What does a Triple Heart By-Pass operation involve?
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Bypass surgery is a major operation that usually lasts between two and six hours. Pre-operative medications are often administered by mouth, muscular or subcutaneous injection, or IV. You will receive general anesthesia and be completely asleep.\nDuring bypass surgery, the chest bone is separated, and the ribs are spread apart to allow visible and physical access to the heart. In most instances, blood circulation and breathing functions will be taken over by a heart-lung machine. The cardiac surgeon uses a piece of vein or artery to form a bypass to enable blood to go around the blockage. Several blockages can be bypassed during surgery.\nGrafts:\nA graft is a blood vessel that has been created to bypass a blocked artery . It is usually taken from the internal mammary artery in the chest, the saphenous veins from the leg, or in rare instances from the radial artery in the arm. The graft is attached above and below the area in the artery where there is a blockage, so that the blood can use the new, unblocked path to flow freely to the heart.\nFrom stress tests, angiograms and intravascular ultrasounds, your doctor is able to determine exactly how much of the heart structure needs repair. Some patients undergo double, triple or even quadruple bypasses, based on their specific needs.\nDoctors have found that grafts are most successful when attached to major coronary arteries rather than smaller arterial branches. Doctors have also found better results for bypass surgery when there are discrete, localized blockages rather than a buildup of plaque throughout an artery.\nIn some cases, your blood circulation and breathing functions will be carried out by a heart-lung machine during surgery, also known as cardiopulmonary bypass. However, more coronary artery bypass surgeries are being done while the heart is still beating (called the off-pump technique). Doctors say the beating heart approach reduces the risk of neurologic injury, stroke and other complications associated with the heart-lung machine, and leads to a shorter hospital stay for patients.\nAs with any serious heart surgery, blood transfusions are necessary during bypass surgery. The blood used for your surgery will be matched by type and Rh factor, and provided by a local blood bank.\nUnless your surgery is scheduled to be performed in less than 72 hours, and if your doctor gives you permission, arrangements can be made for banking your own blood for surgery. You also may have family or friends with a compatible blood type donate blood for your surgery. The hospital, the Red Cross or blood bank can provide family members and friends with necessary information about blood donation for your surgery.\nA close family member had a quadruple by-pass,and was home in a week. He made a full  recovery.
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Geez, you need to ask your cardiologist about this.  What is your ejection fraction?  What is the cause of the blockage?  What is your current activity level?  I am sure he will tell you that you need to have a stress test if you haven't had one already.\n\nOn the other hand, if it is safe to exercise at all, the *best* place to start is with a cardiac rehabilitation program run by a hospital.  If you live in or near a major city, there is certainly at least one such program in your, and maybe several.  Ask your doctor.  \n\nCardiac rehab has you exercise--on a treadmill for example--while you are connected (wirelessly) to a heart monitor that is watched by a nurse.  The nurse can tell immediately if you even start to get into trouble.  I cannot emphasize how much confidence it gave me after heart surgery.  I was so nervous at first about going out to walk on my own.  But this way, I could push myself a little without any worry.  If I had a problem, they would see it probably even before I felt it.  And if something really bad happened, I was right there in the hospital.  \n\nMost insurance will pay for the cost of cardiac rehab, usually with a time limit of 3 months (assuming 3 visits per week).  It saved my life, and I'm sure that if you can exercise at all, this is the best way to get your life back.  Best of luck!!
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Hi. My husband and I are debating a similar question for his dad. He had open heart 9 years ago, and has also had multiple procedures on carotid arteries. He's in horrible shape now and we fear that he won't survive another open heart surgery... but we want him to have a better way of life than what he has now, if it's possible. To answer yours- if the person is in pretty good physical strength and condition, I think it's totally worth it. BUT, like the other 2 people said, talk to the Dr's. Write down your questions and concerns.  That's why I'm on here-trying to get as much information as possible for the Dr's appt. Good luck!
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My father had this surgery after having heart problems caused by the weight. I have done a lot of research on it and have not heard of a clinical link to a post surgical link and would guess it is related to pre surgery health. My cousin who had the surgery has had deteriorarating health since surgery that they thought was heart related only to discover it was caused by severe anemia. Take your vitamins and b-12 as directed and I doubt it was the surgery but look out for other side effects.
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I haven't had it yet. I wanted to get it, but it doesn't seem like that's going to happen.\nI met a woman a couple of years ago who had had a bypass.  She was pregnant and extremely sick, as was her fetus, because she couldn't eat enough.  I was in a store and I commented on this lady's tattoo, as I have a similar one, and she said she got it when she got her surgery, and then she started crying (in the middle of a store, to a stranger) and telling me this story.\nHowever, my close friend who had it, even though she was sick the first month or so, said she would do it again in a heartbeat.  She has a lap-band.
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Dr. Michael Gatzoulis of the Royal Brompton Hospital, London, England, working with Dr. Liu, examined 51 patients who 25 years ago had received the Mustard procedure in Toronto. They found that nearly a quarter of the sample were beginning to develop heart rhythm problems which, left untreated could lead to heart failure.\n\nThe Mustard procedure – developed by Dr. William Mustard with support from the Heart and Stroke Foundation of Canada– was the first operation to correct the congenital abnormality that produced “blue babies.\n\nBlue babies are born with a defect called transposition of the great vessels, in which blood from the lungs flows back to the lungs and blood from the body flows back to the body. The two major arteries coming out of the heart, the aorta and the pulmonary artery are connected to the wrong chambers. Such babies look blue because insufficient oxygen is circulating in their bodies.\n\nThe Mustard procedure restores the circulation but reverses the direction of the blood flow in the heart. In a normal heart, de-oxygenated, blue, blood is pumped into the lungs via the right ventricle. Then it is distributed throughout the body via the left ventricle. In the Mustard procedure, blood is pumped to the lungs via the left ventricle and disseminated throughout the body via the right ventricle.
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PERI-OPERATIVE USE OF BETA-BLOCKERS(BB):\n\n*Noncardiac Surgery - EVIDENCE:\n\nMany studies used surrogate measures such\nas ischemic changes on ECG or holter monitor\n70% reduction in ischemic events and\npotentially 80% reduction in MI\n61% of high risk patients do not get BB peri-\noperatively\n33% of patients already on BB do not have BB\nordered post-op\n\nPoldermans Study (NEJM 1999)\nMangano Study (NEJM 1996;335:1713)\n\n*CRITERIA for Use of Perioperative BB\nPersons aged over 65\nPersons with known CAD (history of MI,\nangina)\nPersons at moderate risk for CAD (diabetic,\nhistory of peripheral vascular disease, history\nof CVA, renal insufficiency, new/uncontrolled\nhypertension)\nPoor functional status\nHigh risk surgery\nWithout contra-indications\n\n\n*RECOMENDED Use of BB\nBegun a few days to weeks prior to\nsurgery\nAdjust to heart rate < 60\nUse shorter acting BB to facilitate\nadjustment\n\n*CONTA-INDICATIONS for BB\n\nAbsolute: Asthma, Sick Sinus Syndrome,Severe peripheral vascular disease,Second or third degree heart block\n\nRelative: COPD, Raynaud phenomenon, Bradycardia,\nHypoglycemia-prone diabetics in whom the early\nwarning symptoms of hypoglycemia may be masked
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Richard,\n\nThis is my field, so I'm sure I can help you out.\n\nDid anyone at the hospital mention cardiac rehab.to you? If they didn't, I'm surprised. Most hospitals that perform heart related surgeries offer this kind of program. Rehab. is one the most important things you can do for yourself after surgery.\n\nI'll give you a few reasons.\nThis is a very tramatic thing to go through. Right? Getting by, if only from a physical aspect, is hard enough. Then, you must face the confusion of what to do after you go home. Am I doing too much? If I do, will I have another heart attack? (assuming you did) I'm really tired, and I'm feeling very down in the dumps. I don't know how to cope with my family. They're driving me crazy and I'm driving them crazy. I just don't know what to do! Sound, in any way, familiar? A cardiac rehab. program is designed to help you, and YOUR FAMILY with all of this, and much, much more.\n\nDon't let anyone tell you, 'it's just exercise'. 'It didn't really do much for me'. 'I didn't need it anyway'. 'I can handle this on my own'. 'They can't do for me anymore than I can do for myself...bah,bah,bah.\n\n\n\nOnly touched on a few examples of what is probably going on with you. I mention your family, because, more often than not, they need the real help. They know what I mean. Trust me. And...It's not funny, but in my practice, the family is key to the recovery of the patient. Doesn't make sense, I know. It's a subtle thing.\n\nLet's talk Richard.\n\nGRIZZ\nduckling702@yahoo.com\n\nMy best to you.
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Most people I believe can have more than one Bypass surgery.  Synthetic vessels are a high risk for failing due to rejection from the body.  And that would be too risky to take that chance.  The previous answers are correct in a sense.  Usually the Mammary arteries are used as well as the Saphenous vein of the leg( usually the left leg) for vein harvest.   It usually depends on the age of the patient which vessels the surgeons use.  Hopefully you have had a good recovery and follow the guidelines that you receive in Cardiac Rehab.
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Your focusing on the wrong end here...the body can handle as many times as it needs to, in order to get the heart pumping to keep the body alive. The heart failing is far more a concern than the defib. The defib, you can think of it like a jump start, for a low battery. \n\nBypass surgery is a major event for the body to handle, but coding in the care of professionals in the ICU is a far better situation, neurologically speaking, than coding in the field. Quick rescusitation with a code team at bedside, means your loved one will probably continue to adequately perfuse the brain with needed oxygenated blood to prevent permanent brain damage. \n\nI wish you and your family the best of luck.
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What about triple penetration?
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its supposed to look like a sideways heart.. the more 3's are more hearts..
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Depends on the type of tricuspid valve disorder. if one has tricuspid stenosis then cardiac output (CO), left atrial pressure (LAP), blood pressure (BP) and right ventricular pressure (RVP) will be low. If one has tricuspid valve regurgitation (leaky valve) then total CO will be high, BP would be relatively unchanged, LAP would be relatively unchanged and RVP would be high from RV volume overload.
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Daniel Hale Willams\n\n\non July 9, 1893, a young Black man named James Cornish was injured in a bar fight, stabbed in the chest with a knife. By the time he was transported to Provident Hospital he was seeking closer and closer to death, having lost a great deal of blood and having gone into shock. Williams was faced with the choice of opening the man's chest and possibly operating internally when that was almost unheard of in that day in age. Internal operations were unheard of because any entrance into the chest or abdomen of a patient would almost surely bring with it resulting infection and therefore death. Williams made the decision to operate and opened the man's chest. He saw the damage to the man's pericardium (sac surrounding the heart) and sutured it, then applied antiseptic procedures before closing his chest. Fifty one days later, James Cornish walked out of Provident Hospital completely recovered and would go on to live for another fifty years. Unfortunately, Williams was so busy with other matters, he did not bother to document the event and others made claims to have first achieved the feat of performing open heart surgery. Fortunately, local newspapers of the day did spread the news and Williams received the acclaim he deserved. It should be noted however that while he is known as the first person to perform an open heart surgery, it is actually more noteworthy that he was the first surgeon to open the chest cavity successfully without the patient dying of infection. His procedures would therefore be used as standards for future internal surgeries.
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check http://www.heart.org/
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Blood transfusions are given I.V.  I don't think this usually counts as "surgery" unless a cut down is needed to insert an I.V. when it can't be inserted normally.  The other two...blood vessels and heart transplants are done surgically almost routinely these days.  Every time a viable heart is donated, there is someone in need to receive it.  During a cardiac by-pass surgery, blood vessels are taken from the leg and used for by-pass.....very, very routine.  Blood/blood products (plasma for instance) tranfusions?  Done everyday in almost every hospital during & after surgery and/or if someone has an anemia problem....
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Frogs have a THREE chambered heart, not two. Oxygen poor blood flows from right atrium to the ventricle where it is pumped to the lungs and skin to pick up oxygen. Next the blood flows back to the heart, collecting in the left atrium. It them flows to the ventricle and is pumped to the body, dropping off the oxygen. This oxugen poor blood flows back onto the right atrium and it begins again.\n\nThis process is simular in humans except we have two ventricles, and do not breath through or skin as much so the right ventricle pumps to lungs only.