The word bypass can be defined as bridging. Clogging and narrowing may occur in a certain area of the artery due to various reasons. In these cases, the surgical method applied to preserve the vitality of the area fed by the artery is defined as bypass.
Bypass is performed by using veins prepared and taken from a different part of the body to the forward part of the blocked artery. Thus, with the bypass operation, the required amount of blood can be delivered to the area fed by the artery.
What is Armpit Bypass Surgery?
In armpit coronary bypass surgery, 6 cm from the left armpit parallel to the breast line. The surgery is performed by making an incision and entering between the ribs. As a first step, the breast vein that we use in bypass is prepared through the small hole opened. The mammary vein is located on the inside of the chest wall on both left and right sides. First, this vein is separated from the chest wall and made ready to be connected to the heart.
Who can undergo Armpit Bypass Surgery?
Armpit bypass surgery; It can be applied to patients with major vascular occlusion. Of course, we make this decision by watching the patient's angiography and evaluating the patient's other characteristics. It brings many advantages as the surgery can be performed with a small incision and the heart is working. It should be preferred especially in elderly patients and patients who may have problems with union of the sternum after surgery.
Risks of Armpit Heart Surgery
Heart surgeries performed under the armpit are reliable. Surgeries performed under the armpit and in the front have overlapping risks. If there is a situation that prevents surgery during the operation, the surgeon can enlarge the incision or continue the operation by switching to the normal entry method.
Another detail that should be known about second heart surgeries is that a patient who was previously opened from the front for the operation. It would be risky to open it from the front again for the second operation. In order to reduce this risk Therefore, if the conditions are suitable, armpit surgery may be preferred.
The importance of early intervention is known in terms of successful treatment of diseases. When we look at whether early intervention is important in heart diseases, we can talk about the existence of patients who have not had heart surgery for years simply because they do not want their frontal sternum to be cut or because they are afraid. Over time, a clot passed from the heart to the brain, heart failure occurred, the heart enlarged, and after this whole process was over, a doctor was consulted. The fact that the process is delayed so much by the patient causes difficulties for both the patient and the surgeon during the operation. We can say that early intervention in heart diseases is very important, as delaying the patient will increase the risk.
Read: 0
