By Dr. Dhairyasheel Kanase

Know More About Heart Surgery

Any heart surgery is scary for a common man. What adds to this fear is a lot of misunderstandings and misinformation. Especially in the case of bypass surgery, many questions come to mind. Is this procedure very risky? Why was no other surgery advised? Will it cause complications? Will I be able to resume daily activities? How many years will this bypass surgery be effective? There are many such questions. But what is needed is sufficient awareness and removing misconceptions about it.

Need proper information about coronary bypass surgery
Bypass surgery is one of the treatment options suggested in cases of partial or complete blockage of blood vessels supplying the heart due to various reasons. In this procedure, a healthy blood vessel in the arms or heart is taken and connected to the lower or upper side of the blocked artery to create a new pathway. This improves blood flow in the heart. For many people, this process is life-saving.
When is it done?
Bypass may be advised when a person starts experiencing symptoms like severe pain in the chest and the main reason for this is narrowing of various arteries that carry blood to the heart. The heart has two parts - the left ventricle and the right ventricle. The left ventricle is the main blood supply area of the heart. Bypass may also be advised when the artery narrows and affects the blood flow. In this case, a small balloon is inserted and inflated to widen the artery in the heart. This is called Angioplasty. However in case of more rigid or stiff blockage, Bypass procedure may be suggested. Also, bypass may be advised in an emergency situation where there is no response to other treatments.

 
Can bypass surgery be done in the elderly?
Many people think that bypass surgery is a very risky procedure, so it is not suitable for older people. However, it is important to understand that with the advancements in the medical field, new technologies, the risks associated with valve implantation surgery, bypass surgery and other heart surgeries have also reduced.   Another situation where bypass surgery is advised is when there are blockages/obstructions in many blood vessels or in many places and if no other procedure is suitable for the person. Importantly, no external device is implanted during this procedure and the blood vessels are the patient’s own. Therefore, the results are good and the requirement of blood thinning medication may also be minimal. Importantly, the safety remains high in case some problems arise with age and if the procedure is required in any other area of the heart.

Dr. Dhairyasheel Kanase

Associate Consultant, CVTS