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bypass surgery ensure the blood supply .pdf


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Bypass surgery: Ensure the blood supply
The supply of the heart muscle with oxygen and nutrients via the coronary arteries (coronary arteries)
keeps the circulatory system healthy. Arteriosclerosis can cause these vessels to become increasingly
narrower resulting in restricted blood flow. Parts of the heart muscle are then reduced in blood flow and
can be damaged in the long term (coronary heart disease). If there is a complete occlusion of the
coronary arteries, the heart muscle dies (heart attack). To prevent this, patients whose coronary arteries
are narrowed receive blood-thinning medicines or balloons are introduced into the vessels that keep
them open. If these methods are no longer functional, only cardiac surgery remains; in which the
constricted parts of the vessels are bypassed; a so-called bypass is laid.
The procedure takes place under general anesthesia. The skin is cut at the height of the breastbone to
15 cm in length, severing the breastbone in the middle and sedating the heart. A heart-lung machine
maintains circulation during this time. A venous section of the leg or forearm creates a bypass in the
stenosed coronary vessels, which ensures the blood supply to the heart. At the end of this procedure in
cardiac hospital in Delhi, a drainage is introduced to drain the wound exudate, and the sternum is
sutured again. The follow-up care of the patient takes place for a few days in the intensive care unit.
Although bypass surgery is nowadays one of the standards of cardiac surgery, the underlying diseases
cannot be eliminated by surgical interventions. Existing atherosclerosis will continue to spread as long as
the lifestyle remains unchanged. Thus, constrictions of the coronary arteries can occur again and again.
Minimizing the personal risk factors for atherosclerosis increases the likelihood that the bypass
operation will successfully result in relief of cardiac symptoms for a few years. Cardiac surgery can be
repeated to make new bypasses. However, any further open-heart surgery in best cardiac hospitals in
India carries additional possibilities of infection and complications.
Heart surgery in best cardiac hospital in India is followed by postoperative intensive care treatment. In
intensive care, the patient is artificially ventilated for some time; the heart function is continuously
monitored and supported by medication if necessary.
After each heart operation, it is necessary for the patient to be observed in an intensive care unit for a
period - usually only for one night - and treated if necessary.
Since all essential life functions are strongly influenced by cardiac surgery, the body needs a certain
amount of time to regain its original stability. The period required for this depends on several factors.
For example, the general condition of the patient, the severity of the disease and side-effects, the
duration and complexity of the operation. After a standard bypass operation, this period is
approximately 4 to 8 hours.
During this vulnerable period, many factors, including the patient's vital signs, are carefully monitored to
detect and treat minor deviations from the norm. Only in this way can optimal conditions for the most
significant possible safety and the fastest possible recovery be guaranteed.


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