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Cardiosurgery: Angina pectoris (heart attack) — Coronary bypass surgery (cabg) . Treatment

Coronary artery bypass grafting (CABG) is one of the most successful surgical treatment methods for the coronary heart disease. The essence of the surgery is to create the vascular collaterals (shunts) feeding the section of the heart muscle suffering from a deficiency of blood circulation. According to statistics of the European clinics, the risk of death during bypass surgery is less than 1%, and the adequacy of blood flow through the shunt in 5 years is maintained in 96% patients.

Coronary artery bypass grafting can solve the problem of myocardial ischemia in the background of angina pectoris and heart attack. The indications for surgery are determined individually, based on the clinical picture and comprehensive examination findings, which includes not only imaging of the coronary arteries’ condition, but also identification of aorta pathology.

CABG Types

Coronary artery bypass grafting is performed under general anesthesia and may be performed in various versions. Selection of the optimal method depends on location of the coronary artery, severity of its narrowing, and general condition of the patient. A thoracic artery is commonly used as the material for shunt creation; in some cases, the collateral is made of a peripheral vein.

  1. Traditional method involves the use of a cardiopulmonary bypass (CB). Access to the heart is ensured by sternotomy. During surgery, the heart is turned off and the blood is pumped due to vessel connection to CB circuits. The device pushes blood across the small and large circle of blood circulation and maintains the desired temperature.
  2. The CABG on a beating heart is performed without the use of cardiopulmonary bypass. Immobility of the operated area of ​​the heart is ensured by a special stabilizing device. The advantages of the CABG on a beating heart are substantial reduction of the risk of thromboembolism, pulmonary edema, hypoxic brain injury, and traumatic damage to the blood cells. This technique requires a very high level of professionalism and experience from a physician.
  3. The minimally invasive technique is an innovative direction in development of CABG operational techniques for affected coronary arteries of the heart anterior surface. Access is provided though a few small incisions without a full dissection of the sternum. The robotic surgical systems can be used during surgery. A minor trauma of such a surgery allows reducing the pain after surgery significantly and greatly reduces the rehabilitation period.

Coronary artery bypass grafting performed subject to availability of indications in a modern cardiology clinic, in most cases, allows counting on a positive result with the possibility of complete or nearly complete rehabilitation.

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HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #50029

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #78133

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificate

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #361499

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Frankfurt am Main

9.5/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #74719

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #154635

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Muenster

8.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #139905

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Muenster

Academic Hospital Asklepios Barmbek Hamburg

10/10 from 23 Votes

Department of Cardiology

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #356956

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hamburg

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #358284

The Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care offers the full range of services in the relevant medical fields. It provides high-precision diagnostics and complex treatment of all diseases of the heart, vessels and kidneys.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #89843

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Aarau

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #245199

The Department of Cardiac, Thoracic, Transplantation and Vascular Surgery at the Hannover Medical School is famous for being one of the leading medical facilities in the world.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #327450

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #292037

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #106275

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #82675

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #88285

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of cardiovascular disease with angina with coronary bypass surgery (CABG) #137423

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Tuebingen
certificate




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