Medicine

Heart bypass surgery – price at FSCC FMBA of Russia

- March 21, 2022 | April 22, 2022 - Kate

Cardiac bypass at the Federal Scientific and Practical Center of the Federal Medical and Biological Agency of Russia. Appointment with a cardiologist. The cost of the operation and registration online or by phone: +7 (499) 725-44-40.

Coronary artery bypass grafting on a beating heart

Open-heart surgery, during which a bypass is created, allowing blood to be delivered to the myocardium, bypassing the affected artery.

About CABG

Coronary artery bypass grafting (CABG) is one of the most effective methods in the treatment of coronary heart disease (CHD). The operation is performed on a beating heart, without the use of cardiopulmonary bypass and is indicated in cases where the damage to the arteries of the heart is so pronounced that the use of other methods of restoring coronary blood flow is impossible.

In our clinic, FSCC FMBA, coronary artery bypass grafting is performed by several methods:

Benefits of CABG on a beating heart

Indications for coronary artery bypass grafting

Indications for CABG are determined by varying degrees of arterial damage and manifestations of coronary heart disease:

  • angina, not amenable to drug therapy;
  • narrowing of the trunk of the left coronary artery and the main cardiac arteries over 50%;
  • IHD with a decrease in ejection fraction.

As a rule, CABG is not performed:

  • severe multiple organ failure;
  • during the first months after cerebrovascular accident;
  • malignant neoplasms.

Preparation for coronary artery bypass grafting

Before coronary artery bypass grafting, the doctor draws up a preoperative examination plan at the FSCC FMBA. It includes laboratory tests and instrumental studies:

  • general analysis of blood, urine;
  • blood biochemistry;
  • expanded coagulogram;
  • ADP platelet aggregation;
  • blood type and Rh factor;
  • infection markers: HIV, hepatitis B, hepatitis C, syphilis;
  • Pro-BNP, CRP;
  • ECG;
  • Echo-KG;
  • x-ray examination;
  • EGDS (maximum prescription – 1 month). An exception is patients with lesions of the LCA trunk;
  • Ultrasound of brachiocephalic arteries (maximum prescription – 3 months);
  • Ultrasound examination of the arteries of the lower extremities (maximum prescription – 3 months);
  • Ultrasound of the veins of the lower extremities (maximum prescription – 7 days);
  • FVD (maximum prescription – 7 days);
  • Ultrasound of internal organs;
  • coronary angiography.

In the presence of concomitant pathology, additional tests may be prescribed:

  • A history of stroke – CT scan of the brain.
  • thyroid diseases – TSH, T4, T3 (maximum prescription – 30 days). Consultation with an endocrinologist in the presence of changes in the hormonal profile.
  • diabetes mellitus – glycemic curve (maximum prescription – 7 days). Consultation of an endocrinologist with glycemia more than 10 mmol / l.
  • Gout – uric acid (maximum prescription – 1 month). If the value exceeds 420 µmol / l – consultation of the therapist and selection of therapy.
  • Consultation of the dentist, urologist, gynecologist.

The day before the patient's operation examines the surgeon and anesthesiologist. On the eve of the AKSH, light dinner is recommended no later than 12 hours before the operation, it is not, not to drink, cancel the reception of drugs. For the night there is a cleansing enema. In the morning the patient takes a shower.

After signing informed consent to the patient, premedication is made – drugs are introduced, which will reduce emotional tensions, will help calm down. After 40-60 minutes, the patient is delivered to the operating unit.

In the Cardiology Center of FNCC FMBA, you can pass all the tests and take research recommended by the doctor before surgery. The structure of our center allows you to quickly go through the preparatory preoperative stage and get results in hand. Having his laboratory, we are responsible for the accuracy of the tests and the quality of clinical and laboratory research.

Conducting Aquash

Aorticoronary artery shunting on a working heart begins with access to the place of operation – the leather, subcutaneous layers, muscles are cut in layers.

The graft (shunt) is a healthy area of ​​veins or artery – is closed from the patient's chest or its limb (hips, shin). To perform an operation on a working heart, special equipment is applied to stabilize myocardium at an anastomosis formation. One end of a healthy vessel is laid to the aorta, the other to the coronary artery below the projected / narrowed area. Then the full work of the heart is restored, the wound is invented, the patient is transferred to the resuscitation separation.

Coronary shunting in most clinics is carried out with a stopping of cardiac activity using the artificial blood circulation apparatus. The use of this method is associated with the risk of developing complications, which extend the recovery time, worsen recovery, can lead to bleeding, stroke, infarction. Conducting an operation without artificial blood circulation – on a working heart – reduces the risk of postoperative complications.

After operation

In general, rehabilitation and recovery after AKSH without artificial blood circulation passes faster and easier. If the early postoperative period passes without complications, then after a day, catheters and patients are removed to the office where it is up to 7-10 days. There will be the condition of the heart and the whole organism.

In the postoperative period, the patient is individually selected a rehabilitation plan and the medical physical education is appointed.

The good method of maintaining health is the hiking duration of 10 minutes at the very beginning (after they are allowed to walk) up to 30-60 minutes 2-3 weeks after the operation.

It is important that during exercise, the CSS does not rise above 100-115 beats per minute and there were no shortness of breath.

If after the operation and the rehabilitation period in the ward – in the Department of Cardiac Surgery you are worried about self-recovery, you can undergo a rehabilitation program in our center.

Upon discharge from the hospital, the attending physician will issue a memo on the rules of prevention after surgery, prescribe medications. Taking any other drugs, including from a home medicine cabinet, must be agreed with a cardiologist.

Smoking, drinking alcohol after CABG surgery is prohibited for life. You will also need to follow a diet with a reduced content of salt, fat, sweets.

After that, you will need to undergo a heart examination in 1 month, 3, 6, 12 months. You can also do this in our center.

Cost of CABG

Despite the common name "pumping heart bypass", there are several methods for performing this operation. The doctor chooses the method depending on the indications, concomitant diseases, the state of the heart and the body at the time of the intervention.

It is important to know that CABG is often combined with other treatments and surgeries. For example, CABG can be performed and a tumor in any organ removed in stages, or CABG is performed in combination with carotid surgery or heart valve surgery. If the patient has an arrhythmia, then CABG can be performed in combination with RFA of the pulmonary veins.

Coronary artery bypass surgery in our clinic can be performed as part of free high-tech medical care for VMP or for a fee.

The final cost of treatment is determined by the initial state of the patient (comorbidities, severity of CHF), as well as his readiness for surgery, the availability of necessary tests and studies.

The cost can vary from 420,000 to 450,000 rubles.

  • operation, the price of which is indicated above;
  • preoperative examination (for patients who did not have an examination before hospitalization);
  • expendable materials;
  • anesthesia;
  • medicines, medical treatment;
  • comfort of the ward and duration of stay in the clinic.

The long-term experience of cardiac surgeons at the Federal Scientific and Practical Center of the Federal Medical and Biological Agency is confirmed by a large number of successful operations using various methods: all interventions are performed according to modern recommendations using high-tech equipment. Absolutely all examinations you can go directly to the FSCC FMBA according to the plan drawn up by the doctor.