Coronary artery bypass grafting (CABG) is a major cardiac surgery conducted on patients with severe coronary heart disease (CHD) or coronary artery disease (CAD). This procedure intends to improve the flow of blood to the cardiac muscles by bypassing the area of an obstructed coronary artery. A CAD is characterized by the deposition of waxy substances in the inside of the coronary artery. The waxy substance forms plaques, which may restrict the flow of blood through the artery that supplies blood.

Heart Bypass Surgery in Thailand

There are several internationally accredited hospitals in Thailand that conduct heart bypass surgery. Understanding the critical nature of the surgery, the cardiac surgery hospitals in India make sure that the surgery is only conducted by a team of highly experienced and skilled surgeons A team of surgeons thorough examine the patients and order a few imaging tests to identify the location of the blockage prior to the surgery. A detailed plan is created and discussed with the patients prior to the procedure.

Treatment and Cost

22

Total Days
In Country

2 No. Travelers

6 Day in Hospital

16 Days Outside Hospital

Treatment cost starts from

USD 23400

Hospitals

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?

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.

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.

Frequently Asked Questions

Heart bypass surgery is also known as coronary artery bypass graft (CABG) surgery. It is a surgery conducted in patients who suffer from coronary artery disease (CAD) characterized by blockage in the arteries that reduces the flow of blood to the cardiac muscles. The main intent of the surgery is to relieve angina (chest pain) and prevent fatal cardiac events.

Heart bypass surgery in Thailand is conducted in many hospitals. Thailand is a popular medical tourism destination that is hugely popular for cardiac, neurosurgery, orthopedic, cosmetic and infertility treatment.

Some of the reasons why patients should travel to Thailand for bypass surgery include the following:

  • Availability of state-of-the-art Cath labs

  • Experienced and qualified surgeons

  • Advanced facilities

  • Great infrastructure

  • The environment should be conducive to recovery

  • All facilities under one roof

  • No waiting time for treatment

Heart bypass surgery cost in Thailand starts at around $8500 in Thailand. As compared to the Western countries, the bypass surgery cost in Thailand is still competitive and reasonable. The total heart bypass surgery cost in Thailand is at least 50 percent, if not more, cheaper than the cost of surgery in the UK and the US.

The total cost of bypass surgery in Thailand, however, depends on several factors. Some of these factors include the following:

  • The number of stents used

  • An approach used to conduct surgery (minimally invasive, off-pump, or traditional)

  • Experience and fees of the surgeon

  • Type of hospital opted for

  • City where the procedure is being conducted

  • Complications management, if any

  • Number of days spent in the ICU and hospital

Bangkok, being the capital of Thailand, is also the medical tourism hub in the country. The Bangkok city has many internationally accredited hospitals that offer cardiac treatment to patients from across the world. A majority of the best hospitals in Bangkok for cardiac bypass are accredited by the Joint Commission International (JCI).

Other than Bangkok, Krabi, Phuket, Chiang Mai, and Pattaya are also popular for medical treatment. Thailand is a beautiful country and receives millions of tourists from across the world every year. Many patients prefer to choose to go to popular cities in Thailand to get quality medical treatment and stay there for a while after discharge to recuperate and recovery in a serene and peaceful environment.

There are many good hospitals in Thailand where you can get the bypass surgery done. The JCI-certified hospitals in Bangkok are equipped with state-of-the-art facilities and are known to provide the best quality of medical care and other services.

Some of the best hospitals in Thailand to get CABG done include the following:

  • Vejthani Hospital, Bangkok

  • Bangkok Hospital, Bangkok

  • Phyathai 2 Hospital, Bangkok

  • Krabi International Hospital, Krabi

Thailand is one of the top medical tourism destinations, is frequently visited by a number of patients from abroad. Therefore, the top hospitals in Thailand for medical treatment are fully equipped with the expertise and the facilities that are required by the patients from abroad.

Thailand is globally renowned for its quality of medical treatment. With that said, cardiac treatment in Thailand has great success rates. The cardiac bypass is Thailand has more than 90 percent success rates.

However, the actual success rates depend on a number of factors, including the following:

  • Age of the patient

  • Medical status

  • Complications involved

  • Risks involved

  • Number of blockages

  • Experience of the surgeon

  • The overall health of the patient

  • Other comorbidities involved

Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
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Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

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