{"meta":{"humanUrl":"https://fr.bookimed.com/clinics/country=india/city=gurgaon/procedure=coronary-artery-bypass-grafting/","canonicalUrl":"https://fr.bookimed.com/clinics/country=india/city=gurgaon/procedure=coronary-artery-bypass-grafting/","jsonUrl":"https://fr.bookimed.com/clinics/country=india/city=gurgaon/procedure=coronary-artery-bypass-grafting/data.json","title":"Pontage aorto-coronarien à Gurgaon en 2026 : prix des cliniques","description":"Pontage aorto-coronarien à Gurgaon : comparez 4 cliniques et lisez les avis des patients. 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L'hôpital dispose de 11 centres d'excellence et de nombreuses certifications, notamment l'accréditation du National Board for Hospitals &amp; Healthcare et de la Joint Commission International, garantissant le respect des meilleures pratiques et directives de traitement. Une équipe de plus de 350 médecins de 40 spécialités traite des patients du monde entier.</p>\n","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":6500,"price_to":10000,"currency":"USD","id":13107},"operation":{"id":129,"name":"Pontage aorto-coronarien","alias":"coronary-artery-bypass-grafting"}},{"prices":{"price_from":800,"price_to":1500,"currency":"USD","id":12968},"diagnostic":{"id":469,"name":"Diagnostic cardiaque avant OP","alias":"heart-diagnosis-before-op"}}],"reviews":[],"clinic":{"id":72,"alias":"artemis-health-institute","name":"Artemis Hospitals","short_description":"<p style=\"text-align:justify;\"><strong>L'hôpital Artemis</strong> est un établissement médical primé offrant un service de classe mondiale à Gurgaon, en Inde. L'hôpital dispose de 11 centres d'excellence et de nombreuses certifications, notamment l'accréditation du National Board for Hospitals &amp; Healthcare et de la Joint Commission International, garantissant le respect des meilleures pratiques et directives de traitement. Une équipe de plus de 350 médecins de 40 spécialités traite des patients du monde entier.</p>\n","images":[{"base_url":"clinic/6405e2d234ec8","title":"Façade moderne de la clinique Artemis Hospitals à Gurgaon, Inde"},{"base_url":"clinic/6405e2e06a396","title":"Accueil d’Artemis Hospitals au design moderne et lumière naturelle"},{"base_url":"clinic/6405e2a22d420","title":"Chambre de patient à Artemis Hospitals avec lit moderne et équipements à Gurgaon, Inde"},{"base_url":"clinic/5ab24c6bc5b24","title":"Salle de don de sang à Artemis Hospitals avec donneur et équipement médical"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Inde","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Gurgaon","id":94,"alias":"gurgaon"},"address":"Sector 51, Gurugram, Haryana 122001, India"},"rating":{"rating":4.4,"google":4.1,"percent_of_satisfied_clients":82},"statistics":{"number_of_reviews":17,"doctors_number":400,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72a355c46.jpeg","name":"Conseil national indien d'accréditation des hôpitaux","country_code":"IN"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Meilleurs hôpitaux du monde 2021 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":" <p>Fortis Gurgaon est un centre médical multidisciplinaire privé en Inde.</p> <p>\n</p>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":74,"alias":"fortis-healthcare","name":"Fortis Gurgaon","short_description":" <p>Fortis Gurgaon est un centre médical multidisciplinaire privé en Inde.</p> <p>\n</p>","images":[{"base_url":"clinic/5ca70b8580e63","title":"Façade de l’hôpital Fortis Gurgaon, établissement médical moderne à plusieurs étages en Inde"},{"base_url":"clinic/5ac31c1ec1fc2","title":"Accueil de la clinique Fortis Gurgaon avec sièges modernes et accents en bois"},{"base_url":"clinic/5ac31c1b0d880","title":"Salle d’IRM avec scanner avancé chez Fortis Gurgaon, Inde, éclairage d’ambiance"},{"base_url":"clinic/5ac31c1be05c1","title":"Salle de scanner avec appareil Philips à l’hôpital Fortis Gurgaon, Inde"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Inde","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Gurgaon","id":94,"alias":"gurgaon"},"address":"Tower A, Unitech Business Park, Block – F, South City 1,  Sector – 41, Gurgaon, Haryana - 122001"},"rating":{"rating":0,"google":3.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":140,"year_foundation":2012},"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"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<strong>L'Institut Medanta</strong> est un grand complexe médical qui offre non seulement des traitements dans tous les domaines de la santé, mais qui dispose également d'un centre de recherche. Le directeur et fondateur de l'Institut est le chirurgien cardiaque de renommée mondiale, le Dr Naresh Trehan.\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":75,"alias":"medanta-the-medicity","name":"Medanta Hospital","short_description":"<strong>L'Institut Medanta</strong> est un grand complexe médical qui offre non seulement des traitements dans tous les domaines de la santé, mais qui dispose également d'un centre de recherche. 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L’équipe chirurgicale utilise la technique sans circulation extracorporelle afin d’éviter le recours à la machine cœur-poumon et d’accélérer la convalescence. L’intervention coûte généralement entre 2 600 et 4 700 $. Cette estimation couvre généralement l’intervention, l’anesthésie, le séjour en soins intensifs et les médicaments de base après l’opération. L’établissement est accrédité par le NABH et respecte des normes nationales élevées en matière de sécurité et de soins en Inde. Les patients reçoivent une estimation claire du coût avant le début du traitement.</p>","text_type":"mt_wow_description","best_texts":{"techniques":"Pontage coronarien sans circulation extracorporelle, pontage coronarien avec circulation extracorporelle","why_its_ranked":"Le pontage aorto-coronarien sans circulation extracorporelle, réalisé à cœur battant, évite le recours à la machine cœur-poumons pour accélérer la récupération. Taux de réussite de 98 % pour les interventions de pontage programmées. Chirurgien formé à l’AIIMS et au PGIMER, MRCP."},"reviews":[],"clinic":{"id":8817,"alias":"silverstreak-multispecialty-hospital","name":"SilverStreak Multispecialty Hospital","short_description":"<p>SilverStreak Multispecialty Hospital est un centre de traumatologie dirigé par des médecins, situé à Gurugram, en Inde. Il prend en charge les adultes et les enfants dans 15 spécialités. Ses principaux domaines d’expertise comprennent la neurochirurgie, l’orthopédie et la cardiologie. L’hôpital a été fondé en 2021 par le Dr V. K. Gupta, neurochirurgien fort de plus de 30 ans d’expérience. L’établissement dispose de plus de 350 lits.</p><p>Le taux de réussite des pontages coronariens programmés dépasse 98 %. SilverStreak est accrédité par la NABH et suit les recommandations de l’OMS en matière de sécurité des patients. Ses outils diagnostiques comprennent une IRM de 1,5 T, un scanner de 32 coupes et une salle de cathétérisme. Un bloc dédié à la neuronavigation contribue à la précision des interventions chirurgicales du cerveau et de la colonne vertébrale. Les patients internationaux bénéficient d’une aide pour les visas et d’un interlocuteur unique.</p>","images":[{"base_url":"clinic/6ad12026e8fb9","title":"Façade moderne de l'hôpital SilverStreak Multispecialty avec entrée des urgences"},{"base_url":"clinic/6ad12028accaa","title":"Façade moderne du bâtiment de l'hôpital SilverStreak Multispecialty"},{"base_url":"clinic/6ad1202a6a6c7","title":"Façade moderne du bâtiment de la clinique SilverStreak Multispecialty Hospital"},{"base_url":"clinic/6ad1202c0cd77","title":"Salle d'attente à SilverStreak Multispecialty Hospital avec sièges modernes"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Inde","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Gurgaon","id":94,"alias":"gurgaon"},"address":"Opp. DLF Skycourt, Sector 87, Gurugram, 122505"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":34,"year_foundation":2021},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}}],"meta":{"total_count":4,"total_pages":1}},"clinicsMeta":{"total_count":4,"total_pages":1},"clinicsCount":4,"clinicsCountByEntity":{"clinic_count":99},"doctors":{"doctors":[{"card_text":"<p>_doctor_1943_years_ réalisant des chirurgies cardiaques complexes – Le Dr Chishti est spécialisé dans le pontage aorto-coronarien et les transplantations cardiaques aux hôpitaux Artemis.</p><ul><li>Récompensé pour ses contributions à l'insuffisance cardiaque et à la transplantation d'organes</li><li>Expert en revascularisation artérielle totale et en cas complexes de réintervention chirurgicale</li><li>Recherche publiée sur les résultats du pontage aorto-coronarien chez les patients présentant une mauvaise fonction ventriculaire gauche</li><li>Diplôme MCh de l'Institut Sree Chitra Tirunal – institution de premier plan en chirurgie cardiaque</li><li>Membre du Conseil médical du Rajasthan</li></ul>","doctor":{"id":1943,"alias":"murtaza-ahmed-chishti","name":"Murtaza Ahmed Chishti","clinic_id":72,"photo":"doctor/5de683215ee3a","first_year_working":0,"created_at":"2019-12-03T15:38:10.000+00:00","short_description":"<p>Le médecin est un chirurgien cardiaque avec plus de 34 ans d'expérience, spécialisé dans la transplantation cardiaque et pulmonaire, la revascularisation artérielle totale, la chirurgie coronarienne complexe et réopératoire, et la chirurgie de l'aorte. &lt;\\/p&gt;</p><p>Il détient un MCh de l'Institut des sciences médicales et de la technologie Sree Chitra Tirunal, Trivandrum, ainsi qu'un MS et un MBBS de l'Université du Cachemire. &lt;\\/p&gt;</p><p>Reconnu pour ses contributions dans la transplantation d'organes thoraciques, il a reçu des récompenses de la Société d'insuffisance cardiaque et de transplantation et de Heart Failure 360. 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L'hôpital dispose de 11 centres d'excellence et de nombreuses certifications, notamment l'accréditation du National Board for Hospitals &amp; Healthcare et de la Joint Commission International, garantissant le respect des meilleures pratiques et directives de traitement. 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Il a été avec nous pendant tout le trajet, nous demandant si nous avions besoin de quelque chose, si tout allait bien et je n'arrêtais pas de lui poser des questions, mais il ne se fatiguait pas, il cherchait une réponse sur Google ou il les appelait directement pour éclaircir la situation. Au début, j'étais fatiguée d'envoyer des e-mails à tous les hôpitaux en Inde, mais après avoir contacté Bookimed, il a terminé tout ce qui m'avait pris trois semaines en deux jours. L'hôpital a été bon avec nous, ils ont arrangé un chauffeur nommé Manpreet Singh qui peut parler anglais et nous emmener partout où nous le demandons et nous aider à voyager dans des endroits populaires, c'est le meilleur. Je tiens à remercier Karan Kumar d'avoir été avec nous jusqu'à la fin, c'est lui qui s'est occupé de tout à l'hôpital pour nous et en dehors de l'hôpital aussi. Les infirmières sont gentilles et la nourriture est très bonne. L'opération de ma mère s'est très bien passée avec le Dr Anoop k Ganjoo, c'est vraiment un bon médecin.  Je vous recommande de changer vos dollars en roupies avant de partir en Inde.","en":"I want to thank Dr.Murtada, because he’s the one who arrange it with the hospital. he was with us the whole way asking if we need anything, if everything is OK and I keep asking him a question too but he doesn’t get tired he googled and answer or he calls them straight to figure out the situation. At first me doing it by myself make me tired of emailing all of the hospital in India but after I contact Bookimed he finish everything that it takes me three weeks to due in 2days.The hospital was good to us, they arrange driver named Manpreet Singh that can speak English and take us everywhere we ask am and help us travel popular places, he is the best. I want to thank Karan Kumar for being with us until the end he is the one who take care of everything in the hospital for us and outside of the hospital too. The nurse are nice and the food is very good and my mom surgery went very good by Dr. Anoop k Ganjoo, he is really good doctor.  I will recommend you changing your dollar to rupees before going to India."},"order":{"operation":{"id":2,"name":{"fr":"Remplacement de la valvule cardiaque","en":"Heart Valve Replacement"}}},"clinic_info":{"id":73,"name":"Apollo Hospital Indraprastha","alias":"apollo-hospitals","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2020-12-16T11:51:25.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"fr":"Je suis très satisfaite de l'aide apportée par le Dr Murtada, il m'a fait sentir que quelqu'un était avec moi pendant que je me débattais avec cette situation médicale. Il m'a demandé et vérifié comme s'il faisait partie de ma famille, je tiens à le remercier pour tout ce qu'il a fait pour moi et ma famille. Si j'ai besoin de voyager quelque part pour des vacances ou un voyage médical, je reviendrai sans aucun doute.","en":"I am very satisfied with support by Dr. Murtada, he make me feel like somebody was with me while I was struggling with this medical situation. he ask and check on me like he’s one of my family, I want to thank him so much for everything he have done for me and my family. If I need to travel anywhere  for vacation or medical travel I will for sure come back again."},"summary":{"positive":{"fr":"Le personnel infirmier est gentil et la nourriture est très bonne. L'opération de ma mère s'est très bien déroulée grâce au Dr Anoop K. Ganjoo, c'est un très bon médecin.","en":"\"The nurse are nice and the food is very good and my mom surgery went very good by Dr. Anoop k Ganjoo, he is really good doctor.\""}}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"<h2>Indications et contre-indications du PAC</h2><div class=\"accordion-item-text\"><p> Il existe les indications suivantes pour le PAC :</p><ul><li> plus de 50 % d'obstruction de l'artère coronaire gauche ;</li><li> 70 % de rétrécissement des vaisseaux cardiaques ;</li><li> sténose de la branche interventriculaire antérieure;</li><li> angor invalidant;</li><li> ischémie continue qui ne répond pas au traitement médical.</li></ul><p> Avant d'effectuer l'opération, les médecins examinent les antécédents médicaux du patient. Certains facteurs peuvent entraîner des complications lors de l’intervention ou de la période de rééducation. Il existe les contre-indications suivantes au PAC :</p><ul><li> infarctus du myocarde récent ;</li><li> chirurgie cardiaque récente ;</li><li> exposition aux radiations thoraciques;</li><li> conditions prédisposant aux saignements (mauvaise coagulation);</li><li> dysfonctionnement rénal;</li><li> infections (y compris les MST et les abcès dentaires) ;</li><li> pathologies pulmonaires chroniques non spécifiques ;</li><li> oncologie.</li></ul></div><h2> Types de pontage aorto-coronarien</h2><div class=\"accordion-item-text\"><p> Le pontage aorto-coronarien est divisé en :</p><ul><li> <strong>PAC à la pompe</strong> . Cette opération suppose l'utilisation d'un appareil de pontage cœur-poumon pour permettre aux chirurgiens d'opérer sur le cœur immobile. Pendant l’intervention chirurgicale, le sternum est ouvert et le cœur arrêté avec des médicaments. Une fois l’opération terminée, le cœur se met généralement à battre tout seul. Sinon, un petit choc électrique est utilisé pour le démarrer.</li><li> <strong>PAC hors pompe sur cœur battant</strong> . Dans certains cas, l’opération sans pompe sur cœur battant est plus viable, car elle permet d’éviter certaines complications. Une procédure sans pompe est recommandée pour les patients présentant un stade avancé d'athérosclérose de l'aorte, un dysfonctionnement rénal ou une maladie pulmonaire. Le PAC hors pompe réduit les risques d'inflammation, d'infection et d'arythmie postopératoires.</li><li> <strong>PAC direct mini-invasif</strong> . Cette procédure est similaire à la chirurgie sans pompe. La différence est que les chirurgiens pratiquent quelques petites incisions entre les côtes au lieu de couper le sternum.</li></ul><p> Dans certains cas, plusieurs contournements sont nécessaires. Découvrez combien coûte un triple pontage cardiaque en soumettant une demande sur le site Bookimed. Notre médecin coordonnateur vous contactera sous peu pour vous proposer une consultation.</p><p> Le coût du pontage aorto-coronarien est calculé individuellement pour chaque patient dans chaque cas particulier.</p><p> La procédure de pontage aorto-coronarien peut être réalisée de 3 manières. Le choix du type particulier de greffon dépend de l'emplacement de la zone bloquée, de la taille de la zone endommagée et du diamètre de l'artère.</p><p> Les « greffons » sont des veines et des artères qui agissent comme une anastomose, créant un pontage sur les vaisseaux cardiaques obstrués et rétablissant un flux sanguin normal. La veine est généralement prélevée sur la jambe d'un patient, tandis que l'artère est déplacée de la paroi thoracique. Au cours de l'opération, un chirurgien recoud le vaisseau d'origine du patient à l'artère coronaire, près de la zone de rétrécissement. Cela permet au flux sanguin de « contourner » la zone bloquée.</p><p style=\"text-align:center;\"> <span style=\"font-size:12px;\"><em>Processus de greffage</em></span></p><p> <strong>L'artère thoracique interne</strong> est un greffon couramment utilisé car elle donne les meilleurs résultats à long terme : les veines sont moins susceptibles de se boucher avec le temps. Un chirurgien retire l’artère de sa zone et coud ses extrémités dans l’artère coronaire en contournant le segment obstrué.</p><p> <strong>L'artère radiale</strong> est située dans la main avec l'artère ulnaire. Étant donné que l'artère ulnaire est le principal fournisseur de sang de la main, l'ablation de l'artère radiale pendant l'opération ne constitue pas une menace pour l'organisme.</p><p> <strong>La grande veine saphène</strong> est souvent utilisée comme greffon. Il s'agit d'un long vaisseau qui longe la face interne de la jambe. Pour prélever la veine, le chirurgien pratique une ou plusieurs petites incisions le long de son emplacement.</p></div><h2> Préparation au PAC</h2><div class=\"accordion-item-text\"><p> Un patient est hospitalisé 3 à 5 jours avant l’intervention chirurgicale. Ils subissent les examens nécessaires et se préparent à l'opération dans le service d'hospitalisation. Les tests et examens suivants sont effectués avant la chirurgie :</p><ul><li> angiographie coronarienne;</li><li> radiographie thoracique;</li><li> test de la fonction du foie;</li><li> écran de coagulation;</li><li> ECG.</li></ul></div><h2> Processus de pontage aorto-coronarien</h2><div class=\"accordion-item-text\"><p> <strong>Prémédication</strong></p><p> Avant l’opération, le patient reçoit une anesthésie générale. D'autres médicaments sont également introduits dans le corps du patient pour réduire la demande cardiaque en oxygène en abaissant la pression artérielle et en réduisant la fréquence cardiaque. Le flux sanguin myocardique est amélioré par l'utilisation de vasodilatateurs.</p><p> En cas de PAC sans pompe, des médicaments qui arrêtent temporairement le cœur seront administrés après l'incision de l'os thoracique.</p><p> Chaque patient est croisé avec au moins 2 unités de sang pour compenser la perte de sang pendant ou après l'opération.</p><p> <strong>Opération en cours</strong></p><p> L'opération dure de 3 à 5 heures. La durée dépend du nombre d'artères pontées et des particularités de santé du patient. Pendant l’intervention chirurgicale, un dispositif de pontage cœur-poumon assure les fonctions du cœur et des poumons. Il est vital que les médecins choisissent d’opérer le cœur qui ne bat pas. À la fin du PAC, un médecin installe des tubes de drainage dans la poitrine pour évacuer le liquide de la zone opérée. Ensuite, la plaie est recousue et le patient est amené à l'unité de soins intensifs où il reste jusqu'à stabilisation complète.</p></div><h2> Réhabilitation</h2><div class=\"accordion-item-text\"><p> <strong>Récupération à l'hôpital</strong></p><p> Un patient reste en unité de soins intensifs pendant 1 à 3 jours après l'opération. Cette période peut prendre plus de temps en cas de complications, la durée de l'hospitalisation influe sur le coût d'un pontage cardiaque. Les signes vitaux du patient seront constamment surveillés. Divers médicaments qui contrôlent la circulation sanguine et la pression seront administrés par voie IV. Un cathéter spécial est inséré pour drainer l'urine. Dans certains cas, une oxygénothérapie (oxygène délivré par un masque ou des tubes nasaux) et/ou un stimulateur cardiaque temporaire est utilisée. Un médecin peut fournir à un patient des bas de contention. Ils appliquent une légère pression sur les jambes pour empêcher le sang de s’accumuler et de coaguler.</p><p> Pendant les premiers jours après l'opération, le patient doit suivre strictement ces recommandations :</p><ul><li> contrôler la quantité d'eau consommée et excrétée ; prendre des notes pour le médecin traitant ;</li><li> faire des exercices respiratoires pour stabiliser la respiration et prévenir le développement d’une pneumonie. La gymnastique respiratoire comprend des jouets aériens, un massage de la zone au-dessus des poumons avec des manipulations par tapotements ;</li><li> au stade précoce de la rééducation, il est extrêmement important de tousser, car certains patients peuvent aggraver la situation en toussant ;</li><li> un corset thoracique doit être porté pour une cicatrisation plus rapide de la plaie.</li></ul><p> <strong>Récupération à la maison</strong></p><p> Avant qu'un patient ne soit renvoyé, un médecin lui donne des instructions et des lignes directrices spécifiques pour son rétablissement, notamment :</p><ul><li> comment prendre soin des incisions chirurgicales cicatrisantes ;</li><li> comment reconnaître les complications progressives ;</li><li> quand prendre des rendez-vous de suivi.</li></ul><p> Le patient reçoit également des informations sur la manière de gérer les différents effets secondaires pouvant apparaître après la chirurgie. Ils comprennent:</p><ul><li> démangeaisons des incisions;</li><li> inconfort ou douleurs musculaires au niveau des épaules et du haut du dos ;</li><li> dépression, sautes d'humeur, fatigue ;</li><li> constipation;</li><li> insomnie;</li><li> perte d'appétit.</li></ul><p> La guérison complète prend généralement jusqu'à 3 mois. Un médecin fournira plus d'informations sur l'état de récupération, mais les activités physiques habituelles peuvent être reprises après environ 6 semaines de rééducation.</p><p> <strong>Perspectives</strong></p><p> Un patient peut reprendre un travail sédentaire dans un délai d'un mois et demi après sa sortie de l'hôpital. Un travail physique plus intense peut nécessiter une période de récupération plus longue. Les patients après un PAC peuvent mener leur mode de vie habituel. La marche et la montée des escaliers sont particulièrement utiles pendant la période de rééducation. Les patients doivent éviter les promenades prolongées par temps très froid ou trop chaud, qui épuisent l'organisme.</p><p> Il faut abandonner les mauvaises habitudes : fumer et/ou boire peuvent provoquer une crise cardiaque. Un patient doit constamment surveiller sa tension artérielle. L'alimentation doit être revue : la consommation de sel, de graisses et de produits riches en cholestérol doit être minimisée. Un contrôle du poids est souhaité.</p></div><h2> Coût du pontage cardiaque</h2><div class=\"accordion-item-text\"><p> Le coût du pontage aorto-coronarien dépend des facteurs suivants :</p><ul><li> Type d’opération de PAC réalisée. Différents types de procédures imposent des exigences différentes à l'équipe opérationnelle et peuvent prolonger la durée de l'opération, influençant ainsi le coût du pontage cardiaque.</li><li> Un certain nombre de contournements requis. Certains patients ont besoin de deux ou trois pontages effectués en une seule opération. Le coût de l’opération de pontage triple cœur est plus élevé que celui de l’opération régulière de pontage simple.</li><li> État du patient. Le coût du pontage aorto-coronarien est fortement influencé par l’état de santé du patient pendant l’opération. Des médicaments et dispositifs supplémentaires peuvent être utilisés pour garantir le succès de l’opération. Un patient peut devoir passer plus de temps en unité de soins intensifs.</li><li> Emplacement. Le coût moyen du pontage cardiaque varie selon les pays. Par exemple, en Inde ou en Turquie, le coût d’un pontage cardiaque est 2 à 3 fois inférieur à celui des États-Unis ou d’Israël.</li></ul></div><h2> Comment recevoir un PAC à l’étranger ?</h2><div class=\"accordion-item-text\"><p> Pour subir une opération de PAC à l'étranger, soumettez une demande sur le site Bookimed. Dans les plus brefs délais, notre coordinateur médical vous contactera par téléphone. Vous pourrez poser toutes les questions concernant la procédure, notamment combien coûte un pontage cardiaque dans votre cas particulier. Bookimed traitera vos formalités administratives et organisera votre traitement à l'étranger, y compris le transfert vers et depuis un hôpital.</p></div>"},"guide_mc":{"text":"<p>Jour 1</p><ul><li> Arriver à l'aéroport.</li><li> Transfert à l'hôtel par un représentant de l'hôpital.</li></ul><p> Jour 2</p><ul><li> Transfert de l'hôtel à la clinique.</li><li> Rencontrez un cardiologue pour consultation.</li><li> Passez une échocardiographie Doppler couleur.</li></ul><p> Jour 3</p><ul><li> Rencontrez un chirurgien cardiaque pour une consultation préopératoire.</li><li> Subir les tests préopératoires nécessaires.</li></ul><p> Jour 4</p><ul><li> Subir un pontage aorto-coronarien.</li><li> La chirurgie dure environ 3 à 6 heures sous anesthésie générale.</li><li> Après l'opération, transfert à l'unité de soins intensifs.</li></ul><p> Jour 5 - Jour 7</p><ul><li> Restez à l'hôpital pour les soins postopératoires.</li></ul><p> Semaine 1 - Semaine 3</p><ul><li> Commencez une thérapie de réadaptation à l’hôpital.</li><li> Consultations de suivi régulières avec le chirurgien cardiaque.</li></ul><p> Semaine 4</p><ul><li> Retour progressif aux activités quotidiennes.</li><li> Consultation de suivi avec le chirurgien cardiaque.</li></ul><p> Semaine 6</p><ul><li> Retour au travail, selon la nature du travail et les progrès de la récupération.</li></ul><p> Semaine 12</p><ul><li> Le résultat final est généralement visible, même si la guérison peut se poursuivre.</li><li> Reprendre les activités sportives, selon les conseils du médecin.</li></ul><p> <i>N'oubliez pas que le processus de rétablissement de chaque patient est unique et dépend de divers facteurs, notamment l'âge, l'état de santé général et la complexité de l'intervention chirurgicale. Suivez toujours les conseils de votre médecin pour obtenir les meilleurs résultats de rétablissement.</i></p>"}}},"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 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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; 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