Cardiovascular Surgery Specialist Prof. Dr. Barış Çaynak answered the most frequently asked questions about by-pass. One in three people who have a heart attack dies
One out of every three people who have a heart attack dies. The survivors suffer from heart failure due to the deterioration of the heart muscle. Post-crisis surgeries are both more risky and complaints related to insufficiency often continue after the surgery. Anytime you delay the surgery, time works against you.
Cardiovascular Surgery Specialist Prof. Dr. Barış Çaynak answered the most frequently asked questions about by-pass…
My veins can also be opened with Angio, why should I go into the burden of bypass surgery?
Expanding the occluded heart vessel with a balloon, followed by a stent insertion, is a successful alternative for patients who are suitable for this treatment option. However, angiography performed on every clogged vessel does not give the same result. By-pass surgery will be a definite and long-lasting solution if the heart vessel is narrowed in more than one place, in the areas where the vessels fork, a long part of it is narrowed, and stenosis occurs in all of the vessels feeding the heart.
It is a disease with a cure for cardiovascular disease. However, it should be treated long-lasting and without requiring repeated treatment. While the occluded vein is opened with angio, a new vein is sutured beyond the occlusions in bypass surgery. Thus, it is possible to send blood beyond all obstructions and a full solution is found for future narrowings. Especially if more than one heart vessel is clogged, the definitive solution is surgery. Forced stents to delay surgery take away from your life and heart health.
REPEAT RISK OF HEART ATTACKS WITH EARLY STENT OBSTRUCTIONS
They said, 'Your veins are thin, you will not benefit from surgery', can I continue with medication for clogged veins?
In cardiovascular occlusions, especially in diabetic patients, the vessels narrow in more than one place and all heart vessels are involved. In this case, the number of stents to be inserted increases and long stents are used. In this case, there is a risk of repeated heart attack with early stent occlusion. This group of patients are the patients who benefit most from bypass surgery. Since it is not possible to open the veins with drug treatment, you are always at risk of heart attack. One out of every three people who have a heart attack dies. The survivors suffer from heart failure due to the deterioration of the heart muscle. Post-crisis surgeries are both more risky and complaints related to insufficiency often continue after the surgery. Every time you delay the surgery, time works against you.
ALL BY-PASS SURGERIES CAN BE CLOSED
I don't want to open my breastbone for surgery, is there any other way to bypass?
In the surgeries we perform with the mini-bypass method, the sternum is not opened. We perform all of the by-passes we do in an open surgery with a small incision made at the left breast level. In addition, the leg vein is removed closed by endoscopic method. Because of these, they do not have risks such as union disorder in the sternum and infection in the leg wound.
“Most patients ask, 'Can you do all the vessels closed in open surgery?' or 'Does it also happen to the posterior vein and right vein of the heart?' He asks," said Cardiovascular Surgery Specialist Prof. Dr. Barış Çaynak, “Mini-bypass is to do the same as closed, which vein and how many veins will be intervened in an open surgery. All by-pass surgeries can be done closed.
PROBLEMS OCCUR DUE TO OPENING THE CHEST BONE
I need to have bypass surgery, but they said 'risky'. Do I expect to have a heart attack like this?
People with risky surgery are: diabetic, COPD (lung patient), obese, female and elderly patients. The risks of all these patients are related to the opening of the breastbone rather than the difficulty of the bypass. Since wound healing is problematic in diabetic patients, the risk of infection is high if the leg vein is open with a long incision, and if there is a long wound on the chest. If the sternum is opened, COPD patients experience lung problems if they cannot breathe and cough because of pain and bone stability. Since the load on the bone increases in those with obesity, the wires may break after the bone is attached with steel wires, or they may cut the bone and cause nonunion, and they may need to undergo bone surgery again and again. Since the Mini-bypass is performed completely under the left breast in female patients, no visible scars remain. In addition, bone nonunion problems are frequently seen in elderly and female patients after open surgery due to osteoporosis.
LIFE IS IMMEDIATELY BACK TO NORMAL AFTER MINI BY-PASS
I need to be bypassed, but I cannot live with that mark and psychology. Will my work and social life be completely over?
“After a classic bypass surgery, you need to rest for a few months. You are prohibited from driving and lying on your side for at least two months. You need to quit most of the sporting activities you used to do. Also, especially in the summer months, seeing a huge scar both in the middle of your chest and on your leg can disturb you," said Prof. Dr. Barış Çaynak talked about the advantages of mini-bypass:
You can be discharged on the 4th day after the mini-bypass and drive home. The day after the surgery, you can lie on your side and use your arms as you wish. You can start all kinds of sports activities (tennis, diving, weight training) within two weeks. Especially in female patients, since the incision is completely under the breast, even if you go to the sea in a bikini in the summer, it is not understood that you have an operation. When you wear shorts and skirts, there will be no scars on your legs. Mini-bypass surgery allows you to get all the benefits of bypass surgery but avoid all the burden.
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