Northwest Regional Heart and Vascular at Adventist Medical
Center is comprised of a team dedicated to excellence in the
care of patients with heart disease. Our surgical team has
accomplished excellent outcomes in coronary bypass surgery,
valvular heart surgery, atrial fibrillation ablation surgery,
septal defect surgery, and aortic surgery. Contributing to
rapid surgical recovery and overall excellent outcomes, are the
use of minimally invasive and robotic assisted surgical
techniques and the only dedicated universal bed cardiovascular
unit in the Portland metropolitan area. The universal bed
cardiovascular unit allows for cardiovascular patient admission
and discharge from the same unit in the hospital without
transfers. You will be cared for by the same dedicated team in
the new state of the art cardiovascular unit throughout your
Overview: Coronary Artery Disease
Coronary artery disease develops when a substance called plaque
builds up within the arteries in the heart reducing blood flow
to the heart muscle. It limits activity due to anginal (chest
pain) symptoms, may result in heart attacks, and remains the
leading cause of death in the United States. An angiogram may
be done to evaluate the extent of coronary artery disease.
Medical therapy, angioplasty or Coronary Artery Bypass Graft
Surgery (CABG) may be needed if one or more of your coronary
arteries are blocked.
Coronary Artery Bypass Surgery
In coronary artery bypass surgery, a healthy artery or vein is
grafted to the coronary artery to divert blood around the
blocked or narrowed portion. The healthy artery or veins are
used from another part of the body. Typically, the artery is
taken from inside the chest wall. On occasion, an artery may be
used from the inside of the lower arm. Veins are taken from
legs utilize a minimally invasive endoscopic technique.
At Northwest Regional Heart and Vascular, coronary artery
bypass graft (CABG) surgery is performed in one of the
Traditional coronary artery bypass surgery -
This involves an incision of your breastbone to open the
chest cavity. A heart-lung bypass machine is used to
circulate the blood and oxygen during the surgery.
Off pump or " beating heart " coronary artery bypass
surgery - this involves an incision of your
breastbone to open the chest cavity. The heart lung bypass is
not utilized during this procedure.
Minimally invasive direct CABG (MidCAB) -
The surgeon uses the DaVinci robot to mobilize the internal
mammary artery. A small chest incision is used to access the
heart and perform the off pump bypass procedure.
Hybrid procedure - This procedure combines a
catheter based approach (i.e. stent) performed by a
cardiologist and a MIDCAB.
Your surgeon and medical team will work with you to decide
which surgical approach is best for you.
What can I expect after surgery?
Your length of stay in the hospital will be determined by the
surgical approach used and your general medical condition. The
average hospital stay at Northwest Regional Heart and Vascular
for coronary bypass surgery is 4.7 days compared with the
national average (Society of Thoracic Surgeons 2011) of 6.8
days. You will continue to recover at home with gradual
improvement in your energy and activity level. You will be
given instructions regarding the type and amount of physical
activity that you can engage in as you recover.
A cardiac rehabilitation program can be a great help in your
recovery. We recommend starting cardiac rehabilitation at 4
weeks after hospital discharge.