|Coronary Artery Bypass Surgery|
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Reasons for Procedure
- Severe blockage in the main artery or in several blood vessels that supply blood to the heart
- Persistent angina that does not improve with other treatments
- Blood clots
- High blood pressure or low blood pressure
- Damage to other organs, such as the kidneys
- Irregular heart rate
What to Expect
Prior to Procedure
- Aspirin and other nonsteroidal anti-inflammatory drugs (eg, ibuprofen , naproxen )
- Blood-thinning drugs, such as warfarin (Coumadin)
- Anti-platelet drugs, such as clopidogrel (Plavix)
- Eat a light meal the night before. Do not eat or drink anything after midnight.
- Arrange for a ride to and from the hospital.
- Arrange for help at home after the procedure.
Description of Procedure
Immediately After Procedure
- Heart monitor
- Pacing wires to control heart rate
- Tubes connected to a machine to drain fluids from the wound
- Breathing tube or an oxygen mask
- Catheter inserted into the bladder
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- To reduce the risk of fluid buildup in your lungs, breathe deeply and cough 10-20 times every hour.
- If a leg vein was removed, elevate your legs above your heart while sitting. Do not cross your legs.
- Efforts will be made to get you out of bed and walking as soon as possible.
- Dressings will be removed in a day or two. Pacing wires and chest tubes will be removed after a few days.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
Take medicines as directed by your doctor, such as:
- Blood thinners
- Cholesterol-lowering medicine
- Blood pressure medicine
- Pain medicine
- Follow your doctor's guidelines for caring for your stitches and staples. For example, internal stitches will dissolve. Staples will be taken out 5-7 days after surgery. Small paper strips on the incisions will peel off. They can be removed one week after discharge.
- Weigh yourself every morning.
- Follow the cardiac rehabilitation program that was created for you.
- If recommended by your doctor, work with a registered dietician.
- Make lifestyle changes, like exercising regularly, not smoking, and eating a healthy diet.
- Ask your doctor when you can drive and return to work.
- Be sure to follow all of your doctor's instructions .
Call Your Doctor
- Pain that you cannot control with the medication you have been given
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision sites
- Nausea and/or vomiting that you cannot control with the medication you were given after surgery or that lasts longer than expected
- Cough, shortness of breath, or chest pain
- Pain, burning, urgency, frequency of urination, or persistent blood in the urine
- Gaining more than four pounds within one or two days
- Pain and/or swelling in your feet, calves, or legs, or sudden shortness of breath or chest pain
American Heart Association http://www.americanheart.org/
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/
Health Canada http://www.hc-sc.gc.ca/
Heart and Stroke Foundation of Canada http://www.heartandstroke.com/
Coronary artery bypass graft surgery (CABG). Cardio Smart website. Available at: http://cardiosmart.org/heartdisease/ctt.aspx?id=900. Accessed September 17, 2012.
What is coronary artery bypass grafting? National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/cabg/. Updated February 23, 2012. Accessed September 17, 2012.
12/3/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Morone NE, Weiner DK, Belnap BH, et al. The impact of pain and depression on recovery after coronary artery bypass grafting. Psychosom Med . 2010;72:620-625.
- Reviewer: Michael J. Fucci, DO
- Review Date: 12/2013 -
- Update Date: 01/14/2014 -