Acıbadem Taksim Hospital Cardiovascular Surgery Specialist Assoc. Dr. Macit Bitargil told what should be known about occlusion of the heart vessels and coronary bypass surgery, and made important warnings and suggestions.
Emphasizing that in case of occlusion in the vessels feeding the heart, the heart muscles cannot be adequately nourished, therefore, especially when the workload of the heart increases, the heart sends some signals to the brain, which manifests itself primarily with chest pain, Assoc. Dr. Macit Bitargil said, “It is necessary to see a doctor as soon as possible, especially if you take chest pains that come with walking or going uphill and go away when you rest.”
Cardiovascular Surgery Specialist Assoc. Dr. Macit Bitargil, stating that congestion in the heart vessels can lead to a heart attack, says:
“There are two main coronary arteries and their branches, which supply the heart with diameters in the range of 2-4 mm. When the congestion in these vessels reaches critical levels and especially when chest pains begin, if the disease is not taken seriously, it can lead to a heart attack (myocardial infarction). In cases where drug therapy, coronary balloon angioplasty and/or stent fail, coronary bypass surgery comes into play.” Emphasizing that coronary bypass surgery is activated in order to restore the blood supply needed by the heart, to eliminate the patient's life-threatening danger, to increase the quality of life and to be instrumental in returning to normal life in a healthy way, Assoc. Dr. Macit Bitargil says that the decision on which treatment method should be applied is determined on a case-by-case basis according to the condition of the disease.
Assoc. Dr. Macit Bitargil describes the habits that lead to occlusion in the heart vessels and pave the way for bypass:
“Intense stress, depending on the cortisol mechanism, increases blood pressure, blood sugar and the amount of cholesterol, causing serious damage especially to our heart vessels. Habits such as consuming high amounts of alcohol, being exposed to smoke using tobacco products, inactivity, not doing sports, eating an unbalanced and unhealthy diet, consuming too much salt, and poor quality sleep are also bad habits that are harmful to our cardiovascular system and pave the way for bypass surgery.
Acıbadem Taksim Hospital Cardiovascular Surgery Specialist Assoc. Dr. Macit Bitargil, stating that the method of coronary bypass surgery is determined according to the condition of the patient, says that with both open or closed methods, it is possible to ensure that the blood reaches the affected areas of the heart in a healthy way due to vascular occlusion. Especially in the closed surgery method called 'Minimally Invasive'; Assoc. Dr. Macit Bitargil said, “During the surgery, the coronary vessels of the heart that are critically narrowed or occluded are bypassed with the help of veins taken from the chest, leg or arm. Thus, it is ensured that healthy blood reaches the affected parts of the heart due to the disease. It is a procedure that takes an average of 3-6 hours under general anesthesia. Assoc. Dr. Macit Bitargil says that if the doctor gives permission, he can return to work life and start sports activities after 1-6 weeks.
Emphasizing that there is a belief in the society that 'coronary bypass surgery was performed on my heart, my vessels will not be blocked anymore', but this is not true, Cardiovascular Surgery Specialist Assoc. Dr. Macit Bitargil states that the vessels used in coronary bypass surgery can remain open for 10-15 years after surgery in conscious and compliant patients, and can become occluded again over time after this period.
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