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
Content
0.08 -> your doctor has recommended that you
1.68 -> have coronary artery bypass surgery
6.64 -> but what does that actually mean
8.93 -> [Music]
10.8 -> your heart is located in the center of
12.559 -> your chest
14.16 -> it is surrounded by your rib cage
16.48 -> and protected by your breastbone
21.119 -> your heart's job is to keep blood
22.96 -> continually circulating throughout your
24.96 -> body
28.8 -> the vessels that supply the body with
31.039 -> oxygen-rich blood are called arteries
34.8 -> the vessels that return blood to the
36.559 -> heart are called veins
39.68 -> like any other muscle in the body
42.399 -> the heart depends on a steady supply of
45.2 -> oxygen-rich blood
47.6 -> the arteries that carry this blood
49.2 -> supply to the heart muscle are called
51.44 -> coronary arteries
53.37 -> [Music]
55.28 -> sometimes these blood vessels can narrow
57.92 -> or become blocked by deposits of fat
60.48 -> cholesterol and other substances
63.039 -> collectively known as plaque
64.86 -> [Music]
66.08 -> over time plaque deposits can narrow the
68.72 -> vessel so much
70.24 -> that normal blood flow is restricted
74.24 -> in some cases the coronary artery
76.64 -> becomes so narrow that the heart muscle
78.96 -> itself is in danger
82.88 -> coronary bypass surgery attempts to
85.119 -> correct this serious problem
89.36 -> in order to restore normal blood flow
92.159 -> the surgeon removes a portion of the
94.24 -> blood vessel from the patient's leg or
96.32 -> chest
97.52 -> most probably the left internal mammary
100.24 -> artery and the saphenous vein
103.759 -> your doctor uses one or both of these
106.079 -> vessels to bypass the old diseased
109.04 -> coronary artery
110.72 -> and to build a new pathway for blood to
112.96 -> reach the heart muscle
116.88 -> these transplanted vessels are called
119.119 -> grafts
120.24 -> and depending on your condition your
122.079 -> doctor may need to perform more than one
124.479 -> coronary artery bypass graft
129.28 -> on the day of your operation you will be
131.76 -> asked to put on a surgical gown
134.8 -> you may receive a sedative by mouth and
137.52 -> an intravenous line may be put in
140.16 -> you will then be transferred to the
141.68 -> operating table
143.12 -> the anesthesiologist will begin to
144.959 -> administer anesthesia
147.04 -> most probably general anesthesia by
149.76 -> injection and inhalation mask the
152.4 -> surgeon will then apply an antiseptic
154.72 -> solution to the skin
156.48 -> and place a sterile drape around the
158.56 -> operative site
160.319 -> one or more sections of vein will be
162.4 -> taken from the leg thigh or chest wall
165.68 -> and the incision at those points will be
168.16 -> sutured and bandaged
170.72 -> then your doctor will make a vertical
172.56 -> incision in the center of the chest
174.59 -> [Music]
179.599 -> skin and other tissue will be pulled
181.68 -> back in order to expose the breastbone
184.48 -> [Music]
187.599 -> your doctor will carefully divide the
189.44 -> breastbone and a special instrument
191.84 -> called a retractor will be used to hold
194.48 -> the chest open
196.58 -> [Music]
201.36 -> once your doctor has a clear view of the
203.2 -> heart he or she will make an incision in
205.92 -> the pericardium
207.519 -> a thin membrane that encloses the heart
211.12 -> pulling the pericardium back will reveal
213.68 -> the beating heart
216.799 -> next the surgeon will gently rotate the
219.36 -> heart to the right
220.959 -> in order to allow access to the heart's
223.12 -> underside
225.04 -> using veins taken from another part of
227.04 -> your body the team will begin to build
229.76 -> new paths for blood
231.68 -> bypassing the blocked areas of the old
234.4 -> artery or arteries
236.959 -> the team will attach as many new veins
239.439 -> as needed to the underside of the heart
242.56 -> then the doctor will gently rotate the
244.48 -> heart back to its normal position
247.28 -> to complete the bypass graft procedure
249.84 -> your doctor attaches ends of the new
252.319 -> veins on either side of the diseased
254.72 -> area or areas of the old coronary artery
258.72 -> blood can now flow freely avoiding the
261.12 -> clogged areas that had caused your
263.28 -> symptoms
265.04 -> the pericardium can now be closed over
267.12 -> the heart
269.6 -> your doctor will position two separate
271.68 -> drainage tubes in the chest cavity
274.16 -> these tubes prevent fluid from building
276.32 -> up around the heart during the healing
278.16 -> process
280.56 -> the breastbone is closed with metal wire
