Even in a technologically advanced and proficient society, the masses still Harbor feelings of distrust and myths regarding any surgical procedure, believing it to be life threatening option, hindering an individual's ability to lead a normal life post operation, and are not confident in trusting progressive methods of treatment. Thus one such technique is bypass surgery which is the most common method to remove blockages from the heart.

Coronary Artery Bypass Grafting is known from many different names such as:

- Bypass surgery
- Coronary artery bypass surgery
- Heart bypass surgery

Coronary Artery Bypass Grafting (CABG), one such method of surgical treatment, is considered to be the gold standard when it comes to the treatment of coronary artery disease (CAD) . The technique of CABG has evolved over a period of time undergoing several changes; from using veins having limited longevity to total arterial revascularization which is not only applicable to a wide spectrum of patients of varying age brackets but also provides long-term results.

Total arterial Revascularization uses arteries from not only within the chest, in a technique known as Lima-Rima Y, but also utilities the radial artery from the left hand, known as Lima Radial Y. As these arterial grafts entails a surgeon to use a healthy blood vessel(arteries and not veins) from another part of the patient's body to create an alternate route around the blockage, it is the need of the hour, leading to a higher survival rate, as well as a swift recovery, simultaneously avoiding cuts on a patient's legs.

After a bypass surgery we generally suggest our patients thats its normal if:

- You Have pain in your chest area around your incision
- Have a poor appetite for 2 to 4 weeks
- Have trouble sleeping at night
- Being constipated from medicines
- Have swelling in leg from where the graft is taken out.

Keeping all this in mind just be regular with your medication and follows prescribed by the doctor.

Dr Ankit Mathur - Additional Director & Sr.consultant, Cardiac Surgery

Narayana Multispeciality Hospital Jaipur