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Post-CABG Complications

Early and late complications after coronary artery bypass grafting affecting the heart, lungs, nervous system and sternum.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Post-CABG Complications?

A variety of complications may develop in the early and late period after coronary artery bypass grafting (CABG). Early complications include atrial fibrillation (25–40%), low cardiac output syndrome, perioperative myocardial infarction, sternal wound infection, pulmonary complications and neurocognitive disturbances.

Late complications include graft occlusion, aneurysm formation, sternal dehiscence, post-pericardiotomy syndrome and depression. Risk factors include advanced age, diabetes, COPD, low ejection fraction, urgent surgery and postoperative renal dysfunction.

Prevention and treatment are multifaceted: beta-blocker prophylaxis for atrial fibrillation, aggressive pulmonary physiotherapy, rigorous infection control, early mobilization and cardiac rehabilitation reduce complications. High-risk patients require intensive care and multidisciplinary follow-up.

Symptoms

Palpitations from atrial fibrillation
Dyspnea
Discharge or swelling at the sternum
Fever (infection)
Chest pain
Leg wound swelling at the saphenous harvest site
Cognitive impairment and depression

Risk Factors

Advanced age
Diabetes and renal failure
Low ejection fraction
Urgent surgery
Use of bilateral internal mammary artery
Obesity and COPD
Long cardiopulmonary bypass time

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Discharge or swelling at the sternum
  • New palpitations after surgery
  • Unexplained dyspnea
  • Signs of leg wound infection
  • Fever
  • Worsening cognitive status after surgery

Treatment Methods

01
Atrial fibrillation management (beta-blocker, amiodarone, anticoagulation)
02
Sternal infection surgery and debridement
03
Antibiotic therapy
04
Pulmonary physiotherapy and breathing exercises
05
Cardiac rehabilitation
06
Treatment of post-pericardiotomy syndrome
07
Psychological support and depression management

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.