Bypass in a functioning heart is performed without stopping the heart and without connecting the patient to the heart-lung pump. During the procedure, until the coronary bypass surgery is completed, the structure of the heart is maintained by methods that ensure the continuation of blood flow in the heart vessels. For the success of this method, choosing a suitable patient is an important criteria. Prof. Dr. Muzaffer Bahçivan from Memorial Dicle Hospital, Department of Cardiovascular Surgery, gave information about the bypass of a functioning heart.
Among specific surgeries…
Special methods are used during the functioning heart bypass surgery and only the movements of the heart region to be studied are reduced. Meanwhile, the heart continues to pump blood both to the body and to itself and to create the necessary function for life.
“Open heart surgeries”, where the heart-lung pump is used and the heart is temporarily stopped and disabled, are applied safely today and the exposure of patients to some possible risks is minimized with the precautions taken. Risks such as consciousness disorders, behavioral changes, kidney failure, increased liver enzymes, decreased stomach and intestinal motions are minimized by bypassing the functioning heart.
Suitable patient selection is important.
- Bypass operation in a functioning heart;
- In patients whose heart contraction functions are severely decreased and who cannot tolerate the heart-lung pump,
- People who have had a stroke or transient ischemic attack (mini-stroke) before,
- Those with severe kidney failure,
- Those with chronic pulmonary disease,
- The patients who have had cancer that has been treated or currently treated,
- When applied in patients 70 years old and above, it provides beneficial and successful results for the patient.
Special for patient comfort
Bypass application in a functioning heart also provides a comfortable healing process to the patient during and after surgery.
- It provides better protection of heart functions.
- It increases the success of surgery especially in risky patients.
- It reduces the length of hospital stay.
- It reduces the duration of stay in the intensive care unit and the breathing apparatus.
- It shortens the recovery period of the patient after surgery.
- It reduces complaints such as weakness and lack of appetite after surgery.
- It minimizes the possibility of lung, kidney and liver failure.
- It reduces the risks of brain damage that occurs in the form of some behavioral disorders and stroke.
- It minimizes the blood need of the heart.
- It provides less risk of infection in the chest incisions.
Prepared by Memorial Medical Editorial Board.
