countries for Coronary Artery Bypass Grafting (CABG) in the world. It offers the best medical expertise and good patient experience at an affordable cost. However, there are other countries as mentioned below that are popular for Coronary Artery Bypass Grafting (CABG) as well:
| Country | Cost |
|---|---|
| Czechia | USD 15000 |
| India | USD 4200 |
| Israel | USD 30000 |
| Malaysia | USD 18000 |
| Poland | USD 6900 |
| Singapore | USD 56000 |
| Spain | USD 27000 |
| Thailand | USD 23400 |
| Tunisia | USD 7900 |
| Turkey | USD 10000 |
| United Arab Emirates | USD 23500 |
Apart from the cost of Coronary Artery Bypass Grafting (CABG), the patient is also required to pay additionally for daily meals and guest house accommodation. The extra charges may start from USD 50 per person.
There are many cities that offer Coronary Artery Bypass Grafting (CABG) in South Africa, including the following:
The patient is supposed to stay at the hospital for about 5 days after Coronary Artery Bypass Grafting (CABG) for monitoring and care. 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.
The average rating for Coronary Artery Bypass Grafting (CABG) 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.
There are more than 3 hospitals that offer Coronary Artery Bypass Grafting (CABG) in South Africa. The above listed hospitals are approved to perform the surgery and have proper infrastructure to handle Coronary Artery Bypass Grafting (CABG) patients. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in South Africa
Some of the world-class multispecialty hospitals in South Africa are:
The performance of these hospitals have been evaluated on the below parameters:
The hospitals are bound to provide quality treatment as the government of South Africa has framed strict healthcare rules to ensure there is no quality lapse. The hospitals are backed with state-of-art infrastructure, the latest medical equipment, and well-trained doctors and offer world-class facilities to enhance the patient experience.
The healthcare system in South Africa is accredited by Joint Commission International (JCI) and Council for Health Service Accreditation of Southern Africa (COHSASA). In order to ensure coordinated and integrated care is provided by healthcare facilities, COHSASA sets and assesses standards for all sectors and departments of a healthcare system. 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.
One of the leading medical tourism destinations, South Africa offers affordable healthcare and has superior infrastructure. Some other factors which contribute to the growth of medical tourism in South Africa are use of cutting-edge technology, new facilities provided by hospitals, doctors trained overseas, and a large number of accredited hospitals. South Africa’s recent advancement in stem cell therapy has made it one of the most preferred countries for seeking advanced medical treatment. The patient-centric hospitals in South Africa help you with all kinds of organization and administrative tasks and provide a world-class patient experience through all-inclusive care and assistance on a 24/7 basis.
The doctors in South Africa strive to provide quality treatment utilizing their deep subject knowledge and hands-on experience in handling various complex cases. 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. The doctors deliver great results in dental procedures and fertility treatments and provide complete patient satisfaction through a holistic approach. 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.
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 must apply for a temporary residency permit if they require medical treatment for longer than three months. 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. You need to produce the below documents to apply for a medical visa:
The most sought-after procedures in South Africa are total knee replacement, meniscus repairs, hip replacement, anterior cruciate ligament (ACL) reconstruction. Some other procedures which have gained popularity in South Africa are cosmetic surgery and infertility treatment. Egg donation program is very popular in the country and you have an option of having either a surgical or non-surgical procedure, with very low waiting times. People select South Africa to avail these procedures due to several reasons, such as world-class hospitals with superior infrastructure and highly-skilled doctors, fast recovery, and use of cutting-edge medical technology.
Some popular cities of South Africa that attract a huge number of medical tourists every year are Cape Town, Johannesburg, Pretoria, and Durban. Cape Town a major tourist attraction that has a rich culture, world-class doctors, and modern health facilities. Besides providing quality treatment, these cities are also known for having a better public transportation system, cheap hotels, and connectivity through airlines. Johannesburg’s public and private healthcare industry coordinates with South Africa's medical schools to create internationally recognized medical specialists and the quality of medical care is on par with Great Britain.
Yes, some vaccines are highly recommended or required for South Africa. WHO and the National Travel Health Network and Centre recommend the following vaccinations: hepatitis A, yellow fever, rabies and tetanus, hepatitis B, typhoid, cholera. Infants 6 to 11 months old travelling to the country should get 1 dose of measles-mumps-rubella (MMR) vaccine before travel. You need to go for typhoid vaccination if you are going to stay with friends or relatives or visiting smaller cities or rural areas. You can connect with your doctor or the hospital in South Africa for the required vaccines. Also, refer to the travel advisory issued by the government.
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