Heart -Coronary Artery Bypass Graft (CABG off-pump) PreOp® Patient Education HD

http://on.fb.me/PreOp_com - NEW facebook page - it's cool!
Patient Education Company
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.
You may receive a sedative by mouth ...
... and an intravenous line may be put in.
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.
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 ...
... 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.
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 heartâ??s underside.
Using veins taken from another part of your body, the team will begin to build new paths for blood â?? 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 â?? 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 Company

Category:

Education

Tags:

• Patient
• Education
• Surgery
• Coronary
• Artery
• Bypass
• Graft
• (CABG)
• circulating
• blood
• cholesterol
• plaque
• veins
• heart
• mammary
• HIMSS
• HIMSS12

[winglessneveda8]

It's not the animation or the voice of the narrator that scares me about the preop videos....... It's actually the backgrount music that scares me.....

[perdootoo]

@DancingHorses26 - Apparently it isn't needed. I had this done 5 weeks ago and there was some swelling and fluid retention in the leg. This is because the blood that is pumped down to the leg is having to find new paths back to the heart. Eventually this has all been resolved ant the swelling in my leg is gone and is back to normal (and with a heck of a scar!!)

[slickray9402]

thx!

[chrisjbc]

Mine was done 4 years ago, and apart from a long scar and initially a bit of itching, no problems and no circulation problems

[DancingHorses26]

Isn't that leg vein kind of important? What effect does removing it have on circulation in the leg?

[thesqirrellgirl]

second!

[Faintedimpact973]

Scaryyyyyyy