Do heart bypass surgery , doctors were more than 50 years ago. Today technologies have changed, improved equipment, surgical instruments enriched, increased skill of experts, but complications after bypass surgery on the heart from time to time occur. It is not considered as a reason that the risks are high prior to the manipulation. Performed operations in Israel have reached the maximum level of security. However, not everything depends on the operating doctor. Sometimes failures associated with the individual reactions of the patient, the general state of his health, and other third-party factors.
Bleeding after CABG
Bleeding after surgery can occur from a couple of hours to several days. The reason most often becomes a medical mistake, and the lack of speed of the patient's blood clotting because of the use of drugs that stimulate blood flow blood pressure increased. To prevent postoperative complications of coronary artery bypass surgery, it is important to comply with doctor recommendations issued in preparation for the procedure and after the conference.
Installed veins or arteries are taken from the patient's body by surgeons to create an alternative way of blood supply to the heart muscle. Typically, the material is taken from the lower limbs and forearms. This creates a temporary difficulties in the restoration of blood flow at the site of the seized vessels. When is coronary artery bypass grafting, the consequences can manifest itself in the form of deep-vein thrombosis. Show negative changes of pain and swelling of the legs after coronary artery bypass surgery, which occur a few days after the intervention. Careful attention will allow doctors to observe deviations at an early stage and eliminate them without harm to patient health. In many situations, the consequences easily be prevented, if we draw a profile administration, favorably affecting blood flow.
CABG - a complicated procedure that requires great skill from the surgeon conducting it. The method is simple. One end of the other expropriated shunt region is sewn to the aorta. The second end goes into the coronary vessel is a tapered seat. Despite the high qualification of surgeons may be heart rhythm disturbances immediately after surgery or postreabilitatsionny period. If CABG complications are expressed in such a way, the state of therapy includes drugs antiarrhythmic action, in severe cases - electrical cardioversion.
The severe consequences of a negative character is a myocardial infarction, which is characteristic for the early recovery period after surgery. Heart attack may occur in the first few hours or days. Should alert severe chest pain after bypass surgery, pressure, burning sensation in the center of the sternum, do not pass after taking drugs. Atherosclerosis affects large vessels area. An integrated approach in the treatment and constant monitoring of the patient after bypass procedures are not always able to prevent complications. This is explained by the activation of inflammation-causing cells, causing increase in the blood's ability to clot.
Triggered by changes in the vasculature can lead to atherothrombosis. The medical statistics there were cases when the myocardium during CABG is not receiving adequate blood supply, which causes infarct state. It is important to listen to the advice of doctors at the stage of preparation for the operation: to eliminate bad habits, to give the body a good rest at loads, accustoming himself to the regime. Infarction after CABG can be prevented by reducing risk factors causing it.
Observations of practice operations contribute to the formation of statistics. In 40% of low pressure after CABG, impaired cerebral blood supply lead to the development of stroke in the first day after surgery. In 60% of cases of complications stroke occurs in the first week recovery period. It signals the numbness, difficulty with movement and articulation. To promote development of a negative state may preoperative patient state if there is a history of coronary artery atherosclerosis and cerebral vessels.
Sending the patient to coronary artery bypass surgery, the doctor refers to risks immediately. Among frequent complication - narrowing of the graft, atherosclerosis and thrombosis of vessels established. There is a state in the first year after the procedure, 20% of patients, the remaining vessels are narrowed after 7-10 years. This requires a re-surgery, the release of blood flow by occluding the vessels of atherosclerotic plaques. Much depends on the patient. The more thoroughly the patient adheres to medical recommendations, the longer the operating result.
Factors of influence on the occurrence of complications
If passed CABG surgery, the effects of the intervention depends on the doctor and the patient. The above are not an exhaustive list of possible complications. It should be noted infected wounds, suture failure, mediastinitis, diastasis of the sternum, pericarditis. Some of the states is a serious danger to life. It should alert arrhythmia after CABG, low or high pressure, pain symptoms. Statistics fixes figure death after heart surgery within 3%. This is not a big figure, given the complexity of medical manipulations. In medicine secrete factors that trigger the development of complications. Among them:
- A history of angina, heart attack. Pathology indicates damage of the heart muscle and vasculature prior to the operation, which may not be conducive to the rapid and trouble reabiletatsii recovery period.
- A significant complication of coronary artery bypass grafting yields when stem lesions of the left coronary artery, left ventricular dysfunction. This factor is one of the first celebrated physician during the examination, and the direction of the operation.
- Heart failure with severe chronic.
- Atherosclerosis of peripheral arteries.
- According to studies, the risk of complications is higher in women.
- Pulmonary diseases in the chronic form.
- Renal insufficiency.
Recovery after surgery
Several days in intensive care after resectable primary intervention contribute to patient recovery. Drawing pain in the sternum after CABG is due to surgical incisions and sutures. In order to avoid rotting wounds and infection passes antiseptic treatment. For some time the patient will experience discomfort, burning, but they soon pass. After a couple of weeks at successful rehabilitation are allowed to take a shower.
Broken bones heal intervention longer - up to 7 weeks. This period is recommended to wear elastic stockings, avoid strenuous exercise, so as not to provoke unwanted complications. Anemia is filled with the inclusion of proper nutrition products containing iron. It is important to learn to breathe correctly so as not to cause congestion in the lungs. The normal cough after bypass surgery, doctors teach the patient to cough, returning lung capacity for independent functioning.
Not alarming doctors leg swelling after CABG, which should take place within 2 weeks. If swelling persists, appointed by the additional studies, specialized drugs and procedures. In the future there might be a swelling at the withdrawal vein as vascular network is still well short of the outflow of blood. To determine the state assigned duplex scanning, lymphography, ultrasound diagnosis, examination of the kidneys, renting urine and blood tests.
Cardiorehabilitation reduce the risk of developing complications
Self-diagnose to ban or permit CABG impossible. Direction on operation will give an occupational therapist after passing a thorough examination of the patient, to identify the risks of adverse reactions during the procedure and recovery period. The best option possible - prevent coronary disease. If this is not possible, it is necessary to carefully consider the recommendations of doctors to bypass the results were not violated arising complications.
By the time of operating need to be carefully prepared. The first conversation with the doctor must pass confidentially. It is necessary to warn of illnesses and chronic diseases. Care should be exercised in choosing the medical facility where the surgery is performed. Assuta Hospital is renowned for the level of emergency care and operations carried out as planned. High qualification of cardiac surgeons, advanced equipment, the fulfilled techniques of critically ill patients - treatment success factors.
Should pay attention to postoperative period. Having CABG, it is worth taking a doctor prescribed medications, attend rehabilitation therapy procedures, maintain a healthy lifestyle. The first days of dizziness after coronary artery bypass surgery, chest pain, slight swelling. Soon, negative symptoms take place, the body begins to restore power. After surgery, many patients live a long full life, more than a few decades. Therefore fear the consequences and complications are not worth it, an occupational therapist will make every effort to reduce the risk of pathological reactions.