To surgically correct decreased blood flow through an artery, doctors place a bypass graft made of synthetic material or a natural vein taken from another part of the body. During the procedure, the surgeon will make an incision to expose the diseased segment of the artery, and then attach one end of a bypass graft to a point above the blockage and the other end to a point below it. The blood supply is then diverted through the graft, around the blockage, to bypass the diseased section of the artery. The diseased artery is left in place.
Peem Lorvidhaya, MD
- clinical cardiac electrophysiology
Location and Office HoursRhode Island Cardiology Center
950 Warren Ave Fl 2
East Providence, RI 02914
- BlueCross BlueShield
- BlueCross BlueShield of Rhode Island
- First Health
- Great-West Healthcare Cigna
- Neighborhood Health Plan
- Tufts Health Plan
- United Healthcare
- Kent Hospital
- Rhode Island Hospital
- The Miriam Hospital
- Women & Infants Hospital of Rhode Island
- Yale-New Haven Hospital
What is arterial bypass surgery?
NewYork-Presbyterian Hospital answered
What are the symptoms of anomalous coronary arteries and fistulas?
Sometimes children are born with an abnormal placement of the arteries that supply the heart with blood (the coronary arteries). Additionally, abnormal branches from the coronary arteries, or fistulas, may be present.
Many children with this type of congenital (present at birth) heart disease will not have any symptoms. Some will have symptoms like chest pain, arrhythmias, or passing out (syncope) with exercise. In rare circumstances, the abnormality can result in sudden death.Infants with a condition called anomalous left coronary artery arising from the pulmonary artery (ALCAPA) may become sick with difficulty feeding and increased work of breathing within the first few months of life due to progressive deterioration of heart function. This requires a surgery to remove the coronary artery from the pulmonary artery (the artery leading from the heart to the lung) and to reattach the vessel back to the aorta (the main blood vessel leading from the heart to the body). Because there is usually some damage to the heart caused by the reduced blood flow to the heart, the squeezing function of the heart may be reduced. The function of some of the valves letting blood into the heart may be affected, resulting in significant leakage of the valve. Even after reattaching the anomalous coronary artery back to the heart, the squeezing function of the heart and valve function may not recover, resulting in a cardiomyopathy.
Who receives a cardiac assist device as destination-therapy?
End-stage heart failure patients who do not respond to medical therapy well and still have heart failure symptoms such as shortness of breath, at the same do not qualify for heart transplantation due to age, additional health problem, or other complications may be candidates for receiving a cardiac assist device.
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