-
Coronary Bypass Surgery - MedStar Union Memorial
[GRAPHIC CONTENT WARNING: Images of a Surgical Procedure]
In 2011, our doctors performed more than 880 open-heart surgeries and 6,100 catheter-based procedures, including nearly 2,000 angioplasties. MedStar Union Memorial performs a higher percentage (94 percent) of beating-heart bypass surgeries than any other hospital in the nation.
Learn more: http://ow.ly/Mlb00
published: 29 Jun 2012
-
Gastric Bypass Surgery | Duke Health
Gastric bypass, also called Roux-en-Y gastric bypass surgery, is considered a “metabolic” procedure because it changes how your body absorbs fat, calories and nutrients. This metabolic change occurs because your gastrointestinal tract is altered when your gastric bypass surgeon attaches the smaller section of your stomach directly to your small intestine. As a result, your appetite changes and you feel full faster.
published: 31 May 2022
-
Coronary Artery Bypass Graft (CABG ) Off-Pump PreOp® Patient Education
Coronary Artery Bypass Graft (CABG ) Off-Pump PreOp® Patient Education
https://www.preop.com/preop/coronary-artery-bypass-graft-cabg-off-pump
What is heart bypass surgery?
When the surgeon removes a portion of a blood vessel from the patient’s leg or chest, most probably the left internal mammary artery and the saphenous vein to bypass the old, diseased coronary artery and to build a new pathway for blood to reach the heart muscle.
These transplanted vessels are called grafts and depending on your condition, your doctor may need to perform more than one coronary artery bypass graft.
Your heart is located in the center of your chest.
It is surrounded by your rib cage and protected by your breastbone.
Your heart’s job is to keep blood continually circulating throughout your body.
The ve...
published: 12 Feb 2019
-
Gastric Bypass Surgery - Nina's Story | Temple Bariatric Program
When Nina struggled to play with her grandkids and relied on medication and a CPAP machine for sleep apnea, she knew she needed to find a tool to help her lost weight and enjoy life. Watch her story about having the gastric bypass procedure at Temple Health.
Register for our online seminar to find out if bariatric surgery is right for you: https://bit.ly/3nteOrS
About Temple's Bariatric Program: https://bit.ly/3vN7FpY
Follow us on Social Media:
Like Temple Health on Facebook: https://www.facebook.com/TempleHealth/
Follow Temple Health on Instagram: https://www.instagram.com/templehealth/
Follow Temple Health on Twitter (X): https://twitter.com/TempleHealth
Subscribe to us on YouTube: https://www.youtube.com/@templehealth?sub_confirmation=1
#TempleHealth
#BariatricSurgery
#GastricBy...
published: 08 Nov 2021
-
Wat is een bypass- of omleidingsoperatie?
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam en maakt hiermee een omleiding (bypass) om de vernauwing heen. Met beelden uit het Antoniusziekenhuis in Nieuwegein.
published: 12 Dec 2011
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How Does Heart Bypass Surgery Work? Coronary Artery Bypass Graft Procedure Animation - CABG Video
Heart bypass surgery begins with an incision made in the chest, with the breastbone cut exposing the heart. Next, a portion of the saphenous vein is harvested from the inside of the leg. Pieces of this great vein will be used to bypass the blocked arteries in the heart. The venous graft is sewn to the aorta and to the affected coronary artery past the blocked site. The internal mammary artery from the chest may also be used to bypass a clogged artery. Several arteries may be bypassed depending on the condition of the heart.
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") surgery, and colloquially heart bypass or bypass surgery, is a surgical procedure consisting of either diverting the left internal thoracic artery (left internal mam...
published: 07 Mar 2016
-
Off-Pump Single Vessel Coronary Artery Bypass (Mahesh Ramchandani, MD, M. Mujeeb Zubair, MD)
"Off-Pump Single Vessel Coronary Artery Bypass"
Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Mahesh Ramchandani, MD and M. Mujeeb Zubair, MD as they demonstrate “Off-Pump Single Vessel Coronary Artery Bypass".
Surgery: Mahesh Ramchandani, MD and M. Mujeeb Zubair, MD
Narration: M. Mujeeb Zubair, MD
__________________________
FOR MORE INFORMATION
DeBakey CV Education: https://www.houstonmethodist.org/education/medical/debakey-cv-education
Follow Us:
Facebook: https://www.facebook.com/debakeycvedu
Twitter: https://twitter.com/DeBakeyCVedu
Livestream: https://livestream.com/debakey
Want concise, relevant reviews of the hottest topics in CV medicine? Subscribe for FREE to the Methodist DeBakey Cardiovascular Journal for quarterly, peer-re...
published: 09 May 2020
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Off-Pump Coronary Artery Bypass With Bilateral Internal Thoracic Arteries in Left Main Disease
In this video, the authors demonstrate off-pump coronary artery bypass with the bilateral internal thoracic artery for left main disease.
Learn more: https://www.ctsnet.org/article/pump-coronary-artery-bypass-bilateral-internal-thoracic-arteries-left-main-disease
The Cardiothoracic Surgery Network (CTSNet) connects the global cardiothoracic community through communication, collaboration, education, and interaction amongst cardiothoracic surgeons and their teams across the globe. CTSNet provides a broad range of video and text-based educational content, the premier job board across all of cardiothoracic surgery, profile pages for cardiothoracic surgeons and individuals associated with the specialty, and a calendar of events related to the specialty.
Find even more content on our website:
h...
published: 29 Oct 2019
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Bypass- of omleidingsoperatie
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam en maakt hiermee een omleiding (bypass) om de vernauwing heen. In dit informatieve filmpje vindt u meer informatie over de bypass- of omleidingsoperatie.
published: 05 Jul 2011
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Demostración De Bypass Gástrico: Memorial Weight-Loss Surgery Program
Dr. Jeremy Gallego Eckstein demonstra el bypass gastrico.
El bypass gástrico es una cirugía que ayuda a bajar de peso al modificar la forma en que el estómago y el intestino delgado absorben los alimentos que usted come.
Después de la cirugía, su estómago queda más pequeño. Usted se sentirá satisfecho con menos comida.
Los alimentos que consuma ya no ingresarán a algunas partes del estómago y el intestino delgado que absorben los alimentos. Por este motivo, el cuerpo no absorberá todas las calorías de los alimentos que usted ingiera.
Para mas información, visite www.mhs.net/weighloss
Este video muestra las partes seleccionadas de una cirugía que no tuvo complicaciones. La práctica de la medicina no es una ciencia exacta y puede producir complicaciones graves, incluso mortales. No ha...
published: 12 Jan 2015
42:30
Coronary Bypass Surgery - MedStar Union Memorial
[GRAPHIC CONTENT WARNING: Images of a Surgical Procedure]
In 2011, our doctors performed more than 880 open-heart surgeries and 6,100 catheter-based procedures...
[GRAPHIC CONTENT WARNING: Images of a Surgical Procedure]
In 2011, our doctors performed more than 880 open-heart surgeries and 6,100 catheter-based procedures, including nearly 2,000 angioplasties. MedStar Union Memorial performs a higher percentage (94 percent) of beating-heart bypass surgeries than any other hospital in the nation.
Learn more: http://ow.ly/Mlb00
https://wn.com/Coronary_Bypass_Surgery_Medstar_Union_Memorial
[GRAPHIC CONTENT WARNING: Images of a Surgical Procedure]
In 2011, our doctors performed more than 880 open-heart surgeries and 6,100 catheter-based procedures, including nearly 2,000 angioplasties. MedStar Union Memorial performs a higher percentage (94 percent) of beating-heart bypass surgeries than any other hospital in the nation.
Learn more: http://ow.ly/Mlb00
- published: 29 Jun 2012
- views: 3311283
0:41
Gastric Bypass Surgery | Duke Health
Gastric bypass, also called Roux-en-Y gastric bypass surgery, is considered a “metabolic” procedure because it changes how your body absorbs fat, calories and n...
Gastric bypass, also called Roux-en-Y gastric bypass surgery, is considered a “metabolic” procedure because it changes how your body absorbs fat, calories and nutrients. This metabolic change occurs because your gastrointestinal tract is altered when your gastric bypass surgeon attaches the smaller section of your stomach directly to your small intestine. As a result, your appetite changes and you feel full faster.
https://wn.com/Gastric_Bypass_Surgery_|_Duke_Health
Gastric bypass, also called Roux-en-Y gastric bypass surgery, is considered a “metabolic” procedure because it changes how your body absorbs fat, calories and nutrients. This metabolic change occurs because your gastrointestinal tract is altered when your gastric bypass surgeon attaches the smaller section of your stomach directly to your small intestine. As a result, your appetite changes and you feel full faster.
- published: 31 May 2022
- views: 328918
5:29
Coronary Artery Bypass Graft (CABG ) Off-Pump PreOp® Patient Education
Coronary Artery Bypass Graft (CABG ) Off-Pump PreOp® Patient Education
https://www.preop.com/preop/coronary-artery-bypass-graft-cabg-off-pump
What is heart byp...
Coronary Artery Bypass Graft (CABG ) Off-Pump PreOp® Patient Education
https://www.preop.com/preop/coronary-artery-bypass-graft-cabg-off-pump
What is heart bypass surgery?
When the surgeon removes a portion of a blood vessel from the patient’s leg or chest, most probably the left internal mammary artery and the saphenous vein to bypass the old, diseased coronary artery and to build a new pathway for blood to reach the heart muscle.
These transplanted vessels are called grafts and depending on your condition, your doctor may need to perform more than one coronary artery bypass graft.
Your heart is located in the center of your chest.
It is surrounded by your rib cage and protected by your breastbone.
Your heart’s job is to keep blood continually circulating throughout your body.
The vessels that supply the body with oxygen-rich blood are called arteries.
The vessels that return blood to the heart are called veins.
Like any other muscle in the body, the heart depends on a steady supply of oxygen rich blood. The arteries that carry this blood supply to the heart muscle are called coronary arteries.
Sometimes, these blood vessels can narrow or become blocked by deposits of fat, cholesterol and other substances collectively known as plaque.
Over time, plaque deposits can narrow the vessels so much that normal blood flow is restricted. In some cases, the coronary artery becomes so narrow that the heart muscle itself is in danger.
Coronary bypass surgery attempts to correct this serious problem. In order to restore normal blood flow, the surgeon removes a portion of a blood vessel from the patient’s leg or chest, most probably the left internal mammary artery and the saphenous vein.
Patient Education and Patient Engagement
Your doctor uses one or both of these vessels to bypass the old, diseased coronary artery and to build a new pathway for blood to reach the heart muscle.
These transplanted vessels are called grafts and depending on your condition, your doctor may need to perform more than one coronary artery bypass graft.
One or more sections of blood vessel will be taken from the leg, thigh or chest wall and the incision at those points will be sutured and bandaged.
Then, your doctor will make a vertical incision in the center of the chest.
Skin and other tissue will be pulled back in order to expose the breast bone.
Your doctor will carefully divide the breast bone and a special instrument called a retractor will be used to hold the chest open.
Once your doctor has a clear view of the heart, he or she will make an incision in the pericardium – a thin membrane that encloses the heart.
Pulling the pericardium back will reveal the beating heart.
Next, the surgeon will gently rotate the heart to the right in order to allow access to the heart's underside.
Using veins taken from another part of your body, the team will begin to build new paths for blood bypassing the blocked areas of the old artery or arteries. The team will attach as many new veins as needed to the underside of the heart.
Then, the doctor will gently rotate the heart back to its normal position.
To complete the bypass graft procedure, your doctor attaches the ends of the new veins on either side of the diseased area or areas of the old coronary artery. Blood can now flow freely avoiding the clogged areas that had caused your symptoms.
The pericardium can now be closed over the heart.
Your doctor will position two special drainage tubes in the chest cavity.
These tubes prevent fluid from building up around the heart during the healing process.
The breast bone is then closed with metal wire and the remaining tissue is closed with sutures.
Finally a sterile bandage is applied.
Patient Education and Patient Engagement
#HeartMonth #AmericanHeartMonth #patienteducation
https://wn.com/Coronary_Artery_Bypass_Graft_(Cabg_)_Off_Pump_Preop®_Patient_Education
Coronary Artery Bypass Graft (CABG ) Off-Pump PreOp® Patient Education
https://www.preop.com/preop/coronary-artery-bypass-graft-cabg-off-pump
What is heart bypass surgery?
When the surgeon removes a portion of a blood vessel from the patient’s leg or chest, most probably the left internal mammary artery and the saphenous vein to bypass the old, diseased coronary artery and to build a new pathway for blood to reach the heart muscle.
These transplanted vessels are called grafts and depending on your condition, your doctor may need to perform more than one coronary artery bypass graft.
Your heart is located in the center of your chest.
It is surrounded by your rib cage and protected by your breastbone.
Your heart’s job is to keep blood continually circulating throughout your body.
The vessels that supply the body with oxygen-rich blood are called arteries.
The vessels that return blood to the heart are called veins.
Like any other muscle in the body, the heart depends on a steady supply of oxygen rich blood. The arteries that carry this blood supply to the heart muscle are called coronary arteries.
Sometimes, these blood vessels can narrow or become blocked by deposits of fat, cholesterol and other substances collectively known as plaque.
Over time, plaque deposits can narrow the vessels so much that normal blood flow is restricted. In some cases, the coronary artery becomes so narrow that the heart muscle itself is in danger.
Coronary bypass surgery attempts to correct this serious problem. In order to restore normal blood flow, the surgeon removes a portion of a blood vessel from the patient’s leg or chest, most probably the left internal mammary artery and the saphenous vein.
Patient Education and Patient Engagement
Your doctor uses one or both of these vessels to bypass the old, diseased coronary artery and to build a new pathway for blood to reach the heart muscle.
These transplanted vessels are called grafts and depending on your condition, your doctor may need to perform more than one coronary artery bypass graft.
One or more sections of blood vessel will be taken from the leg, thigh or chest wall and the incision at those points will be sutured and bandaged.
Then, your doctor will make a vertical incision in the center of the chest.
Skin and other tissue will be pulled back in order to expose the breast bone.
Your doctor will carefully divide the breast bone and a special instrument called a retractor will be used to hold the chest open.
Once your doctor has a clear view of the heart, he or she will make an incision in the pericardium – a thin membrane that encloses the heart.
Pulling the pericardium back will reveal the beating heart.
Next, the surgeon will gently rotate the heart to the right in order to allow access to the heart's underside.
Using veins taken from another part of your body, the team will begin to build new paths for blood bypassing the blocked areas of the old artery or arteries. The team will attach as many new veins as needed to the underside of the heart.
Then, the doctor will gently rotate the heart back to its normal position.
To complete the bypass graft procedure, your doctor attaches the ends of the new veins on either side of the diseased area or areas of the old coronary artery. Blood can now flow freely avoiding the clogged areas that had caused your symptoms.
The pericardium can now be closed over the heart.
Your doctor will position two special drainage tubes in the chest cavity.
These tubes prevent fluid from building up around the heart during the healing process.
The breast bone is then closed with metal wire and the remaining tissue is closed with sutures.
Finally a sterile bandage is applied.
Patient Education and Patient Engagement
#HeartMonth #AmericanHeartMonth #patienteducation
- published: 12 Feb 2019
- views: 3537459
1:40
Gastric Bypass Surgery - Nina's Story | Temple Bariatric Program
When Nina struggled to play with her grandkids and relied on medication and a CPAP machine for sleep apnea, she knew she needed to find a tool to help her lost ...
When Nina struggled to play with her grandkids and relied on medication and a CPAP machine for sleep apnea, she knew she needed to find a tool to help her lost weight and enjoy life. Watch her story about having the gastric bypass procedure at Temple Health.
Register for our online seminar to find out if bariatric surgery is right for you: https://bit.ly/3nteOrS
About Temple's Bariatric Program: https://bit.ly/3vN7FpY
Follow us on Social Media:
Like Temple Health on Facebook: https://www.facebook.com/TempleHealth/
Follow Temple Health on Instagram: https://www.instagram.com/templehealth/
Follow Temple Health on Twitter (X): https://twitter.com/TempleHealth
Subscribe to us on YouTube: https://www.youtube.com/@templehealth?sub_confirmation=1
#TempleHealth
#BariatricSurgery
#GastricBypass
VIDEO TRANSCRIPT
Life before bariatric surgery, it was hard. The weight was a big, major issue. I struggled with sleep apnea really bad. Blood pressure was so high. Borderline diabetes. I probably went through seven diets, but when the pounds came off, they came back really, really fast. I had to make a change.
By going to Temple, they helped me. They gave me all the information that I needed to succeed where I'm at today.
When I met my doctor, he told me that there was two different procedures for weight loss surgery. And I was a good candidate for gastric bypass. He pushed me because he knew I could do it. He knew I had it in me. You know? And he pretty much gave me the tools.
And his team, they all played a part in my success. My diet changed. I started incorporating healthy foods, so it was a great change for me. And once that change came, the weight started coming off.
I used to weigh 273 pounds. And today, I weigh 152 pounds. I do not have high blood pressure anymore. Borderline diabetes is gone. Sleep apnea, that was the first thing that went. I can breathe. I can run. I can live. I can chase after my grandkids, just a lot of energy. So much energy. This is all thanks to the Temple Bariatric Surgery Program.
https://wn.com/Gastric_Bypass_Surgery_Nina's_Story_|_Temple_Bariatric_Program
When Nina struggled to play with her grandkids and relied on medication and a CPAP machine for sleep apnea, she knew she needed to find a tool to help her lost weight and enjoy life. Watch her story about having the gastric bypass procedure at Temple Health.
Register for our online seminar to find out if bariatric surgery is right for you: https://bit.ly/3nteOrS
About Temple's Bariatric Program: https://bit.ly/3vN7FpY
Follow us on Social Media:
Like Temple Health on Facebook: https://www.facebook.com/TempleHealth/
Follow Temple Health on Instagram: https://www.instagram.com/templehealth/
Follow Temple Health on Twitter (X): https://twitter.com/TempleHealth
Subscribe to us on YouTube: https://www.youtube.com/@templehealth?sub_confirmation=1
#TempleHealth
#BariatricSurgery
#GastricBypass
VIDEO TRANSCRIPT
Life before bariatric surgery, it was hard. The weight was a big, major issue. I struggled with sleep apnea really bad. Blood pressure was so high. Borderline diabetes. I probably went through seven diets, but when the pounds came off, they came back really, really fast. I had to make a change.
By going to Temple, they helped me. They gave me all the information that I needed to succeed where I'm at today.
When I met my doctor, he told me that there was two different procedures for weight loss surgery. And I was a good candidate for gastric bypass. He pushed me because he knew I could do it. He knew I had it in me. You know? And he pretty much gave me the tools.
And his team, they all played a part in my success. My diet changed. I started incorporating healthy foods, so it was a great change for me. And once that change came, the weight started coming off.
I used to weigh 273 pounds. And today, I weigh 152 pounds. I do not have high blood pressure anymore. Borderline diabetes is gone. Sleep apnea, that was the first thing that went. I can breathe. I can run. I can live. I can chase after my grandkids, just a lot of energy. So much energy. This is all thanks to the Temple Bariatric Surgery Program.
- published: 08 Nov 2021
- views: 189546
6:00
Wat is een bypass- of omleidingsoperatie?
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam ...
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam en maakt hiermee een omleiding (bypass) om de vernauwing heen. Met beelden uit het Antoniusziekenhuis in Nieuwegein.
https://wn.com/Wat_Is_Een_Bypass_Of_Omleidingsoperatie
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam en maakt hiermee een omleiding (bypass) om de vernauwing heen. Met beelden uit het Antoniusziekenhuis in Nieuwegein.
- published: 12 Dec 2011
- views: 51366
1:01
How Does Heart Bypass Surgery Work? Coronary Artery Bypass Graft Procedure Animation - CABG Video
Heart bypass surgery begins with an incision made in the chest, with the breastbone cut exposing the heart. Next, a portion of the saphenous vein is harvested f...
Heart bypass surgery begins with an incision made in the chest, with the breastbone cut exposing the heart. Next, a portion of the saphenous vein is harvested from the inside of the leg. Pieces of this great vein will be used to bypass the blocked arteries in the heart. The venous graft is sewn to the aorta and to the affected coronary artery past the blocked site. The internal mammary artery from the chest may also be used to bypass a clogged artery. Several arteries may be bypassed depending on the condition of the heart.
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") surgery, and colloquially heart bypass or bypass surgery, is a surgical procedure consisting of either diverting the left internal thoracic artery (left internal mammary artery or "LIMA") to the left anterior descending (LAD) branch of the left main coronary artery; or a harvested great saphenous vein of the leg, attaching the proximal end to the aorta or one of its major branches, and the distal end to immediately beyond a partially obstructed coronary artery (the "target vessel") - usually a 50% to 99% obstruction.
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") surgery, and colloquially heart bypass or bypass surgery, is a surgical procedure to restore normal blood flow to an obstructed coronary artery. A normal coronary artery transports blood to and from the heart muscle itself, not through the main circulatory system.
There are two main approaches. In one, the left internal thoracic artery (internal mammary artery) is diverted to the left anterior descending branch of the left coronary artery. In the other, a great saphenous vein is removed from a leg; one end is attached to the aorta or one of its major branches, and the other end is attached to the obstructed artery immediately after the obstruction to restore blood flow.
CABG is performed to relieve angina unsatisfactorily controlled by maximum tolerated anti-ischemic medication, prevent or relieve left ventricular dysfunction, and/or reduce the risk of death. CABG does not prevent myocardial infarction (heart attack). This surgery is usually performed with the heart stopped, necessitating the usage of cardiopulmonary bypass. However, two alternative techniques are also available, allowing CABG to be performed on a beating heart either without using the cardiopulmonary bypass, a procedure referred to as "off-pump" surgery, or performing beating surgery using partial assistance of the cardiopulmonary bypass, a procedure referred to as "on-pump beating" surgery. The latter procedure offers the advantages of the on-pump stopped and off-pump while minimizing their respective side-effects.
CABG is often indicated when coronary arteries have a 50 percent to 99 percent obstruction. The obstruction being bypassed is typically due to arteriosclerosis, atherosclerosis, or both. Arteriosclerosis is characterized by thickening, loss of elasticity, and calcification of the arterial wall, most often resulting in a generalized narrowing in the affected coronary artery. Atherosclerosis is characterized by yellowish plaques of cholesterol, lipids, and cellular debris deposited into the inner layer of the wall of a large or medium-sized coronary artery, most often resulting in a focal partial obstruction in the affected artery. Either condition can limit blood flow if it causes a cross-sectional narrowing of at least 50 percent.
Procedure: The chest is opened via a median sternotomy and the heart is examined by the surgeon.
The bypass grafts are harvested – frequent vessels are the internal thoracic arteries, radial arteries and saphenous veins. When harvesting is done, the patient is given heparin to inhibit blood clotting.
In the case of "off-pump" surgery, the surgeon places devices to stabilize the heart.
In the case of "on-pump" surgery, the surgeon sutures cannulae into the heart and instructs the perfusionist to start cardiopulmonary bypass (CPB). Once CPB is established, there are two technical approaches: either the surgeon places the aortic cross-clamp across the aorta and instructs the perfusionist to deliver cardioplegia with a cooled potassium mixture to stop the heart and slow its metabolism or performing bypasses on beating state (on-pump beating).
One end of each vein graft is sewn on to the coronary arteries beyond the obstruction and the other end is attached to the aorta or one of its branches. For the internal thoracic artery, the artery is severed and the proximal intact artery is sewn to the LAD beyond the obstruction.
Protamine is given to reverse the effects of heparin.
Chest tubes are placed in the mediastinal and pleural space to drain blood from around the heart and lungs.
The sternum is wired together and the incisions are sutured closed.
The patient without complications is discharged in four or five days.
https://wn.com/How_Does_Heart_Bypass_Surgery_Work_Coronary_Artery_Bypass_Graft_Procedure_Animation_Cabg_Video
Heart bypass surgery begins with an incision made in the chest, with the breastbone cut exposing the heart. Next, a portion of the saphenous vein is harvested from the inside of the leg. Pieces of this great vein will be used to bypass the blocked arteries in the heart. The venous graft is sewn to the aorta and to the affected coronary artery past the blocked site. The internal mammary artery from the chest may also be used to bypass a clogged artery. Several arteries may be bypassed depending on the condition of the heart.
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") surgery, and colloquially heart bypass or bypass surgery, is a surgical procedure consisting of either diverting the left internal thoracic artery (left internal mammary artery or "LIMA") to the left anterior descending (LAD) branch of the left main coronary artery; or a harvested great saphenous vein of the leg, attaching the proximal end to the aorta or one of its major branches, and the distal end to immediately beyond a partially obstructed coronary artery (the "target vessel") - usually a 50% to 99% obstruction.
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") surgery, and colloquially heart bypass or bypass surgery, is a surgical procedure to restore normal blood flow to an obstructed coronary artery. A normal coronary artery transports blood to and from the heart muscle itself, not through the main circulatory system.
There are two main approaches. In one, the left internal thoracic artery (internal mammary artery) is diverted to the left anterior descending branch of the left coronary artery. In the other, a great saphenous vein is removed from a leg; one end is attached to the aorta or one of its major branches, and the other end is attached to the obstructed artery immediately after the obstruction to restore blood flow.
CABG is performed to relieve angina unsatisfactorily controlled by maximum tolerated anti-ischemic medication, prevent or relieve left ventricular dysfunction, and/or reduce the risk of death. CABG does not prevent myocardial infarction (heart attack). This surgery is usually performed with the heart stopped, necessitating the usage of cardiopulmonary bypass. However, two alternative techniques are also available, allowing CABG to be performed on a beating heart either without using the cardiopulmonary bypass, a procedure referred to as "off-pump" surgery, or performing beating surgery using partial assistance of the cardiopulmonary bypass, a procedure referred to as "on-pump beating" surgery. The latter procedure offers the advantages of the on-pump stopped and off-pump while minimizing their respective side-effects.
CABG is often indicated when coronary arteries have a 50 percent to 99 percent obstruction. The obstruction being bypassed is typically due to arteriosclerosis, atherosclerosis, or both. Arteriosclerosis is characterized by thickening, loss of elasticity, and calcification of the arterial wall, most often resulting in a generalized narrowing in the affected coronary artery. Atherosclerosis is characterized by yellowish plaques of cholesterol, lipids, and cellular debris deposited into the inner layer of the wall of a large or medium-sized coronary artery, most often resulting in a focal partial obstruction in the affected artery. Either condition can limit blood flow if it causes a cross-sectional narrowing of at least 50 percent.
Procedure: The chest is opened via a median sternotomy and the heart is examined by the surgeon.
The bypass grafts are harvested – frequent vessels are the internal thoracic arteries, radial arteries and saphenous veins. When harvesting is done, the patient is given heparin to inhibit blood clotting.
In the case of "off-pump" surgery, the surgeon places devices to stabilize the heart.
In the case of "on-pump" surgery, the surgeon sutures cannulae into the heart and instructs the perfusionist to start cardiopulmonary bypass (CPB). Once CPB is established, there are two technical approaches: either the surgeon places the aortic cross-clamp across the aorta and instructs the perfusionist to deliver cardioplegia with a cooled potassium mixture to stop the heart and slow its metabolism or performing bypasses on beating state (on-pump beating).
One end of each vein graft is sewn on to the coronary arteries beyond the obstruction and the other end is attached to the aorta or one of its branches. For the internal thoracic artery, the artery is severed and the proximal intact artery is sewn to the LAD beyond the obstruction.
Protamine is given to reverse the effects of heparin.
Chest tubes are placed in the mediastinal and pleural space to drain blood from around the heart and lungs.
The sternum is wired together and the incisions are sutured closed.
The patient without complications is discharged in four or five days.
- published: 07 Mar 2016
- views: 9189137
4:43
Off-Pump Single Vessel Coronary Artery Bypass (Mahesh Ramchandani, MD, M. Mujeeb Zubair, MD)
"Off-Pump Single Vessel Coronary Artery Bypass"
Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Mahesh Ramchan...
"Off-Pump Single Vessel Coronary Artery Bypass"
Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Mahesh Ramchandani, MD and M. Mujeeb Zubair, MD as they demonstrate “Off-Pump Single Vessel Coronary Artery Bypass".
Surgery: Mahesh Ramchandani, MD and M. Mujeeb Zubair, MD
Narration: M. Mujeeb Zubair, MD
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FOR MORE INFORMATION
DeBakey CV Education: https://www.houstonmethodist.org/education/medical/debakey-cv-education
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Twitter: https://twitter.com/DeBakeyCVedu
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Want concise, relevant reviews of the hottest topics in CV medicine? Subscribe for FREE to the Methodist DeBakey Cardiovascular Journal for quarterly, peer-reviewed issues delivered to your door.
https://journal.houstonmethodist.org/
https://wn.com/Off_Pump_Single_Vessel_Coronary_Artery_Bypass_(Mahesh_Ramchandani,_Md,_M._Mujeeb_Zubair,_Md)
"Off-Pump Single Vessel Coronary Artery Bypass"
Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Mahesh Ramchandani, MD and M. Mujeeb Zubair, MD as they demonstrate “Off-Pump Single Vessel Coronary Artery Bypass".
Surgery: Mahesh Ramchandani, MD and M. Mujeeb Zubair, MD
Narration: M. Mujeeb Zubair, MD
__________________________
FOR MORE INFORMATION
DeBakey CV Education: https://www.houstonmethodist.org/education/medical/debakey-cv-education
Follow Us:
Facebook: https://www.facebook.com/debakeycvedu
Twitter: https://twitter.com/DeBakeyCVedu
Livestream: https://livestream.com/debakey
Want concise, relevant reviews of the hottest topics in CV medicine? Subscribe for FREE to the Methodist DeBakey Cardiovascular Journal for quarterly, peer-reviewed issues delivered to your door.
https://journal.houstonmethodist.org/
- published: 09 May 2020
- views: 246085
3:59
Off-Pump Coronary Artery Bypass With Bilateral Internal Thoracic Arteries in Left Main Disease
In this video, the authors demonstrate off-pump coronary artery bypass with the bilateral internal thoracic artery for left main disease.
Learn more: https://ww...
In this video, the authors demonstrate off-pump coronary artery bypass with the bilateral internal thoracic artery for left main disease.
Learn more: https://www.ctsnet.org/article/pump-coronary-artery-bypass-bilateral-internal-thoracic-arteries-left-main-disease
The Cardiothoracic Surgery Network (CTSNet) connects the global cardiothoracic community through communication, collaboration, education, and interaction amongst cardiothoracic surgeons and their teams across the globe. CTSNet provides a broad range of video and text-based educational content, the premier job board across all of cardiothoracic surgery, profile pages for cardiothoracic surgeons and individuals associated with the specialty, and a calendar of events related to the specialty.
Find even more content on our website:
https://www.ctsnet.org/
Connect with us on Facebook:
https://www.facebook.com/CTSNet/
Connect with us on Twitter:
https://twitter.com/ctsnetorg
https://wn.com/Off_Pump_Coronary_Artery_Bypass_With_Bilateral_Internal_Thoracic_Arteries_In_Left_Main_Disease
In this video, the authors demonstrate off-pump coronary artery bypass with the bilateral internal thoracic artery for left main disease.
Learn more: https://www.ctsnet.org/article/pump-coronary-artery-bypass-bilateral-internal-thoracic-arteries-left-main-disease
The Cardiothoracic Surgery Network (CTSNet) connects the global cardiothoracic community through communication, collaboration, education, and interaction amongst cardiothoracic surgeons and their teams across the globe. CTSNet provides a broad range of video and text-based educational content, the premier job board across all of cardiothoracic surgery, profile pages for cardiothoracic surgeons and individuals associated with the specialty, and a calendar of events related to the specialty.
Find even more content on our website:
https://www.ctsnet.org/
Connect with us on Facebook:
https://www.facebook.com/CTSNet/
Connect with us on Twitter:
https://twitter.com/ctsnetorg
- published: 29 Oct 2019
- views: 129905
0:58
Bypass- of omleidingsoperatie
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam ...
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam en maakt hiermee een omleiding (bypass) om de vernauwing heen. In dit informatieve filmpje vindt u meer informatie over de bypass- of omleidingsoperatie.
https://wn.com/Bypass_Of_Omleidingsoperatie
Een bypass- of omleidingsoperatie is een behandeling bij ernstige vernauwingen in de kransslagaders van het hart. De chirurg haalt een bloedvat uit het lichaam en maakt hiermee een omleiding (bypass) om de vernauwing heen. In dit informatieve filmpje vindt u meer informatie over de bypass- of omleidingsoperatie.
- published: 05 Jul 2011
- views: 106823
5:29
Demostración De Bypass Gástrico: Memorial Weight-Loss Surgery Program
Dr. Jeremy Gallego Eckstein demonstra el bypass gastrico.
El bypass gástrico es una cirugía que ayuda a bajar de peso al modificar la forma en que el estómago...
Dr. Jeremy Gallego Eckstein demonstra el bypass gastrico.
El bypass gástrico es una cirugía que ayuda a bajar de peso al modificar la forma en que el estómago y el intestino delgado absorben los alimentos que usted come.
Después de la cirugía, su estómago queda más pequeño. Usted se sentirá satisfecho con menos comida.
Los alimentos que consuma ya no ingresarán a algunas partes del estómago y el intestino delgado que absorben los alimentos. Por este motivo, el cuerpo no absorberá todas las calorías de los alimentos que usted ingiera.
Para mas información, visite www.mhs.net/weighloss
Este video muestra las partes seleccionadas de una cirugía que no tuvo complicaciones. La práctica de la medicina no es una ciencia exacta y puede producir complicaciones graves, incluso mortales. No hay garantía o seguridad que se pueden hacer sobre los resultados finales de esta cirugía.
https://wn.com/Demostración_De_Bypass_Gástrico_Memorial_Weight_Loss_Surgery_Program
Dr. Jeremy Gallego Eckstein demonstra el bypass gastrico.
El bypass gástrico es una cirugía que ayuda a bajar de peso al modificar la forma en que el estómago y el intestino delgado absorben los alimentos que usted come.
Después de la cirugía, su estómago queda más pequeño. Usted se sentirá satisfecho con menos comida.
Los alimentos que consuma ya no ingresarán a algunas partes del estómago y el intestino delgado que absorben los alimentos. Por este motivo, el cuerpo no absorberá todas las calorías de los alimentos que usted ingiera.
Para mas información, visite www.mhs.net/weighloss
Este video muestra las partes seleccionadas de una cirugía que no tuvo complicaciones. La práctica de la medicina no es una ciencia exacta y puede producir complicaciones graves, incluso mortales. No hay garantía o seguridad que se pueden hacer sobre los resultados finales de esta cirugía.
- published: 12 Jan 2015
- views: 473290