What is Heart Bypass Surgery Cost in India?
Heart bypass surgery is one of the most common surgical procedures, with around 1 million cardiac surgeries being performed each year worldwide. In India, over 420 cardiac centres conduct approximately 3,00,000 cardiac procedures annually .
The average cost of heart bypass surgery in India ranges between INR 2,00,000 and INR 3,60,000 for Indian patients. For international patients, the cost ranges between USD 4000 and USD 6000. This cost includes surgeon fees, anaesthesia charges, OT charges, medical consumables and hospital stay for 6-8 days.
What is Heart Bypass Surgery?
Due to high cholesterol levels in the body, fatty substances known as plaques get deposited on the walls of the coronary arteries (blood vessels in the heart). This condition is known as atherosclerosis. As a result of this, the flow of oxygen-rich blood to the heart muscle gets limited, giving rise to coronary artery disease (CAD).
Some of the common symptoms of CAD are listed below.
Angina (chest pain)
Fatigue
Heart palpitations
Abnormal heartbeat
Dyspnea (shortness of breath)
Swelling in the hands and feet
To treat this condition in the patient, cardiac surgeons perform heart bypass surgery. It is medically referred to as coronary artery bypass grafting (CABG). In this procedure, surgeons create an alternative pathway called a bypass, utilising blood vessels from the patient's legs or wrists. This bypass is a new route for the blood supply to the heart, thus improving the overall blood flow.
Heart bypass surgery is suggested when less invasive treatments such as angioplasty and stent placement have not prevented or reduced alleviating symptoms caused as a result of coronary artery disease (CAD).
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WhatsApp UsWhat are the Types of Heart Bypass Surgery?
The cardiac surgeons decide on the surgical techniques to be employed based on the individual’s health and their associated complications. Some of the surgical procedures are listed below.
On-pump surgery
This is a surgical procedure in which a heart-lung machine takes over the function of the patient's heart. The machine delivers oxygenated blood throughout the body and brain while the bypass is being performed.
Off-pump CABG
In this surgery, the surgeon operates directly on the beating heart, reducing the risk of perioperative bleeding and stroke. It is most commonly performed in high-risk patients mainly to minimise morbidity and mortality.
Some examples of minimal invasive techniques are keyhole bypass surgery and robotic bypass surgery.
What are the Key Factors That Affect the Heart Bypass Surgery Cost in India?
When suffering from acute chest pain induced as a result of CAD, it becomes crucial to see a cardiac surgeon and get the proper treatment.
Individual's health status determines the surgical procedure to be performed which may impact the expenses. Following are some other factors that might affect the cost of heart bypass surgery in India:
Type of surgery involved
On-pump and off-pump heart surgery utilises less complicated machines and is less expensive than advanced technology being adopted these days. The average cost of different types of surgeries are listed below.
Type of Surgery | INR | USD |
|---|---|---|
On-pump and off-pump bypass surgery | 2,00,000- 3,60,000 | 4000-6000 |
Minimal invasive bypass surgery | Additional 50,000 | Additional 1000 |
Hospital stay
The duration of hospitalisation post-surgery may affect the overall cost. Patients who require a longer stay may incur higher expenses.
Location of the hospital
The hospital's location and its distance from major cities may increase the cost. Hospitals in metropolitan areas usually have higher overhead costs, which reflects in the final cost.
Additional stay at hospital/ICU
In certain medical complexities, the patient may have to stay for some extra days in the hospital or ICU for post-operative care. Thus, the additional hospital stay costs around INR 12,000 and INR 20,000 (USD 200 to USD 300) on a per day basis.
What are Pre-surgical and Post-surgical Expenses in Heart Bypass Surgery?
There are some tests and follow-ups required that may add to expenses apart from the surgery. It can be classified as:
Pre-surgical examination cost (complete blood count, electrocardiogram, coronary angiography, CT scan, nuclear stress test etc.): INR 15,000 to INR 20,000 (USD 250 to USD 300)
Post-surgery cost (follow-up consultations and medications): INR 3,000 to INR 4,000 (USD 50 to USD 100)
What should be Post-surgery Care?
Recovery after heart bypass surgery is a gradual process and requires lots of patience. Extra care should be taken so that the patient starts feeling better with each passing day. Some of the measures to be followed by the patients soon after the surgery are as follows-
1. Taking care of the wound
Patients should ensure the stitches and wound heal without any signs of infection. It's advisable to take brief showers, lasting no more than 10 minutes, during the healing process.
2. Cardiac rehabilitation
Many hospitals offer rehabilitation programs that provide exercise training and overall monitoring of health. This ensures faster recovery for patients under the guidance of the doctor.
3. Lifestyle changes
In order to reduce further risks and complications, doctors advise the patients to adopt a healthy lifestyle such as:
Quit smoking
Maintain a healthy diet
Maintain body weight
Stop drinking
Take a good amount of sleep
Does Insurance Cover Heart Bypass Surgery in India?
After consulting the doctor, you have to submit the hospital documents and policy paper to the insurance agency. Then, they will check whether you are eligible for the claim or not. After all the required paperwork has been processed and approved, the insurance agency will coordinate with the hospital to ensure covering of medical expenses as per policy terms.
Various health insurance agencies offer policy plans for hospital medical treatment with their empanelled hospitals. An insurance policy usually covers in-patient care, surgical treatment charges, daycare treatment, pre and post-hospitalisation, expenses on medicine and rehabilitation treatment expenses.
Before getting a policy, it’s important to verify its coverage areas, duration and network of hospitals they are associated with.
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Frequently Asked Questions Related to Heart Bypass Surgery (CABG) Cost
There are several tests that may be conducted prior to coronary artery bypass graft (CABG) surgery to assess the patient's heart health and determine the best course of treatment. Some of the most common tests include cardiac catheterization, echocardiogram, chest x-ray, stress test, electrocardiogram, Hemoglobin, Blood sugar, Electrolytes, Kidney function, and others. The cost of all the tests is included in the package.
Yes, the cost of medicines is being included in the package but if the patient wants to get medicines from outside then they have to pay for it.
After the surgery, patients typically spend several days in the hospital for recovery. During this time, they will be closely monitored by the medical staff and will receive medications to manage pain and prevent infection. Physical therapy will also be started to help the patient regain strength and mobility.
Recovery after coronary artery bypass surgery (CABG) can vary depending on the patient's age, overall health, and the number of bypasses performed. It is important to note that recovery times can vary for each individual and healing process may take longer for some patients. Patients should follow the instructions provided by their surgeon and healthcare team to ensure a safe and successful recovery. The cost of the hospital stay after surgery is being included in the package.
As per the norm the treatment will only be covered if it is under, if the treatment is surgical or if the patient needs treatment for long term.
If your heart function is normal and the blocks in the arteries are lower, the symptoms can be controlled with drugs. But, CABG is recommended when there are multiple blocks in the arteries, you have diabetes, or your heart function is subnormal.
Some patients may consider alternative treatments, such as angioplasty or stenting, which can be less invasive and less expensive than CABG surgery. However, these options may not be suitable for everyone and it's important to discuss the options with a cardiologist or a heart surgeon to determine the best course of treatment.
Everything You Need to Know About Heart Bypass Surgery (CABG): Q&A
Before the Procedure · 14 Questions
The most important is that the need for bypass surgery arises as to the result of a preventable condition, namely, coronary artery disease.
If you take care of yourself, eat well, exercise and take heart-healthy supplements, the chances are good that you may be able to avoid a bypass.
Bypass surgery is generally considered the better option in cases where the patient's arteries are blocked in multiple areas or where their left main coronary artery is narrowed.
Sometimes patients will prefer the less invasive angioplasty as they would like to resume work sooner.
Minimally invasive surgery also called keyhole surgery.
Possible risks of coronary artery bypass graft surgery (CABG) include:
Bleeding during or after the surgery.
Blood clots that can cause heart attack, stroke, or lung problems.
Infection at the incision site.
Pneumonia.
Breathing problems.
Pancreatitis.
Kidney failure.
Abnormal heart rhythm
CABG in today's world has become a very routine procedure. Most doctors we work with operate about 20-25 such patients every month. The success rate of CABG surgery is easily more than 95%.
That is absolutely right. If your surgeon felt, he will not be able to achieve the desired results in minimally invasive surgery, he will not offer it in the first place.
A series of small incisions are made between your ribs on the left side of your chest, directly over the artery to be bypassed. The incisions usually are about 3 inches long.
Taking veins from the legs has traditionally been done but with advanced techniques, doctors do it endoscopically and hence NO more cuts other than chest incision.
Coronary artery disease is generally an old age problem and hence people of up to 70-75 years of age can safely undergo the procedure.
In most cases, minimally invasive surgery can be offered, but if your surgeon is insisting on open surgery, there have to be medical reasons for it.
You should clarify all such apprehensions during your clinical evaluation with the treating surgeon.
Not everyone can be a candidate for minimally invasive CABG surgery, the ideal candidate for this surgery are only those who have one to three vessels that needed to be bypasses and they are at high risks for undergoing traditional CABG surgery.
CABG works to improve the blood flow to the heart and this procedure is said to be invasive because heart bypass creates a new route called as bypass for blood and oxygen to reach your heart, it can be done without stopping the heart there will be no need for you to kept on a heart lung machine during the procedure.
You will be recommended to undergo heart bypass surgery if you have blockage in your one or two coronary artery mostly in the front of your heart. When one or more coronary artery become totally or partially blocked and your heart doesn’t get enough blood then it can cause chest pain.
Your doctor can only tell you whether this surgery is good choice for you or not it depends on your health, the condition of your coronary artery disease, the number of bypass needed. There are lots of other pros and cons of the surgery the doctor will make the right decision about which procedure is the best suitable for you.
There is no upper age limit for the surgery, the risk of the procedure are higher in those patients who are older than 65 years.
During the Procedure · 5 Questions
You'll usually need to stay in the hospital for around 7 days after having a coronary artery bypass graft (CABG) so medical staff can closely monitor your recovery. ICU for 1-2 days.
During this time, you may be attached to various tubes, drips, and drains that provide you with fluids and allow blood and urine to drain away.
Those who have had a heart valve repair or replacement surgery or coronary artery bypass grafts (open heart surgery) can usually fly after 4 weeks.
During CABG, a surgical team will take one or more blood vessels from another part of your body and create newer blood vessels to take blood into the heart.
It will generally takes three to five hours to do the surgery.
Before 2 weeks of the surgery stop taking the drugs which can increase bleeding during the surgery. Don’t eat or drink anything after midnight before your surgery , you can rinse your mouth with water but do not swallow it.
In heart bypass surgery the surgeon will make a 3 to 5 inch incision in the left part of your chest between your ribs to reach your heart. After that the muscles in the area will be pushed apart and the coastal cartilage will be removed, then the surgeon will then find and prepare an artery on your chest wall (internal mammary artery) to attach to your coronary artery that is blocked. At last the surgeon will use sutures for connecting the prepared chest artery to the blocked part of coronary artery. A tube will be placed in your chest for draining fluid.
Post the Procedure · 16 Questions
Occasional drinking post-CABG is acceptable. It is important for the patient to maintain a healthy lifestyle.
Since coronary artery disease is a lifestyle disease and can very well be managed by a change in lifestyle post-surgery.
Recovering from a coronary artery bypass graft procedure takes time and everyone recovers at slightly different speeds.
Generally, you should be able to sit in a chair after 1 day, walk after 3 days, and walk up and downstairs after 5 or 6 days. Most people make a full recovery within 12 weeks of the operation.
The doctor will advise you to run investigations after 6 months, 1 year and share the reports electronically to review the progress and condition of the heart.
Generally, you should be able to sit in a chair after 1 day, walk after 3 days, and walk up and downstairs after 5 or 6 days. Most people make a full recovery within 12 weeks of the operation.
If you can walk normally at your usual pace, you can also climb two flights of stairs at your usual pace
Resume sexual activities in six-eight weeks
The surgeon must find a balance between preventing clots and having a patient bleed too much during surgery.
For some patients who routinely take a blood thinner prior to surgery, the dose of blood thinners that are typically taken each day is stopped at least 24 hours, and up to a week, prior to the surgery.
You will be given a discharge summary at the time of discharge from the hospital. This document has all relevant details for your local doctor to follow you up post-surgery.
But your local doctor can also get in touch with treating surgeons through us. Talk to your case manager and we will be happy to facilitate.
Smoking is absolutely prohibited post-surgery. Occasional and moderate drinking is generally allowed.
The tube will be removed within a day or two after the surgery.
Some of the risks of the surgery includes blood loss, blood clots, low grade fever, pain at the site of cut, infection of lungs, temporary or permanent brain injury, stroke or heart attack.
You will be discharged after 2-3 days of the surgery and you can start doing your normal activities after 2-3 weeks of the surgery.
It takes time to completely recover from the surgery, it may take 3 to 6 months to recover fully. You have to follow some precautions such as don’t smoke, eat a healthy and balanced diet, keep control on your blood sugar and high blood pressure.
You should not do any activity or any exercise which can cause pain across your chest, you should immediately stop doing any activity if you feel shortness of breath, dizziness or any pain in your chest, don’t involve in any activity which can cause pulling or pain in your chest.
Some precautions which you have to take after a CABG procedure are heavy physical activities, lying down in supine position, restrict salt consumption and chest physiotherapy.
Your doctor might order a number of tests before your CABG procedure. These may include blood tests, EKG, echocardiogram, chest x ray, cardiac catheterization, and angiography.
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