Cardiothoracic and Vascular Surgery
Chief Physician

Triple Heart Bypass Surgery

PD MD Wolfgang Harringer

Chief Physician

Patient rating
    3.6/5 (13 votes)
Statistics 2017
  • 7816 patient admission
  • 32 physicians
  • 117 medical staff
  • 872 electrophysiological examinations of the heart
  • 277 right heart catheterizations
  • 3985 left heart catheterizations
  • 1218 diagnostic tracheobronchoscopy
  • 2398 transesophageal echocardiography
  • 378 implantations of a cardiac pacemaker, defibrillator
  • 1092 inserting a stent

Triple Heart Bypass Surgery

Among the others complex surgical interventions Heart Surgery Department of the Clinic of Braunschweig offers Triple Bypass Surgery to the patients suffering of coronary problems. It is operation recommended to those who have three coronary arteries obstructed. To understand better meaning if this, first, you need to know a few essential things.

What is coronary heart disease?

Coronary heart disease (CHD) or ischemic heart disease (IHD) is a condition when coronary arteries, that supply the heart with blood, are blocked. CHD is usually caused by both arteriosclerosis and atherosclerosis. With arteriosclerosis arteries become thick and hard which hampers normal blood flowing. Atherosclerosis is a specific kind of above vessels disease when obstruction happens because of fat and cholesterol buildups on the artery wall that narrowing vessel lumen.

Above condition results in such coronary diseases as angina which is discomfort and pain in chest and heart attack. Over time heart failure and irregular heartbeat may develop. All of those disorders when untreated are serious enough to lead even to death.

Coronary Arteries

Coronary arteries are vessels that provide circulation of the blood to the heart muscle. There are two main coronary arteries:

  1. Left coronary artery which includes the branches as left circumflex artery (LCX) and left anterior descending artery (LAD).
  2. Right coronary artery (RCA) including right marginal artery and posterior descending artery.

There are a number of others smaller branches as diagonal arteries and all of them carry function of supplying myocardium with oxygenated blood.

When Triple Coronary Bypass Graft Is Needed?

Triple bypass heart surgery is performed when three of the coronary arteries have blockages and need to be bypassed. Any of above mentioned arteries can be involved but most common arteries for bypass graft are RCA, LAD, and LCX.

Triple Heart Bypass Operation

Single, double, triple, quadruple and quintuple bypass – all of them are performed with the same technique of Coronary Artery Bypass Graft (CABG). The only difference is complexity and longer time of operation as more donor vessels should be taken and more grafts are created.

The CABG can be done in any of existing heart surgery techniques as open “on-pump” surgery with cardiopulmonary bypass involved, open “off-pump” surgery on beating heart and minimally invasive method when eligible. Which type of surgical intervention is proper for you is considered by your physician and surgeon. There are many factors are involved as your health condition and other diseases, the degree of IHD, health history and even surgeon skill.

Modern approach is choosing less invasive surgery when possible but it is not appropriate in many cases. Though it is sparing for patient’s body and it takes less time to recover a number of surgeons often prefer conventional open heart surgery. One of the reasons is complexity of operating through a small (3-5 inches) incision which requires more experience and skill of surgeon. Otherwise, minimally invasive method can be recommended to those patients that have some contraindication for using a heart-lung machine.

Triple bypass is rarer than single or double ones but, nevertheless, it is rather common.

Risks of Triple Bypass

Triple bypass surgery has the same risks as any other heart operation. Among them are:

  • Excessive bleeding
  • Infections of the incision
  • Irregular heartbeat
  • Memory problems and confusion that may improve after 6 months
  • Blood clots and infarction
  • Stroke
  • Kidney problems

It is believed that using less invasive technique reduces many of above complications including bleeding, infections and blood clots.

One of the potential complications is need for another surgery which is increasing every year after the operations. A graft can last 10-12 years and after 10 years 7 percent of the patients need another surgery. For those who had triple bypass this risk is higher as they have a greater number of bypasses made.

Mortality rate for coronary artery bypass graft depends on age. Older patients higher mortality rate. According to Duke University Medical Center research mortality rate in 30 days after bypass surgery is 4.3% and 7.4% for patients in age 65-69 and 75-79 years accordingly. Overall success rate for bypass surgery is 95-98%.

The main goal of the team of Heart Surgery Department of the Clinic of Braunschweig is giving their patient as much safety as possible which is achieved with comprehensive service, accurate diagnostic, higher qualification of the specialists and coordinated work at every level including diagnostics, surgery and postoperative care. We work to give you a hope for longer life.

If you have any question or wish to apply for treatment with please use our call back service or contact us in any appropriate way.

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