Coronary Artery Bypass Surgery (CABG) in India

Coronary Artery Bypass Grafting (CABG), commonly known as Heart Bypass Surgery, is a major cardiac procedure to restore blood flow to the heart by bypassing blocked or narrowed coronary arteries using grafts from veins or arteries. CABG improves heart function, relieves symptoms, and prevents heart attacks.

India offers advanced CABG surgery with highly experienced cardiac surgeons, modern cardiac ICUs, and cost-effective care.

Indications for CABG

  • Severe coronary artery disease (CAD) with multiple blockages

  • Persistent angina not relieved by medications or angioplasty

  • Left main coronary artery disease

  • Heart attack patients with complex arterial blockages

  • Failed previous angioplasty or stenting

  • Diabetes or reduced heart function with multi-vessel disease

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Symptoms Addressed by CABG

  • Chest pain or angina

  • Shortness of breath and fatigue

  • Reduced exercise tolerance

  • Heart failure symptoms caused by blocked arteries

  • Dizziness or fainting due to poor heart perfusion


Procedure Overview

  1. Pre-operative Assessment

    • Coronary angiography, echocardiography, CT scans, and blood tests

    • Evaluation of overall heart function and comorbidities

  2. CABG Surgery

    • General anesthesia administered

    • Median sternotomy (chest opening) or minimally invasive approach

    • Grafts (saphenous vein, internal mammary artery, or radial artery) bypass blocked coronary arteries

    • Surgery performed on-pump (heart-lung machine) or off-pump (beating heart)

  3. Post-operative Care

    • ICU stay for 2–5 days with continuous monitoring

    • Medications for heart function and clot prevention

    • Gradual mobilization, physiotherapy, and lifestyle modifications

    • Regular follow-up to monitor graft function and cardiac health


Benefits of CABG

  • Restores blood flow to the heart, reducing angina

  • Improves heart function and quality of life

  • Reduces risk of future heart attacks

  • Effective long-term solution for multi-vessel coronary artery disease

  • Can be combined with valve surgery or other cardiac procedures if required


Cost of CABG Surgery in India

Table 1: Average CABG Surgery Cost in India

Type of CABG SurgeryMinimum Cost (INR)Maximum Cost (INR)Approx. USD Range
Single or Double Bypass₹3,50,000₹7,00,000$4,220 – $8,430
Triple or Multi-vessel Bypass₹5,00,000₹12,00,000$6,020 – $14,460
Pre-operative Imaging & Tests₹1,00,000₹2,50,000$1,200 – $3,010
ICU & Post-operative Care₹2,00,000₹4,00,000$2,410 – $4,820
Follow-up & Medications (per year)₹50,000₹1,00,000$600 – $1,200

Factors Affecting CABG Cost

  1. Number of grafts required – Multi-vessel bypass increases cost

  2. Surgical technique – On-pump vs off-pump or minimally invasive procedures

  3. Hospital and ICU facilities – Advanced cardiac centers charge higher fees

  4. Patient condition – Comorbidities or complications may extend hospitalization

  5. Pre- and post-operative care – Imaging, medications, ICU stay, and rehabilitation contribute to overall cost

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