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Page: Procedure (Simplified)
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1. The patient is brought to the operating room and moved onto the operating table.
2. An anesthetist places a variety of intravenous lines and injects an induction agent (usually propofol) to render the person unconscious.
3. An endotracheal tube is inserted and secured by the anesthetist or a respiratory therapist and mechanical ventilation is started.
4. The chest is opened via a median sternotomy and the heart is examined by the surgeon.
5. The grafts are harvested - frequent conduits are the internal thoracic arteries, radial arteries and saphenous veins.
6. The surgeon stops the heart and initiates cardiopulmonary bypass; or in the case of "off-pump" surgery, places devices to stabilize the heart.
7. One end of each graft is sewn onto the coronary arteries beyond the blockages and the other end is attached to the aorta.
8. The heart is restarted; or in "off-pump" surgery, the stabilizing devices are removed.
9. The sternum is wired together and the incisions are sutured closed.
10. The person is moved to the intensive care unit (ICU) to recover. After awakening and stabilizing in the ICU (approximately 1 day), the person is transferred to the cardiac surgery ward until ready to go home (approximately 4 days).
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The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other
qualified health provider with any questions you may have regarding a medical condition.
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