Coronary Artery Bypass Surgery at Massachusetts General Hospital

Coronary Artery Bypass Surgery at Massachusetts General Hospital provides surgical treatment for selected patients with significant or complex coronary artery disease. Coronary artery bypass grafting (CABG) creates new pathways for blood flow around narrowed or blocked coronary arteries to improve blood supply to the heart muscle.

Price

Price on Request

Why Price on Request?

The cost depends on the complexity of coronary artery disease, type of bypass surgery, diagnostic testing, anesthesia, hospitalization, medications, rehabilitation and follow-up care required. A personalized estimate is provided according to the treatment plan.

Complete Description

What Is Coronary Artery Bypass Surgery?

Coronary Artery Bypass Surgery (CABG) is a cardiac surgical procedure used to improve blood flow to the heart when coronary arteries are significantly narrowed or blocked.

During CABG, surgeons use healthy blood vessels to create bypass routes around diseased coronary arteries.

Who May Need Coronary Artery Bypass Surgery?

CABG may be considered for selected patients with:

• Severe coronary artery disease

• Multiple blocked coronary arteries

• Complex coronary anatomy

• Significant left-main coronary disease

• Disease that is not ideally treated with catheter-based procedures

• Persistent symptoms despite medical treatment

Coronary Artery Disease Evaluation

Before surgery, patients may undergo:

• Cardiology consultation

• ECG

• Echocardiogram

• Stress testing

• Coronary angiography

• Cardiac imaging

• Blood tests

Coronary Angiography

Coronary angiography provides detailed information about the location and severity of coronary artery blockages.

The findings help the cardiac team determine whether:

• Medication

• Angioplasty and stenting

• CABG

may be appropriate.

CABG Surgical Planning

The cardiac surgery team may assess:

• Number of blocked arteries

• Location of blockages

• Heart function

• Previous cardiac procedures

• Overall health

• Other medical conditions

Bypass Graft Selection

Surgeons may use blood vessels from different areas of the body to create bypass grafts.

Possible graft sources include:

• Internal mammary arteries

• Saphenous veins

• Other appropriate blood vessels

Single and Multiple Bypass Surgery

Depending on the number and location of coronary blockages, patients may require:

• Single bypass

• Double bypass

• Triple bypass

• Multiple bypass grafts

The number of bypasses depends on individual coronary anatomy.

On-Pump CABG

Traditional CABG may use a heart-lung machine to circulate blood and oxygen during surgery.

This allows the surgeon to operate on a relatively still heart.

Off-Pump CABG

Selected patients may be candidates for off-pump coronary artery bypass surgery, performed while the heart continues beating.

Suitability depends on:

• Coronary anatomy

• Overall health

• Surgical requirements

• Surgeon assessment

Minimally Invasive CABG

Selected patients may be evaluated for less-invasive surgical approaches.

The appropriate surgical technique depends on the number and location of coronary blockages and the patient's individual anatomy.

Complex Coronary Bypass Surgery

Patients with extensive coronary artery disease may require complex surgical planning involving cardiologists and cardiac surgeons.

Multidisciplinary evaluation helps determine the most appropriate treatment strategy.

Preoperative Evaluation

Before CABG, patients may undergo:

• Cardiac imaging

• Blood tests

• ECG

• Echocardiography

• Coronary angiography

• Anesthesia assessment

• Medication review

CABG Surgery

During bypass surgery, surgeons create new blood-flow pathways around blocked coronary arteries.

The goal is to improve blood supply to the heart muscle.

Recovery After CABG

After surgery, patients are monitored for:

• Heart rhythm

• Blood pressure

• Heart function

• Breathing

• Surgical-site healing

• Mobility

• Overall recovery

Cardiac Rehabilitation

Cardiac rehabilitation may be recommended after bypass surgery.

It may include:

• Supervised exercise

• Physical conditioning

• Lifestyle education

• Cardiovascular risk management

• Gradual return to normal activities

Long-Term Care After CABG

Long-term management may include:

• Medication

• Blood-pressure control

• Cholesterol management

• Diabetes management

• Physical activity

• Heart-healthy nutrition

• Regular cardiology follow-up

Potential Benefits of CABG

For appropriately selected patients, bypass surgery may:

• Improve blood flow to the heart

• Reduce symptoms of angina

• Improve exercise tolerance

• Treat complex coronary artery disease

• Reduce the need for repeated interventions in selected cases

CABG Risks

Potential complications may include:

• Bleeding

• Infection

• Abnormal heart rhythms

• Stroke

• Heart attack

• Kidney complications

• Blood clots

• Lung complications

• Graft-related complications

Individual risks vary according to the patient's health and surgical complexity.

CABG Second Opinion

Patients who have received a recommendation for bypass surgery may seek a cardiac surgery second opinion.

Specialists may review:

• Coronary angiograms

• ECGs

• Echocardiograms

• Cardiac imaging

• Medical records

• Previous cardiac procedures

• Proposed surgical plans

International Patients

International patients should provide available cardiac records.

Useful documents may include:

• Coronary angiography

• CT coronary imaging

• ECG reports

• Echocardiogram reports

• Stress-test results

• Blood-test reports

• Previous cardiac procedure reports

• Medication list

Why Choose Massachusetts General Hospital for Coronary Bypass Surgery?

Massachusetts General Hospital's Corrigan Minehan Heart Center provides multidisciplinary cardiovascular care, bringing together cardiologists, cardiac surgeons, cardiac imaging specialists and other cardiovascular professionals for complex cardiac cases.

Cost & Price on Request

Price: Price on Request

Potential costs may include:

• Cardiology consultation

• Coronary angiography

• Preoperative testing

• CABG surgery

• Anesthesia

• Hospitalization

• Medications

• Cardiac rehabilitation

• Follow-up care

A personalized cost estimate should be requested according to the patient's treatment plan.

Frequently Asked Questions

1. What is coronary artery bypass surgery?

CABG is surgery that creates new blood-flow pathways around narrowed or blocked coronary arteries.

2. When is bypass surgery recommended?

It may be recommended for selected patients with severe, extensive or complex coronary artery disease, depending on their anatomy and overall condition.

3. How many bypasses can be performed?

Patients may require one or multiple bypass grafts, depending on the number and location of coronary blockages.

4. Is CABG different from angioplasty and stenting?

Yes. CABG is open cardiac surgery, while angioplasty and stenting are catheter-based procedures used to open selected narrowed coronary arteries.

5. How much does coronary bypass surgery cost?

Price is available on request. The final cost depends on surgical complexity, diagnostic testing, hospitalization, rehabilitation and follow-up care.

Product Details

Product Name: Coronary Artery Bypass Surgery at Massachusetts General Hospital

Hospital: Massachusetts General Hospital

Brand: Massachusetts General Hospital

Country: United States

Specialty: Cardiology & Cardiac Surgery

Service Type: Coronary Artery Bypass Surgery

Customer-Facing Price: Price on Request

International Patients: Available

Location: Boston, Massachusetts, USA