LIMA-RIMA Y (Arterial Heart Bypass)

LIMA-RIMA Y (Arterial Heart Bypass) : Know Your Package Price and Other Details

Includes

• 8 Days Hospital Stay
• Medicines, Consumables, Disposables & Investigations Related to the Procedure / Package
• Doctor Team Fees
• Operation Theatre Charges

Does not include

• Cost of Blood
• Bed Charges Beyond 8 Days
• Treatment of illness / Health Condition Not Directly Related to the Procedure / Package

Accommodation for “Out Station” Patient Party

For patients coming from far away districts, other states & outside India we can help you in finding accommodation of accompanying patient parties at Guest House/ Hotels near the hospital.

Doctor prescribed CABG for your DAD? You are staying out of India and wondering the cost of Bypass Surgery in India? Now Relax and come to DESUN Hospital.
With 2 Digital Cath Labs, 6 Dedicated Cardiac Operating Theatres, 54 Post-operative Cardiac ITU beds, DESUN performs the highest number of advanced heart procedures and surgeries with the highest success rate at a cost which is lowest in Kolkata,India.
With top class cardiologists and cardiac surgeons adopting the latest technology in heart surgeries DESUN is considered as the No. 1 in heart operations. One such example is the “Beating Heart Arterial Bypass Surgery”. With this technique during bypass (CABG) the heart is not stopped and it continues to beat throughout the operation. Moreover, instead of taking the veins from the leg (as is done in other places), arteries from the chest & arms are used for this bypass. Normally Vein Bypass lasts for 10 years whereas, Arterial Bypass helps you live longer as it lasts for 25 years (arteries being better than veins). Also there are no scars on the legs of the patient.

What Is Heart Bypass (CABG)?

Heart Bypass is a surgical procedure to restore normal blood flow to an obstructed coronary artery. In Coronary Artery Bypass Grafting (CABG), popularly called “Heart Bypass”, healthy veins or arteries from the patient’s body are grafted to create a bypass channel that ensures proper blood & oxygen flow to the heart. When blood flow reduces due to coronary heart disease (CHD), these arteries or veins, often taken from your leg or forearm, are grafted (attached) to the coronary artery to let blood “detour” past a narrowing or blockage in this artery.

What is “Beating Heart Technique” in CABG?

When heart bypass surgery (CABG) started in the 1980’s the technique adopted was stopping the heart and transferring the heart functions to a machine called “Heart Lung Machine''. After the heart bypass surgery is completed the heart is reactivated and the heart functions are shifted back from the “Heart Lung Machine'' to the original human heart. In the late 1990’s a new technique was developed in the USA and later adopted in India which is commonly called “Beating Heart Technique”. Here the portion of the heart where bypass needs to be done is slowed down by a special equipment known as “STAR”. The surgeon then performs the bypass with the heart beating very slowly. After the bypass the STAR is removed and the portion of the heart which was slowed down then starts beating normally. There are tremendous advantages of “beating heart technique” in terms of faster recovery, lower risks and so on. However, the Heart Lung Machine is still kept as a stand-by during all heart bypass surgeries (CABG) even when beating heart technique is used, so that the surgeon can revert back to the conventional technique, if so demanded.

At DESUN over 95% heart bypass surgeries are performed by this “Beating Heart Technique”. Even in the USA they have not been successful in performing more than 70% of the cases using this technique. The skill of the entire surgical team including cardiac surgeon, cardiac anesthetist, perfusionist, medical physicist, OT nursing, OT technicians has to be of very high level to perform “Beating Heart Bypass Surgeries” on such a consistent basis as in DESUN.

Why do I need Bypass Surgery?

You need bypass surgery because one or more of your coronary arteries has become too narrow or blocked, and enough blood cannot reach your heart muscle. This is probably because you have CHD. Your doctor will discuss your treatment options with you. He will tell you if bypass surgery is the most suitable form of treatment to improve blood flow to your heart muscle and reduce your risk of further heart problems.

What are the benefits of Bypass Surgery?

Bypass surgery will improve blood flow to your heart muscle and reduce your symptoms of CHD, such as angina. In time, you may feel healthier and active than you were before the surgery. Your risk of further heart problems will also be reduced to a great extent.

DESUN's Guide which may help you reduce risk of further heart problems:

The things that you do and the choices you make can greatly reduce your risk of more heart problems in future, including heart attack.

The most important things you can do to reduce your risk of more heart problems are to:

• Take the prescribed medicines properly by your doctor.
• Be smoke- free
• Enjoy a healthy eating
• Be physically active
• Keep a check on your blood pressure and cholesterol
• Maintain a healthy body weight
• Be smoke- free

People with diabetes should generally aim to maintain their blood glucose levels within the normal non-diabetic range and follow individual advice from their doctor.

Payment Options:

• BY CASH OR CREDIT / DEBIT CARD.

Why Patients like DESUN?

Rated as one of India’s best hospitals

• DESUN is the youngest hospital in India to get the prestigious National Accreditation Board for Hospitals (NABH) accreditation from Government of India for excellence in quality of medical treatment and hospital services. The world over, NABH is considered equivalent to the JCAHO (Joint Commission for American Healthcare Organizations) or JCI (Joint Commission International) standards followed in USA for hospital accreditation.
• Awarded Healthcare Pioneers Of The East 2020 by The Times Of India in Cardiac Care and Orthopaedics.
• In the lead story of the November 2011 issue of national news magazine THE WEEK, India’s best hospitals were covered, based on an All India Survey. DESUN Hospital was included in this prestigious list.
• The DESUN Pathology Lab has also received the prestigious National Accreditation Board for Laboratories (NABL) accreditation, for excellence in quality of routine and Superspeciality pathology testing. In Eastern India, only DESUN Pathology Lab has in-house facilities to perform Superspeciality pathology tests like PCR, Flow Cytometry, etc. This has huge benefits for DESUN’s patients tremendously because there is practically no waiting time to get test results when compared to other hospitals in Kolkata, who have to send these tests to Mumbai or Delhi and wait for 3 or 4 days for get results. Thus, there is no delay in diagnosis and DESUN’s patients get prompt and accurate treatment.

Ranked Topmost by both West Bengal and Central Governments

• Desun is CGHS recognized NABH Multispeciality Hospital since 2015 & also Class I Multispeciality Hospital recommended by WBHS.

Safest Hospital For Any Operation

• 2 of the major fears any surgeon has before any operation is that of OT infection and cardiac, heart complications during or after the operation. If OT infections occur or the patient develops cardiac problems even the best surgeon cannot help you. DESUN is the only hospital in Kolkata having STEEL OPERATION THEATERS (Steel OTs) which drastically reduces chances of OT infection. After the surgery the patient is under the best care of doctors and nurses in the post operative phase at DESUN. Also DESUN has the largest Heart Institute in Kolkata to handle any cardiac emergencies during or after the operation.

Specialist Doctors’ Round The Clock

• With 28 medical departments having in-house specialist doctors any problem during your stay at DESUN can be handled by this specialist doctors’ team 24 hours. You may be admitted for a particular surgery but in the event there are some problems which a specialist needs doctor of another department it is available immediately in-house at DESUN. This facility is often not available at other renowned hospitals.

Desun Hospital Advantage – Know Why Desun Hospital , Kolkata is Your Best Choice

Desun hospital Kolkata is premium superspeciality hospital in Eastern India with state of art health care infrastructure. Desun hospital Kolkata is NABH and NABL accredited and follow strict quality parameters as per requirements.

Desun hospital is among the very few hospitals in India where there is more than 700 comprehensive surgery packages available. The composite surgery packages are all inclusive of the important things that are a part of any surgery process starting from information seeking by patient or patient party to the post operative care that may continue even after discharge from hospital. The surgery packages at the hospital have been developed by experienced medical team so that it is all inclusive and comprehensive.

The surgery packages at Desun Hospital Kolkata are affordable as per cost and quality. High quality health care services in a hospital in India at affordable cost are a combination that is indeed helpful to patients visiting the hospital from all over India, West Bengal and certainly Kolkata. People also visit the hospital from parts of the world like Bangladesh, Pakistan, Nepal, Bhutan, South East Asia and Middle East.

The excellent patient service team and 24 hours emergency response also brings in local Kolkata residents and people from parts of West Bengal and North Bengal whose relatives, sons or daughters stay outside India. NRI’s and NROB’s have facility to enroll their parents and elders under the Desun Gold card scheme that enables them to take care of the hospitalization and health care needs of their senior citizen elders and parents back home in India. All payments and procedures of admission, discharge etc can be concluded online or over phone.

Desun hospital has facilities for latest surgeries and all modern equipments, OTs (Steel OT’s) and updated facilities to deliver excellence in terms of latest surgery techniques , modern well maintained equipments and over all top level health care infrastructure. Laparoscopic surgeries (lap) , key hole , minimally invasive and invasive surgeries all are conducted in the hospital. The hospital has advanced health care facility.

Highly experienced doctors, well trained staffs, active patient care team alongside the best surgery facilities provide a very good experience at Desun. This is evident from the numbers of people and families who recommend this hospital in Kolkata, India as a very dependable place for undergoing latest surgeries at an affordable cost. There are many success stories at Desun hospital those published and discussed even in leading national and local newspapers and news media in television. Desun’s medical team with it’s dedication and help pf advanced health care facilities at the hospital have done surgeries that are popular among hospital impact stories in India.

 

Different Types Of Heart Bypass (CABG)?

Depending on the patient’s heart condition, the doctor will recommend one of the following types of bypass surgeries:

• Single bypass: Recommended when only one artery is blocked.
• Double bypass: Recommended when two arteries are blocked.
• Triple bypass: Recommended when three arteries are blocked.
• Quadruple bypass: Recommended when all four arteries are blocked.

Based on technique, there are two types of Coronary Artery Bypass Surgeries (CABGs):

• On Pump CABG (Traditional Bypass Surgery): The pumping and oxygenation functions of the heart are supported by a heart-lung machine, while medications are given to induce cardioplegia (temporary paralysis of the heart muscle). This ensures that the heart is completely at rest while the surgeon performs the bypass surgery.
• Off Pump CABG (Beating Heart Bypass Surgery): Here the heart continues to perform its pumping and oxygenation functions without inducing cardioplegia. The section of the heart where the bypass is needed is stabilized and operated on while the rest of the heart keeps beating. It is as safe as the other procedure with reduced risk of stroke, bleeding and renal failure.
• Off-Pump LIMA-RIMA Y CABG (Arterial Beating Heart Bypass Surgery): This procedure is done on beating heart using only arteries as grafts and not veins (total arterial bypass grafts). It uses the 2 mammary arteries of the chest to construct a “Y” shaped graft and hence, no cuts are required to be made on the patient’s legs or arms. Arterial Bypass helps you live longer as it lasts for 25 years.
• Minimally Invasive Direct CABG: It is similar to an off-pump CABG, but instead of a large incision (cut) to open the chest bone, few small incisions of 5 to 10 cm are made in the chest area between the ribs. This procedure is used when the blockage is in the front portion of the heart. However, it is not done for triple or quadruple bypass.

What Is The Procedure For Heart Bypass?

In a Heart Bypass, the graft creates a new route for blood to travel to the heart. If the patient has multiple blockages, the surgeon may conduct one or more bypass procedures during the same surgery. The usual flow of the procedure is:

• Patient is put under general anesthesia for the surgery and vitals are stabilized.
• A breathing tube is placed in your lungs through your throat and is connected to a ventilator.
• An incision is made on the chest followed by cutting open the patient’s ribcage to access the heart.
• An artery or vein is taken from your body to create the bypass passage. Depending on the procedure it can be done in the following ways:
• Vein Harvesting: In case of vein based Heart Bypass surgery, veins from the leg called the Saphenous Veins are used. These veins are harvested from an incision on the leg from the groin to the ankle. It is then used to connect the aorta to the coronary artery below the site of blockage. Minimally invasive procedures lead to less scarring and a faster recovery.
• Artery Harvesting: In case of Arterial Bypass (RIMA LIMA Y), these arteries for graft are accessed through the same chest incision used to access the heart. Based on the patient’s condition, the radial (arm) or gastroepiploic (stomach) arteries may also be used.
• Post grafting, blood flow to the heart is restored. Usually, the heart starts beating voluntarily. If not, then mild electric shocks are used to trigger the process.
• The surgeon uses wires to close up the previously opened chest cage, similar to a broken bone repair. Finally the incision is closed and the breathing tube removed when the patient is able to breathe normally.

Why Act Immediately?

In the event of a heart attack, time is of essence. Therefore, early diagnosis and treatment reduces chances of complications in surgical treatment and increases possibility of survival.

Patient’s age, health, and the severity of angina decides this treatment. If unattended it may lead to a life-threatening heart attack due to blood clots caused from rising angina pain.

This surgery is done when coronary arteries become blocked or damaged. These arteries supply the heart with oxygenated blood. If blocked or blood flow restricted, it may gradually lead to complete heart failure.

CABG is prescribed to patients with CHD. During CABG, a healthy artery or vein from the body is connected, to the blocked coronary artery by passing it around the blocked portion of the coronary artery and creating a new unobstructed passage for healthy blood circulation.

Majority of beating heart bypass surgery or off pump coronary artery bypass surgery patients experience improvement or complete relief of their symptoms and remains symptom-free for several years.