Coronary Artery Bypass Graft (CABG) - Your Procedure - MedSelfEd Patient Education Videos and Pictures
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Thursday, March 28, 2024

Audio Presentation

Coronary Artery Bypass Graft

(CABG)


Your Procedure
  Your Body
  Alternatives
  Medical Record
  Anesthesia
  Before Surgery
  Your Procedure
  Recovery
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Now it's time to talk about the actual procedure your doctor has recommended for you.

On the day of your operation, you will be asked to put on a surgical gown.
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth ...
You may receive a sedative by mouth ...
... and an intravenous line may be put in.
... and an intravenous line may be put in.
You will then be transferred to an operating table.
You will then be transferred to an operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the chest area and the part of the body from which the graft vessel or vessels will be removed.
In the operating room, a nurse will begin preparation by clipping or shaving the chest area and the part of the body from which the graft vessel or vessels will be removed.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia by injection and inhalation mask.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia by injection and inhalation mask.
The surgeon will then apply an antiseptic solution to the skin ...
The surgeon will then apply an antiseptic solution to the skin ...
... and place a sterile drape around the operative site.
... and place a sterile drape around the operative site.
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.
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.
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.
Skin and other tissue will be pulled back in order to expose the breast bone.
Your doctor will carefully divide 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.
... 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.
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. Before the graft vessel or vessels can be attached, a heart-lung machine must be connected, A heart lung machine takes over the job of circulating and oxygenating the blood so that your doctor will be free to stop your heart for the length of the operation.
Pulling the pericardium back will reveal the beating heart. Before the graft vessel or vessels can be attached, a heart-lung machine must be connected, A heart lung machine takes over the job of circulating and oxygenating the blood so that your doctor will be free to stop your heart for the length of the operation.
To connect the heart-lung machine, one tube is placed into the aorta ...
To connect the heart-lung machine, one tube is placed into the aorta ...
... and a second tube is placed into the right atrium of the heart.
... and a second tube is placed into the right atrium of the heart.
One or two smaller tubes are then inserted into the heart.
One or two smaller tubes are then inserted into the heart.
These will carry a special solution that helps preserve the hearts temperature. When all the tubes are in place, the surgical team will turn on the bypass machine. It will begin to circulate the blood as the heart cools.
These will carry a special solution that helps preserve the hearts temperature. When all the tubes are in place, the surgical team will turn on the bypass machine. It will begin to circulate the blood as the heart cools.
When the temperature of the heart muscle has reached the proper level, a clamp is placed on the aorta. At that point, blood will no longer flow through the heart and it can be safely stopped and repaired.
When the temperature of the heart muscle has reached the proper level, a clamp is placed on the aorta. At that point, blood will no longer flow through the heart and it can be safely stopped and repaired.
To complete the bypass graft procedure, your doctor attaches the ends of the new vessels on either side of the diseased area or areas of the old coronary artery.
To complete the bypass graft procedure, your doctor attaches the ends of the new vessels on either side of the diseased area or areas of the old coronary artery.
Once the grafts have been completed, the clamp on the aorta is removed and the heart is allowed to begin beating again.
Once the grafts have been completed, the clamp on the aorta is removed and the heart is allowed to begin beating again.
As the temperature and the rhythm of the heart slowly return to normal, the heart-lung machine is disconnected.
As the temperature and the rhythm of the heart slowly return to normal, the heart-lung machine is disconnected.
The pericardium can now be closed over the heart.
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.
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 ...
The breast bone is then closed with metal wire ...
... and the remaining tissue is closed with sutures.
... and the remaining tissue is closed with sutures.
Finally a sterile bandage is applied.
Finally a sterile bandage is applied.

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