Coronary Artery Bypass Graft Surgery
Coronary Artery Bypass Graft Surgery
Nationally Renowned Heart Surgeons Offer Top-Quality Care
Coronary artery disease, or coronary heart disease, develops when there is a buildup of a fatty substance, called plaque, inside the arteries that supply the heart with blood. Reduced blood supply makes the heart work harder, which can increase the risk of developing congestive heart failure, heart rhythm irregularities (arrhythmias), heart valve problems or heart attacks.
Patients who need coronary artery bypass graft (CABG) surgery can count on the lifesaving expertise of highly skilled bypass surgeons at Hackensack Meridian Health. Our two academic medical centers offer some of the most sophisticated techniques.
In fact, Hackensack Meridian Health Jersey Shore University Medical Center is the only hospital in the state that offers robotic-assisted coronary artery bypass graft surgery, an option for people who may not be candidates for open-heart techniques. We also perform other heart and vascular procedures during CABG, such as valve surgery and surgery to treat atrial fibrillation.
Hackensack Meridian Health provides comprehensive cardiovascular care in a single, integrated network — from state-of-the-art cardiology diagnostic services and advanced heart surgery expertise to a cardiac rehabilitation program that enhances recovery. Patients and families choose us for our quality outcomes, outstanding results, and our unwavering focus on helping our patients feel better fast.
Awarded for Heart Bypass Surgery Expertise
Hackensack Meridian Health academic medical centers are consistently recognized for heart surgery excellence, including U.S. News & World Report high-performance rankings, the highest possible, in heart bypass surgery. Also, Jersey Shore University Medical Center is one of 19 participating hospitals nationwide to receive 3-star ratings from the Society of Thoracic Surgeons in CABG surgery — a distinction held by only the top 2 percent of participating hospitals in the nation.
Symptoms and Risk Factors for Coronary Artery Disease
Symptoms of coronary artery disease depend on the degree of plaque buildup in the arteries. The most common symptoms are:
- Chest pain (angina)
- Heart palpitations or irregular heartbeats (arrhythmias)
- Shortness of breath
Although a family history of heart disease increases the risk of coronary artery disease, many conditions that can lead to it are preventable. Risk factors include:
- Elevated cholesterol levels
- High blood pressure (hypertension)
Who Is a Candidate for CABG?
When nonsurgical and interventional cardiology treatments, such as medicines or angioplasty fail to improve severe coronary artery disease, or patients have a blockage that cannot be treated with these approaches, coronary artery bypass graft surgery may be an option.
The experienced bypass surgeons at Hackensack Meridian Health are well-equipped to diagnose and treat even the most advanced coronary artery disease. Using a variety of non-invasive cardiac tests and diagnostic cardiac catheterization procedures, our team evaluates every patient’s condition, risks and quality of life to determine the best type of CABG surgery.
What to Expect During Coronary Artery Bypass Graft Surgery
Generally, coronary artery bypass graft surgery involves connecting, or grafting, a healthy artery or vein to one that is blocked. The grafted artery or vein goes around, or “bypasses,” the blockage to restore blood flow to the heart. The cardiovascular surgeon uses veins and arteries from other parts of the body to create a new passage for blood to flow, typically from the leg, arm or chest.
We offer a variety of coronary artery bypass graft surgeries.
Traditional Coronary Artery Bypass Graft
A traditional coronary artery bypass graft is performed under general anesthesia. The cardiovascular surgeon opens the chest bone, stops the heart with medicines and uses a heart-lung bypass machine to keep blood circulating throughout the body during the procedure.
Depending on the number of bypasses, the surgery can take three to six hours and require a day or two in intensive care and up to five days of regular hospital care. Full recovery can take six to up to 12 weeks.
Off-Pump Coronary Artery Bypass Graft
An off-pump coronary artery bypass graft is similar to the traditional approach, but instead of a heart-lung bypass machine, the cardiovascular surgeon works on the heart while it is beating. This is often called a “beating heart bypass surgery.”
Depending on the patient’s condition, the surgery can take three to six hours, but require less time in the hospital and in recovery than traditional bypass.
Robotic-Assisted CABG Surgery
Robotic-assisted CABG surgery is a minimally invasive technique also performed without a heart-lung bypass machine. Minimally invasive approaches use small incisions that do not require opening the chest bone, which often means shorter recovery time and less risk for infection.
Hackensack Meridian Health offers the da Vinci Xi® Surgical System, technology that allows the surgeon to make three small incisions in the chest and use tiny, specialized instruments and advanced, 3-D imaging to perform the bypass surgery. Smaller incisions mean less trauma, allowing patients to return to regular activities within one or two weeks.