Many patients undergo coronary angioplasty to recover the impaired blood supply to the cardiac muscle. A balloon (initially deflated) is used to increase the width of the artery in the blocked area by inflation, and a stent is used to make it stay wide. This is done in relatively fewer, initial and early blockages- say just one or two arteries.
However, if you have blockages in three or more coronary arteries, your cardiologist is likely to recommend bypass surgery. A coronary artery bypass graft surgery (CABG) works on the principle of GRAFTS- arteries or veins from other parts of your body and using these grafts as alternative pathways to redirect the blood around the blocked artery. Either a single or numerous graft could be needed, depending on how many coronary arteries are choked-up.
A coronary angioplasty is still a relatively minor surgical procedure as compared to a bypass graft surgery/ open heart surgery and heart transplantation which are major surgical procedures. All these surgeries are to be done by a cardiothoracic surgeon or a cardiologist.
The surgical procedure is performed under the influence of general anesthesia mostly and requires a dedicated change in lifestyle and rehabilitative exercises to help recover full heart function. Your cardiologist will choose the best procedure to treat you.
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