CABG (coronary artery bypass graft) surgery reestablishes blood flow to the heart by grafting vessels around blocked coronary arteries. It is used to treat angina and relieve chest pain in patients with coronary artery blockages who cannot be treated with other methods. The procedure involves opening the chest, placing the patient on bypass to circulate blood, grafting vessels to bypass blockages, and closing the chest. Post-operative care requires intensive monitoring in ICU until stable. Complications can include irregular heart rhythms, infections, and death in rare cases.

1. CABG
Yousef Assi

2. • Definition of CABG
• Review of Coronary Arteries
• Purposes
• Indications for CABG
• Contraindications for CABG
• Procedure & Nursing Management
• Pre operative Phase
• Intra operative Phase
• Post operative phase
• Complication
Outlines

3. Definition of CABG
Surgery to reestablishes sufficient
blood flow to deliver oxygen and
nutrients to the heart muscle.
CABG : Coronary arteries bypass graft

4. Review of Coronary Arteries

5. • Restore blood flow to the heart.
• Relieves chest pain and ischemia.
• Improves the patient's quality of life.
• Enable the patient to resume a normal lifestyle.
• Lower the risk of a heart attack.
Purposes

6. • Patients with blockages in coronary arteries.
• Patients with angina.
• Patients who cannot tolerate PTCA (Percutaneous transluminal
coronary angioplasty ) and do not respond well to drug therapy.
Indications for CABG

7. • Aneurysms.
• Valvular diseases.
• Congenital diseases.
• diseases of blood.
Indications for CABG

8. Preoparation.
Intraoperation.
Postoperative care
Procedure and nursing mangment

9.  Preoperation,
History, Consent form “ high risk” , physical
assessment, Shaving, and diagnostic test “Blood
test, ECG, Cardiac ECHO, maybe CT scan need”.
Procedure

10.  Intra operative,
- Sedation
- Insert floys and central line
- Opening
- Cannulation “on pump, or off pump”. Cardioplegia
- Applied the pass.
- Evaluation,
- Applied a chest tube.
- Close by suturing the wound.
Procedure

13.  Post operative care
-Need intensive care untile 2nd day post op.
-Hourly monitoring for hemodynamic
•I & O,
•Weight,
•Blood test (CBC, KFT, RBS, S.lytes, special test)
• Health education, diet, health habits
Procedure

14. Complication
• Tachyarrhythmia's, and/or irregular heart
rhythms.
• bradyarrhythmias cause the heart to beat too
slowly and require placement of a permanent
pacemaker.
• Infecton “precardities”.
• Thrombocytopenia “ # of platelet related to heparin”
• Death.
• CVA.