{"meta":{"humanUrl":"https://fr.bookimed.com/clinics/country=germany/city=berlin/procedure=coronary-artery-bypass-grafting/best/","canonicalUrl":"https://fr.bookimed.com/clinics/country=germany/city=berlin/procedure=coronary-artery-bypass-grafting/best/","jsonUrl":"https://fr.bookimed.com/clinics/country=germany/city=berlin/procedure=coronary-artery-bypass-grafting/best/data.json","title":"Best clinics for Pontage aorto-coronarien in Allemagne — Ratings & Reviews | Bookimed","description":"1 top-rated clinics for Pontage aorto-coronarien in Allemagne. Compare rankings, prices, and patient reviews on Bookimed.","heading":"Best clinics for Pontage aorto-coronarien in Allemagne","locale":"fr","schemaVersion":"ClinicBestPageDataV1","snapshotId":"4a94947e-3d599a5d","contentVersion":"4a94947e","generatedAt":"2026-11-14T20:24:24.966Z"},"filters":{"country":"germany","city":"berlin","procedure":"coronary-artery-bypass-grafting","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Allemagne","url":"/clinics/country=germany/"},{"name":"Berlin","url":"/clinics/country=germany/city=berlin/"},{"name":"Pontage aorto-coronarien","url":"/clinics/country=germany/procedure=coronary-artery-bypass-grafting/"},{"name":"Best","url":"/clinics/country=germany/city=berlin/procedure=coronary-artery-bypass-grafting/best/"}],"entities":[{"name":"Allemagne","alias":"germany","type":"country","id":22},{"name":"Berlin","alias":"berlin","type":"city","id":23},{"name":"Pontage aorto-coronarien","alias":"coronary-artery-bypass-grafting","type":"procedure","id":129}],"clinics":{"clinics":[{"text":"<p style=\"text-align:justify;\">\n\tLe German Heart Centre de Berlin est l'un des meilleurs centres médicaux cardio-spécialisés au monde.\n</p>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":28000,"price_to":42000,"currency":"USD","id":9505},"operation":{"id":129,"name":"Pontage aorto-coronarien","alias":"coronary-artery-bypass-grafting"}}],"reviews":[],"clinic":{"id":153,"alias":"german-heart-centre","name":"Deutsches Herzzentrum Berlin","short_description":"<p style=\"text-align:justify;\">\n\tLe German Heart Centre de Berlin est l'un des meilleurs centres médicaux cardio-spécialisés au monde.\n</p>","images":[{"base_url":"clinic/5ab24accdd067","title":"Façade de la clinique Deutsches Herzzentrum Berlin, bâtiment médical historique en Allemagne"},{"base_url":"clinic/5ab24acd5a28a","title":"Bloc opératoire cardiaque avec équipements avancés au Deutsches Herzzentrum Berlin"},{"base_url":"clinic/5ab24acda3c4c","title":"Façade de la clinique Deutsches Herzzentrum Berlin avec jardin et fontaine"},{"base_url":"clinic/5ab24acde9d1c","title":"Consultation médicale au Deutsches Herzzentrum Berlin avec radiographie thoracique à l'écran"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Berlin","id":23,"alias":"berlin"},"address":"Augustenburger Pl. 1, 13353 Berlin, Germany"},"rating":{"rating":0,"google":3.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":190,"year_foundation":1986},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Meilleurs Hôpitaux Intelligents du Monde 2023 par Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6361000490242.jpeg","name":"Meilleurs hôpitaux spécialisés du monde 2022 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":99},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Autriche","alias":"austria","iso_code":"AT"},{"name":"Azerbaïdjan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Colombie","alias":"colombia","iso_code":"CO"},{"name":"Emirats Arabes Unis","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Espagne","alias":"spain","iso_code":"ES"},{"name":"Grèce","alias":"greece","iso_code":"GR"},{"name":"Inde","alias":"india","iso_code":"IN"},{"name":"Israël","alias":"israel","iso_code":"IL"},{"name":"Italie","alias":"italy","iso_code":"IT"},{"name":"Japon","alias":"japan","iso_code":"JP"},{"name":"Kazakhstan","alias":"kazakhstan","iso_code":"KZ"},{"name":"Lituanie","alias":"lithuania","iso_code":"LT"},{"name":"Pologne","alias":"poland","iso_code":"PL"},{"name":"Roumanie","alias":"romania","iso_code":"RO"},{"name":"Royaume-Uni","alias":"united-kingdom","iso_code":"GB"},{"name":"République de Corée","alias":"republic-of-korea","iso_code":"KR"},{"name":"République dominicaine","alias":"dominican-republic","iso_code":"DO"},{"name":"Suisse","alias":"switzerland","iso_code":"CH"},{"name":"Thaïlande","alias":"thailand","iso_code":"TH"},{"name":"Turquie","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"},{"name":"États-Unis","alias":"united-states","iso_code":"US"}],"cities":[{"name":"Brême","alias":"bremen"},{"name":"Essen","alias":"essen"},{"name":"Solingen","alias":"solingen"},{"name":"Berlin","alias":"berlin"},{"name":"Francfort-sur-le-Main","alias":"frankfurt-am-main"},{"name":"Erlangen","alias":"erlangen"},{"name":"Bad Krözingen","alias":"bad-krozingen"},{"name":"Aix-la-Chapelle","alias":"aachen"}],"operations":[{"name":"Remplacement de la valvule cardiaque","alias":"heart-valve-replacement"},{"name":"Pontage aorto-coronarien","alias":"coronary-artery-bypass-grafting"},{"name":"Stenting coronaire","alias":"coronary-stenting"},{"name":"Chirurgie de la communication interventriculaire","alias":"interventricular-septal-defect-surgery"},{"name":"Opération à coeur ouvert","alias":"open-heart-surgery"},{"name":"Remplacement de la valve aortique","alias":"replacement-of-the-aortic-valve"}],"diagnostics":[{"name":"Surveillance Holter","alias":"holter-monitoring"},{"name":"ECG","alias":"ecg"},{"name":"Numération globulaire complète","alias":"total-blood"},{"name":"Consultation avec un cardiologue","alias":"consulting-with-cardiologist"},{"name":"Consultation avec un chirurgien cardiaque","alias":"consultation-heart-surgeon"}],"illnessKinds":[{"name":"Chirurgie cardiaque","alias":"heart-surgery"}],"illness_kinds":[{"name":"Chirurgie cardiaque","alias":"heart-surgery"}]},"popularSearches":[{"name":"Ablation par radiofréquence","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"Remplacement de la valvule cardiaque","alias":"heart-valve-replacement","type":"operation","id":2},{"name":"Installation d'un stimulateur cardiaque","alias":"installing-heart-pacemaker","type":"operation","id":295},{"name":"Opération à coeur ouvert","alias":"open-heart-surgery","type":"operation","id":663},{"name":"Stenting coronaire","alias":"coronary-stenting","type":"operation","id":554},{"name":"Ultrason","alias":"u.s.","type":"diagnostic","id":37},{"name":"Consultation avec élaboration du plan de traitement","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Numération globulaire complète","alias":"total-blood","type":"diagnostic","id":83},{"name":"Consultation avec un cardiologue","alias":"consulting-with-cardiologist","type":"diagnostic","id":162},{"name":"ECG","alias":"ecg","type":"diagnostic","id":21},{"name":"Prolapsus de la valve mitrale","alias":"mitral-valve-prolapse","type":"illness","id":3224},{"name":"Insuffisance valvulaire aortique","alias":"aortic-valve-insufficiency","type":"illness","id":3225},{"name":"Syndrome de compression de l'artère aorto-mésentérique","alias":"aorto-mesenteric-artery-compression-syndrome","type":"illness","id":3459}],"operationPrices":{"operation_prices":{"129":{"operation":{"name":"Pontage aorto-coronarien","alias":"coronary-artery-bypass-grafting","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":135000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6200,"max_amount":12300,"currency":"USD","clinic_count":16,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":22000,"max_amount":41000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":19500,"max_amount":30000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":22000,"max_amount":35000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":true,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":true,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"AZ":true,"KZ":true,"LT":true,"RO":true},"description":"<p>L'opération améliore le flux sanguin vers le cœur en contournant les artères bloquées à l'aide d'une greffe de vaisseau sanguin.</p>"},"1594":{"operation":{"name":"Revascularisation сoronaire","alias":"coronary-revascularization","use_for_listing":false},"country_price":{"US":{"amount":125000,"max_amount":225000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":15000,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":33200,"max_amount":35000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":false,"DE":false,"TH":false,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":3049}},"responsibleDoctor":{"id":1682,"alias":"hasim-ustunsoy","name":"Hasim Ustunsoy","photo":"doctor/699ed71d22e22","advisory_text":"Le professeur Haşim Üstünsoy est chirurgien cardiovasculaire, spécialisé en chirurgie cardiaque robotique, réparation valvulaire et pontage coronarien. Il est un pionnier de la chirurgie cardiaque robotique utilisant le système Da Vinci en Turquie.","linkedin":"","specialities":[{"id":"crl.003","name":"Cardiovascular surgeon","illness_kind_id":23}]},"direction":{"id":23,"name":"Chirurgie cardiaque","alias":"heart-surgery"},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk or light work after sternotomy CABG; heavy manual work takes longer, depending on sternal healing."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any major postoperative complication in hospital, mostly atrial fibrillation; death, stroke, or dialysis each under 3%."},"contraindications":["Unsuitable coronary anatomy, such as tiny diffuse vessels without targets","Severe irreversible comorbidity with very limited life expectancy","Very high operative risk; stenting or medical therapy preferred (relative)","Active systemic infection or sepsis (relative; usually postponed)","Severe uncontrolled bleeding disorder (relative)","Recent stroke or severe neurological injury (relative, timing individualized)","Non-viable myocardium in the territory to be grafted (relative)"],"days_in_clinic":{"min":5,"max":9,"unit":"nights","qualifier":"Typical uncomplicated isolated CABG including 1-2 nights in intensive care or step-down unit; longer if complications occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walking starts immediately; cardiac rehab begins around 2-6 weeks; sternal precautions last 6-12 weeks; strenuous exercise needs surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to substantial recovery of energy and symptom relief after sternotomy CABG; full functional recovery varies."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After uncomplicated sternotomy CABG, once discharged and cleared by surgeon; depends on wound status, rhythm, effusions and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early wound check, often done locally after flight home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Surgeon or cardiologist review of recovery, medications and sternal healing."}},{"purpose":"rehabilitation","requirement":"conditional","after":{"min":14,"max":42,"unit":"days","qualifier":"Start of cardiac rehabilitation program if available."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Cardiology review of symptoms and risk-factor control."}}],"indications":["Left main coronary artery disease","Multivessel disease, especially with diabetes or reduced heart function","Proximal left anterior descending disease with additional vessel involvement","Persistent angina despite optimal medical therapy not suitable for stenting","Coronary anatomy unsuitable for percutaneous coronary intervention","Failed or complicated percutaneous intervention requiring surgical revascularization"],"main_risks":["Bleeding requiring re-intervention or transfusion","Postoperative atrial fibrillation","Sternal wound infection or poor sternal healing","Stroke or neurocognitive changes","Myocardial infarction or early graft failure","Kidney injury","Pulmonary complications such as pneumonia or pleural effusion","Leg or arm graft-harvest site wound problems","Death (low in uncomplicated elective cases, higher in high-risk patients)"],"pain":"Moderate to severe chest pain in the first days, controlled with multimodal analgesia; sternal and leg-harvest-site discomfort gradually improves over several weeks.","preparation":["Coronary angiography and cardiac imaging to plan grafts","Blood tests, ECG, chest imaging, kidney and lung assessment","Cardiac surgeon and anesthesiologist consultation; medication review","Screening for infection, including dental and skin; smoking cessation","Fasting before surgery per anesthesia instructions","Pre-operative education about intensive care, breathing exercises and sternal precautions"],"recovery_timeline":[{"phase":"Intensive care (day 0-2)","description":"Monitoring, ventilator weaning, chest drains and pacing wires removed in the first days.","restrictions":["Bed rest with assisted mobilization","Nothing by mouth until extubated and stable"]},{"phase":"Ward stay (day 2-7)","description":"Progressive walking, breathing exercises, wound care and rhythm monitoring before discharge.","restrictions":["Sternal precautions","No lifting or driving"]},{"phase":"Early home recovery (weeks 1-6)","description":"Gradual increase in walking, pain and fatigue improve, wounds heal.","restrictions":["Avoid lifting more than about 2-5 kg","Avoid pushing or pulling with the arms","No driving until cleared by the surgeon"]},{"phase":"Late recovery (weeks 6-12)","description":"Sternum consolidates, cardiac rehabilitation increases activity and return to work is considered.","restrictions":["Gradual return to heavier activity only with clearance"]},{"phase":"Full recovery (3-6 months)","description":"Energy and exercise tolerance return to near full levels.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated sternotomy CABG, including cardiac rehabilitation where available."},"result_longevity":"Arterial grafts, especially the internal mammary artery, often remain patent for many years, and vein grafts are less durable; long-term outcome depends on risk-factor control, medication adherence and disease progression.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Repeat revascularization within 10 years; higher with diabetes and vein grafts."},"scars":"Midline vertical chest scar over the sternum, plus a scar along the leg or forearm if a vein or radial artery is harvested; scars fade over months but can become hypertrophic.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation during one hospital admission."},"stages":[{"code":"cabg_operation","label":"Coronary artery bypass grafting operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standard isolated CABG is a single-stage operation."},"success":{"metric":"Freedom from major adverse cardiac and cerebrovascular events","value":75,"unit":"percent of patients","horizon":"5 years","population":"Adults with multivessel or left main coronary disease after isolated CABG","evidence_status":"limited"},"techniques":[{"name":"On-pump CABG via median sternotomy","suits_whom":"Most patients with multivessel or left main disease.","recovery":"Hospital stay of about 5-9 days; sternal precautions for 6-12 weeks."},{"name":"Off-pump CABG (OPCAB)","suits_whom":"Selected patients, e.g., with severe aortic calcification, at experienced centers.","recovery":"Broadly similar to on-pump, with possibly less blood loss and fewer pump-related effects."},{"name":"Minimally invasive direct CABG (MIDCAB)","suits_whom":"Selected patients needing a single left internal mammary artery graft to the LAD.","recovery":"Smaller incision, often shorter recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for standard isolated on-pump CABG with a few grafts, excluding anesthesia preparation and ICU stay."},"initial_assessment_documents":["Coronary angiography report and images","Echocardiogram report","Recent ECG","Stress test report (if available)","Cardiac MRI report (if available)","List of blood thinners and heart medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; total stay about 10-17 days including pre-op testing and flight clearance. Follow-up at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether the facility holds accreditation; some facilities abroad might lack it","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Confirm how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you can put your treatment questions to the treating team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Treatment advice comes from a sales team member or travel agent, not a clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic or hospital does not offer a written contract","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"You cannot ask the treating clinicians your questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain or pressure","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You have chest pain or pressure/angina.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Very fast heartbeat, especially with breathlessness","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your heart is beating very fast (more than 150 beats per minute), especially if you are short of breath.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Irregular heartbeat or skipped beats","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You feel an irregular heart beat - fluttering feeling in your chest or skipped beats.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Incision red, swollen, warm, or opening up","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your incision is red, feels warm to the touch, is swollen or starts to open.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Clicking sound in the breastbone","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You hear a clicking sound in your breastbone (sternum).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor can review the x-rays and scans done abroad","document":"x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms can be controlled with medicines","name":"Medicines for coronary heart disease","source":{"url":"https://www.nhs.uk/conditions/coronary-heart-disease/treatment/","host":"nhs.uk","quote":"if your symptoms cannot be controlled using medicines, interventional procedures or surgery may be needed","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"on-pump-cabg","name":"On-pump CABG via median sternotomy","how_it_works":{"text":"A bypass machine pumps blood during the operation","source":{"url":"https://my.clevelandclinic.org/health/treatments/24106-cardiopulmonary-bypass","host":"my.clevelandclinic.org","quote":"The machine pumps the blood back into your body through a tube connected to your aorta.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"off-pump-cabg","name":"Off-pump CABG (OPCAB)","how_it_works":{"text":"The heart keeps beating while the surgeon attaches the bypass vessels","source":{"url":"https://www.cedars-sinai.org/health-library/tests-and-procedures/o/off-pump-coronary-artery-bypass-surgery.html","host":"cedars-sinai.org","quote":"Your heart will keep beating during the surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-direct","name":"Minimally invasive direct CABG (MIDCAB)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=berlin/procedure=aortokoronarnoe-shuntirovanie/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":9},"manualSeo":[],"updatedAt":"2026-11-09T16:00:10.233Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}