CORONARY ARTERY BYPASS GRAFTING

CABG Surgery in Kabul

Coronary artery bypass grafting (CABG) is a surgical treatment for selected patients with significant coronary artery disease, where narrowed or blocked coronary arteries reduce blood flow to the heart. Dr. Arman Khan provides CABG assessment and surgical care in Kabul for patients whose coronary anatomy, symptoms and test results suggest that bypass surgery should be considered. The decision to proceed with CABG is based on factors such as the location and complexity of coronary blockages, heart function, diabetes, previous treatment and overall surgical risk.

CABG assessment based on coronary anatomy, symptoms, heart function and surgical risk

When Is CABG Surgery Considered?

CABG is usually considered after coronary angiography confirms significant coronary artery disease and the pattern of disease makes surgical revascularisation a suitable option. It may be considered when there is:

Significant left main coronary artery disease
Complex multivessel coronary disease
Diabetes with disease affecting several major coronary arteries
Coronary anatomy where bypass may provide a more durable revascularisation option than PCI
Ongoing angina despite appropriate medical treatment when revascularisation is required
Coronary disease that is difficult to treat adequately with angioplasty and stenting

CABG is not automatically recommended for every blocked artery. When both surgery and PCI are reasonable options, the decision should consider coronary anatomy, heart function, other medical conditions, surgical risk and the patient’s treatment goals.

CABG

CABG bypasses blocked arteries using a healthy artery or vein to create a new route for blood flow. It may be preferred in selected patients with complex multivessel disease, diabetes or significant left main disease.

Angioplasty and Stenting (PCI)

PCI opens narrowed arteries with a balloon and usually a stent. It may suit other patients depending on their coronary anatomy and clinical condition.

CABG vs Angioplasty and Stenting (PCI)

CABG and PCI both restore blood flow to the heart, but they do it differently. The better option depends on the number and location of blocked arteries, disease complexity, left main involvement, diabetes, heart function and overall surgical risk.

How Is CABG Surgery Performed?

CABG is performed under general anaesthesia. A healthy artery or vein, usually taken from the chest, arm or leg, is connected beyond the blocked coronary artery to create a new route for blood flow to the heart muscle. Some patients need one bypass graft, while others may need several, depending on how many coronary arteries are significantly narrowed or blocked. The exact surgical technique is planned according to the patient’s coronary anatomy and overall condition.

Recovery After CABG Surgery

Recovery after CABG is gradual and varies from person to person. Most patients spend several days in hospital before continuing recovery at home. During recovery, patients may need wound care, prescribed medicines, gradual activity and follow-up. Cardiac rehabilitation may also be recommended to support safe return to daily activity. Many people return to most normal activities within several weeks, while full recovery after open CABG can take a few months.

Benefits and Risks of CABG Surgery

For suitable patients, CABG can improve blood flow to the heart, reduce angina and provide effective revascularisation when coronary artery disease is complex. Like any major heart operation, CABG also carries risks.

The level of risk differs for each patient and depends on factors such as age, heart function, diabetes, kidney health and the complexity or urgency of surgery.

CABG Surgery With Dr. Arman Khan in Kabul

Dr. Arman Khan provides surgical assessment for patients in Kabul who have been advised to consider coronary artery bypass grafting. His role is to review the coronary angiography, heart function, symptoms, previous treatment and overall surgical risk before planning the most appropriate bypass strategy. For patients with complex coronary artery disease, the consultation helps clarify whether CABG is suitable and what the next stage of treatment may involve.

Frequently Asked Questions

Is CABG suitable for every coronary blockage?

No. CABG is mainly considered when the pattern or severity of coronary artery disease makes surgical revascularisation appropriate. Some patients may be better treated with medicines or PCI.

How many bypass grafts might be needed?

The number depends on how many major coronary arteries are significantly narrowed or blocked. Some patients need one graft, while others may require several.

Is CABG better than a stent?

Not in every case. The better option depends on coronary anatomy, disease complexity, diabetes, heart function and overall surgical risk.

How long does CABG recovery take?

Most patients recover gradually over several weeks, while full recovery after open CABG may take a few months.

Can CABG treat coronary artery disease permanently?

CABG improves blood flow but does not cure the underlying atherosclerosis. Long-term treatment usually still includes medicines, risk-factor control and lifestyle changes.

CABG Consultation in Kabul

Patients who have been advised to consider bypass surgery can arrange a surgical consultation with Dr. Arman Khan at Adei Medical Complex, Kabul. Bring any available coronary angiography, echocardiography, ECG, blood test results and previous cardiology records so the case can be reviewed properly.