What is Bypass?

• Bypass is used in English to mean to circumnavigate a city or a closed road. The word bypass is simply known as bridging. The main purpose of this definition is to supply blood to the area behind the clogged vein and which cannot be fed, by using another vein. The word bypass was first used as another road (secondary road) that leads to the same place as an alternative to the main road, which is blocked on highways or is used very often.

• In cardiac surgery, the term bypass was used for the first time in the operation of supplying blood to the occluded heart vessel with a vein taken from the main vessel, aorta, from the leg. It was explained and named as “AORTOCORONARY BYPASS” because the coronary artery feeding the heart was bypassed from the aortic main vein. Afterwards, Coronary Artery Bypass surgery started to be used more frequently. Coronary Artery Bypass Graft (CABG) has turned into CABG in us. Since the vessels feeding the heart surround the heart like a crown, they are called "corona=crown" coronary arteries. Corona has already become a word we use a lot because of the Covid-19 disease.

• Bypass is simply known as bridging. Its main purpose is to supply blood to the area behind the clogged vein that cannot be fed by using another vein. The word bypass was first used as another road (secondary road) that leads to the same place as an alternative to the main road, which is blocked on highways or which is very frequently used.

• Coronary bypass surgery is an open heart surgery. . Open heart surgery is a surgery performed using a heart-lung machine and stopping the heart.

• The veins used in this surgery are veins: veins or arteries: arteries

• Bypass surgery is also performed in leg vascular occlusion and other areas.

• You can find all the information about this surgery in the video below. You can find:
  

• As a result of cardiovascular occlusion, patients cannot get enough blood to the heart muscle, especially after exertion. There is 'base pain'. You can read the related article about chest pain or watch the video.

• Bypass is simply known as bridging. Its main purpose is to supply blood to the area behind the clogged vein that cannot be fed by using another vein. The word bypass was first used as another road (secondary road) that leads to the same place as an alternative to the main road, which is blocked on highways or which is very frequently used.

• Coronary bypass surgery is an open heart surgery. . Open heart surgery is an operation performed using a heart-lung machine and stopping the heart.

• The veins used in this surgery are veins: veins or arteries: arteries.

• Below you can see the leg vein.

Pthoracic Artery;

The vein often taken from the leg for veins and as the artery, the "thoracic artery", that is, the Internal Mammarian Artery, located on both sides of the bone known as the faith board in the chest, and the arm vein (radial artery) taken from the left arm are used. The use of these veins does not create a deficiency in our body. There is no nutritional disorder in the arm. There is another vein that will work instead.

• Preferably, the chest vein, arm vein and leg vein are used in triplicate.

• During the surgery, these vessels are sutured to the coronary arteries running on the surface of the heart, so that blood flow is provided beyond the stenosis that develops as a result of atherosclerosis.

• Coronary bypass surgeries are performed using a heart-lung machine. This machine, like its name, performs the duties of the heart (pumping) and lung (oxygenating the blood) organs. During this procedure, the heart is stopped. The reason for this is to protect the energy stocks of the blood that does not pass through and to prevent it from being damaged.

• Patients often fear that once the heart is stopped, it will not work again. When blood starts to flow through the heart, it starts working immediately. Even if it doesn't work (which is rare), it is powered by drugs or a pacemaker. This pacemaker It is sweet. After a while, the heart regains its own rhythm and there is no need for a battery.

• When using the Heart Lung Machine, the body temperature is also lowered. The temperature, which is normally 36 degrees, is reduced to 28-32 degrees. The reason for this is to protect the heart.

• Find your other questions and answers about heart surgeries below.

• What are the incisions in heart surgery?

The "board of faith", which is usually located mostly in the middle of your chest! It is made with an incision made on the sternum bone, called the sternum. In some valve surgeries and depending on the type of surgery, the operation is performed with smaller incisions on the armpit, left or right side of the chest.

• Before heart surgeries What is done?

After the diagnosis is made with Echocardiography and Coronary Angiography before heart surgery, surgical preparations are made. Blood tests, ECG and chest X-ray are performed as standard for the patient. In order to determine lung capacity in smokers, Pulmonary Function Test is performed in consultation with Chest Diseases. In patients over 65 years of age, ultrasound is performed to look at the Carotid Veins and Abdominal Veins without complaints.

Patients with previous paralysis and similar complaints are evaluated in the Neurology department. It is evaluated with MRI and Computed Tomography.

• What is the risk of heart surgery?

The risk calculation in heart surgery is based on the patient's risk factors. Factors such as diabetes (using insulin), COPD and smoking, low lung capacity, previous surgery, obesity, diseases accompanied by weak heart functions and surgeries are used in risk calculation.

LINK: HOW TO CALCULATE THE BYPASS RISK?

You can watch the video below about the risk calculation of the most common Coronary Bypass surgery.

• How long to stay in Intensive Care after heart surgery?

After heart surgery, a patient in Intensive Care stay the night

You can go to the service in your normal bed after the controls are made the next day. Diabetics, those with lung problems or those with a weak heart can stay in intensive care for more than one day.

• What is the recovery process after heart surgery?

After heart surgeries, the recovery process in the hospital continues with a 5-6 day service period after 1 night in the Intensive Care Unit. Discharge occurs on the 5th-7th day. Since it takes 4-6 weeks for the sternum to heal, it is recommended not to turn left or right during this period and to stand up with support from the arms as much as possible.

• When can I return to my normal life after heart surgery?

Heart Returning to your normal activities It is completed at the end of the 6-week process. This time varies according to the patient. How soon after surgery can I return to my normal life? You can use the car for short distances after 4 weeks.

CONNECTION:

THINGS TO CONSIDER AFTER HEART SURGERY

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• Do I need to have surgery again after heart surgery?

If you control the risk factors of smoking, sugar and cholesterol, you will not have such a problem. Your chances of encountering it decrease. Another important factor in this is your vascular structure. This is more common in those with thin veins and calcifications.

• Can I retire due to disability after heart surgery?

This is one of the most frequently asked questions. These reports are given in large public hospitals where the Sanitary Board meets. When you apply to these hospitals with your surgery reports, a report is given according to the latest examinations. If you have heart failures that cannot sustain a normal working life, you can retire as a disability.

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