PreOp Patient Education
Audio Presentation

Coronary Artery
Bypass Graft

(CABG off-pump)


Your Body
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This information is not intended to replace the advice of your doctor. MedSelfEd, Inc. disclaims any liability for the decisions you make based on this information.
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Before we talk about treatment, let's start with a discussion about the human body and about your medical condition.
 
  alt Your doctor has recommended that you have coronary artery bypass surgery. But what does that actually mean?
  alt Your heart is located in the center of your chest..
  alt It is surrounded by your rib cage and protected by your breastbone.
  alt Your heart's job is to keep blood continually circulating throughout your body.
  alt The vessels that supply the body with oxygen-rich blood are called arteries.
  alt The vessels that return blood to the heart are called veins.
  alt Like any other muscle in the body, the heart depends on a steady supply of oxygen rich blood. The arteries that carry this blood supply to the heart muscle are called coronary arteries.
  alt Sometimes, these blood vessels can narrow or become blocked by deposits of fat, cholesterol and other substances collectively known as plaque.
  alt Over time, plaque deposits can narrow the vessels so much that normal blood flow is restricted. In some cases, the coronary artery becomes so narrow that the heart muscle itself is in danger.
  alt Coronary bypass surgery attempts to correct this serious problem. In order to restore normal blood flow, the surgeon removes a portion of a blood vessel from the patient's leg or chest, most probably the left internal mammary artery and the saphenous vein.
  alt Your doctor uses one or both of these vessels to bypass the old, diseased coronary artery and to build a new pathway for blood to reach the heart muscle.
  alt These transplanted vessels are called grafts and depending on your condition, your doctor may need to perform more than one coronary artery bypass graft.
  alt Of course, operating on the heart is a complex and delicate process and in the case of bypass surgery, your doctor will most likely need to stop your heart before installing the graft.
  alt During the time that your heart is not beating, a special machine, called a heart-lung machine, will take over the job of circulating and oxygenating your blood.
  alt By using this machine, your doctor is able to repair the heart without interfering with the blood flow to the rest of the body.
  alt Following surgery, your heart will be restarted and you will be disconnected from the heart-lung machine.

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