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What does a repeat by-pass surgery mean?
Priyanka Jain in Mumbai | January 24, 2009 00:29 IST
Prime Minister Manmohan Singh [Images] will undergo a second by-pass surgery on Saturday at the All India Institute of Medical Sciences. Dr Ramakanta Panda, a noted cardiac surgeon with Asian Heart Institute, Mumbai [Images], will be among the team of doctors who will perform the surgery on the 76-year-old prime minister.
But, what does a repeat (redo) by-pass surgery actually mean?
"The blockages, which are present in the arteries, remain as they were. The 'graft' which provides the 'new blood supply' is connected below your old blockages; thereby providing adequate blood to the heart muscle. The blockage is still existent in the system but it gets by-passed. To do this by-pass, we normally take an artery from the chest or we can also take an artery from the arm or leg as needed. That's what a by-pass surgery is.
On being asked if extra care needed to be taken by a patient who is undergoing a redo by-pass surgery, he said, "Post surgery care has to be taken whether it is a first by-pass surgery or second. The patient needs to be extra careful. The patient is normally suggested three to six weeks of rest."
"To perform the surgery, the chest-bone is cut open and stitched together after surgery. It is quite normal to feel some pain or altered sensations in the chest region for a few months after surgery. However, this pain is different from the pain of 'angina', which a patient might have experienced before surgery," Dr Contractor explained.
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