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Philadelphia, Pa: Saunders Elsevier 2011:chap 57. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Philadelphia, Pa: Saunders Elsevier 2012:chap 60. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Acquired heart disease: coronary insufficiency. Philadelphia, Pa: Saunders Elsevier 2008:chap 61. Your doctor or nurse will tell you when to arrive at the hospital.įerraris VA, Mentzer RM Jr. Take any medications that your doctor told you to take with a small sip of water.Rinse your mouth with water if it feels dry, but be careful not to swallow. This includes chewing gum and breath mints. You will usually be asked not to drink or eat anything after midnight the night before your surgery.Scrub your chest two or three times with this soap. You may be asked to wash your whole body below your neck with a special soap.Prepare your home so you can move around easily when you return from the hospital.Contact your doctor if you have a cold, flu, fever, herpes breakout, or any other illness.Ask your doctor which drugs you should still take on the day of the surgery.If you are taking clopidogrel (Plavix), talk with your surgeon about when to stop taking it. These include aspirin, ibuprofen (such as Advil and Motrin), naproxen (such as Aleve and Naprosyn), and other similar drugs. For the 2-week period before surgery you may be asked to stop taking drugs that make it harder for your blood to clot.After the surgery, you will be taken to the intensive care unit.Īlways tell your doctor or nurse what drugs you are taking, even drugs or herbs you bought without a prescription. The surgical cut will be closed with stitches. The most common one is the radial artery in your forearm.Īfter the grafts have been created, your breastbone will be closed with wires or cables. Other arteries can also be used for grafts in bypass surgery.The other end is attached to your coronary artery. One end of this artery is already connected to your aorta. A blood vessel in your chest, called the internal mammary artery (IMA), can also be used as the graft.The other end will be sewn to an opening made in your aorta. One end of the graft will be sewn to your coronary artery. To reach this vein, a cut will be made along the inside of your leg, between your ankle and groin. Your doctor may use a vein, called the saphenous vein, from your leg.The doctor takes a vein or artery from another part of your body and uses it to make a detour (or graft) around the blocked area in your artery.Your surgeon will talk to you about which type of surgery is best for you. This is called off-pump coronary artery bypass, or OPCAB. The bypass is made while your heart is still beating. This allows your surgeon to see your heart and aorta, the main blood vessel leading from the heart to the rest of your body.Ī newer type of bypass surgery does not use the heart-lung bypass machine. Your breastbone will be separated to create an opening. The heart surgeon will make an 8 - 10-inch cut in the middle of your chest. The machine adds oxygen to your blood, and moves blood through your body. This machine does the work of your heart while your heart is stopped for the surgery.Your heart is stopped while you are connected to this machine.Most people are connected to a heart-lung bypass machine. You will be asleep and pain-free during surgery. Before your surgery you will get general anesthesia.