Cardiac surgery in Germany: coronary artery bypass grafting (CABG)

Cardiac surgery in Germany: coronary artery bypass grafting (CABG)

| from Booking Health GmbH | Diagnosis & treatment

Heart diseases remain the most common cause of death in the world. Nonetheless, with the rapid development of cardiac surgery, the mortality rate due to cardiovascular diseases has fallen significantly over recent years. This particularly applies to the developed countries, such as Germany. German clinics perform...

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Heart diseases remain the most common cause of death in the world. Nonetheless, with the rapid development of cardiac surgery, the mortality rate due to cardiovascular diseases has fallen significantly over recent years. This particularly applies to the developed countries, such as Germany.

German clinics perform the most advanced surgical procedures, including coronary artery bypass grafting.


  1. Who needs coronary artery bypass grafting (CABG)?
  2. The core of the surgery
  3. Benefits of CABG in Germany
  4. What clinics can perform the surgery?
  5. Arrangement of treatment in Germany

Who needs coronary artery bypass grafting (CABG)?


Coronary artery bypass grafting is one of the two most commonly used surgeries for the treatment of coronary heart disease.

Ischemic heart disease (IHD) is a condition that manifests itself in the oxygen starvation of the heart muscle. The most common cause of the disease is blockage of the coronary arteries feeding the heart with atherosclerotic plaques. The natural course of IHD leads to myocardial infarction and patient’s death.

However, heart attack can be prevented. Most commonly, surgeons can perform one of the two surgical procedures:

  1. Stenting and balloon angioplasty (expansion of the coronary arteries).
  2. Coronary artery bypass grafting aimed at the formation of additional sources of blood supply to the heart muscle.

The benefit of the first surgery is that it is less invasive and does not require an open access to the thorax. Therefore, the surgical intervention is better tolerated and the rehabilitation is faster.

Nevertheless, coronary artery bypass surgery is more effective. Doctors prefer this surgical procedure in case of:

  • Lesion of three or more coronary arteries
  • Narrowed lumen of the trunk of the left coronary artery
  • Concomitant cardiac pathology
  • Diabetes mellitus

The core of the surgery


Coronary artery bypass grafting aims to create a bypass for the flow of blood to the heart. To this end, surgeons use blood vessels taken from the patient’s body. Using these blood vessels, they form a cardiac shunt, which will connect the aorta and the coronary circulation system. As a result, blood will bypass the coronary arteries blocked with the plaques. The myocardium will receive a sufficient amount of oxygen.

The patient will no longer suffocate and experience chest pain while walking and the risk of developing myocardial infarction will be repeatedly reduced.

Here are some of the vessels one can use for the formation of the vascular prosthesis:

  • Internal thoracic artery
  • Great saphenous vein
  • Radial artery

The removal of these blood vessels does not cause any circulation disorders in the corresponding areas.


Cardiac surgery in Germany: coronary artery bypass grafting (CABG)

Benefits of CABG in Germany


Cardiovascular surgery to restore blood supply to the myocardium can be performed in any country of the world. Nevertheless, if you undergo surgery in the best German clinics, you will get a number of undeniable advantages.

These include:  

  • The mortality rate of the patients during the surgical procedure is lower
  • The patient has the less risk of complications
  • Shorter rehabilitation period
  • Better immediate and long-term results after surgery

All these benefits are realized through a better quality of surgical procedures, use of smaller incisions and high quality rehabilitation. In addition, it is worth mentioning the equipment available in German medical clinics and a high qualification of German doctors, who are considered to be among the best in the world.

Beating heart surgery. CABG can be performed either with the use of a cardiopulmonary bypass or without it. If possible, in Germany doctors always prefer beating heart surgery. It is more difficult for the doctor to perform this type of cardiac surgery.

However, with this surgical procedure, one can get a number of benefits: 

  • Shortened rehabilitation period due to smaller incisions
  • There is no damage to the blood cells, which is inevitable when using the heart-lung machine
  • Less operational risks due to a shortened duration of the surgical procedure

The beating heart CABG surgery usually does not cause any complications that can develop due to the use of the heart-lung machine. Among them are pulmonary edema, embolism of either cerebral or renal vessels and insufficient oxygen saturation of the internal organs.

Smaller incisions. In Germany, CABG is performed via smaller incisions. Thus, the patient can overcome an early postoperative period faster and easier. Patient can clear their throat, suffer less pain and return to their normal lifestyle much quicker. In addition, the patient will have a less risk of bleeding or infection of the postoperative wound, and a better aesthetic effect.

Endoscopic techniques. CABG cannot be performed with the use of endoscopic methods but, in fact, the patient simultaneously undergoes two surgeries. The first one is the removal of blood vessels that will be used to form a vascular prosthesis. In Germany, this intervention is not open but endoscopic. As a result, the postoperative wound heals quicker and does not leave a large scar. The risk of complications in such operations is several times lower.

Quality rehabilitation. Germany attributes great importance to the postoperative rehabilitation of patients. It is very important, since it can reduce the mortality of patients by 40-50% within 10 years after the surgery. When undergoing rehabilitation in Germany, the tolerance of physical activity improves by 30-50%, which significantly improves the patient's quality of life.

What clinics can perform the surgery?


Germany has many good clinics where one can undergo high quality cardiac surgeries.

Coronary artery bypass grafting can be performed in large university hospitals, where a multidisciplinary team of medical specialists takes care of the patient. These are:

  1. University Hospital Essen, Department of Cardiothoracic Surgery
  2. University Hospital Oldenburg, Department of Cardiac Surgery
  3. University Hospital Ulm, Department of Cardiothoracic Surgery
  4. University Hospital Frankfurt am Main, Department of Cardiothoracic Surgery
  5. University Hospital Heidelberg, Department of Cardiac Surgery

The cost of a comprehensive medical program with coronary artery bypass grafting in specialized German hospitals starts from 20,600 EUR.



Arrangement of treatment in Germany


Most of those patients who have not previously received treatment in Germany can find it difficult to arrange a medical tourism trip. In addition, it may be related to unnecessary and unjustified financial costs.

Therefore, if you need to arrange a trip to Germany to undergo treatment, please contact the specialists of Booking Health.

We will help:

  • Choose the best clinic and agree on the treatment program
  • Negotiate with clinic administration and reduce the waiting time for surgery
  • Provide you with the most comfortable living conditions in the clinic
  • Obtain a visa, translate documents into German, book airline tickets
  • Get to the clinic from the airport and back after the treatment

Thanks to our services, you will be able to focus on your health, avoiding unnecessary stress and worries, and you will also save up to 70% of total treatment costs. You will receive the Booking Health insurance, which will cover all unforeseen expenses, if any. You will receive doctor’s follow up consultations within 3 months after end treatment at no extra charge.


Choose treatment abroad and you will for sure get the best results!


Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko


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