Bypass surgery Cost in Bangladesh: What You Should Know

 In General

Coronary Artery Bypass Grafting (CABG) is a form of heart surgery that improves blood circulation in the heart muscle. It is a surgical procedure for patients with serious coronary heart disease (CHD), also known as coronary artery disease. A healthy artery or vein from the patient’s own body is grafted to the blocked coronary artery during CABG.

The grafted artery or vein circumvents (or bypasses) the blocked part of the coronary artery. This opens up a new passage, allowing oxygen-rich blood to bypass the blockage and reach the heart muscle. This article will provide an overview of bypass surgery in Bangladesh and its current state of success.

Cardiovascular Diseases and cardiac surgery in Bangladesh

Bangladesh is a South Asian country with more than 170 million people living only in an area of 148460 square kilometers. Bangladesh has experienced a significant increase in the prevalence of noncommunicable chronic diseases and associated mortality in the last few decades. Rapid urbanization took place in Bangladesh in the past few decades due to its fast economic growth, and recently, it has emerged as a developing country.

The results of this growth and urbanization increase the concern that a further rise in the chronic disease burden may be seen due to habituation of a sedentary lifestyle (changing food habits including growing access to and demand for processed food, inconsistent meal times, and reduced physical activity). Epidemiological studies have shown not only a high Cardiovascular disease (CVD) prevalence but also a significant increase in its prevalence in Bangladesh in the last few decades.

Besides conventional risk factors for different CVD, genetic predisposition and some novel issues like high salt intake, arsenicosis, hypovitaminosis D and air pollution may play important roles in the aetiopathogenesis of CVD in this population. Formulation of appropriate policy and more emphasis on preventive strategy may help combat CVD in Bangladesh.

Treatment:

The approach to cardiovascular disease management is more preventive than cure. The possible treatment options for the management of CVDs are vasodilators, beta-blockers, lipid-lowering agents, calcium channel blockers, ACE inhibitors, diuretics, etc. There are many types of heart surgery. Common surgery performed in Bangladesh is coronary artery bypass grafting (CABG). CABG: it is a surgical procedure used in which the blocked portion of the coronary artery is bypassed with another piece of the blood vessel.

Cardiac surgery in Bangladesh:

The first-ever open-heart operation in Bangladesh was performed on the 18th of September 1981. Although a few cases of finger fracture closed mitral commissurotomies were performed in the country in the 1960s and 1970s, full-fledged cardiac surgical services began only in Bangladesh after the establishment of the Institute of Cardiovascular Diseases at Dhaka in 1978.Bypass surgery Cost in Bangladesh: What You Should Know

A Japanese team that includes cardiac surgeons, anesthetists, cardiologists, nurses, and technicians came to Bangladesh and played an important role in the initiation of such a Bangladeshi endeavor. Since then, cardiac surgery in Bangladesh has made significant progress although it may not be enough to serve 170 million people.

In 2019, twenty-nine centers performed a total of 12926 cases in Bangladesh. Remarkable advancement in cardiac surgery has been made in terms of cost, quality, and excellence in Bangladesh. Many patients get Cardiothoracic treatment done in Bangladesh because of, the availability of well-established & international standard cardiac centers in Dhaka, Qualified & highly experienced cardiac surgeons,   multidisciplinary service, and cardiothoracic costs in Bangladesh are affordable.

Bypass Surgery cost in Bangladesh:

 Cardiac Surgery Package

SL. Name of Procedure Amount Duration Of Stay
01 Angiogram (CAG) 18000/- to 25000/- one (01) day
02 Bypass Surgery (CABG) Normal 2,50,000/- to 3,50,000/- Ten (10) days
03 Midcab Bypass Surgery 4,50,000/- to 5,50,000/- Five (05) days
04 Valve Surgery 3,00,000/- to 3,50,000/- Ten (10) days
05 Congenital Heart Surgery (ASD, VSD, PDA, TOF) 2,50,000/- to 3,50,000/- Eight (08) days
06 ASD and PDA ( Midcab) 3,50,000/- to 4,50,000/- Five (05) days

NB: Medical Device, Mechanical / Tissue Valve and Blood Packages excludes.

Package Charge of Cardiac Operation (CABG) approximately 2,50,000/- to 3,50,000/-. This charge includes 10 days in the Ward from the date of operation and investigation including Blood, X-ray, and ECG only. If any patient stays more than 10 days, any investigation is done and medicine is used after 10 days of operation, then a patient will bear charges of hospital stoppage, investigations, medicine, etc.

The hospital will provide medicines only for related operations, but not for other associated diseases which are not included in the package. The cost of Blood and blood products will be borne by the party and not included in the package.

Factors Influencing the Cost of Bypass Surgery in Bangladesh:

Coronary artery bypass graft (CABG) operations consume more healthcare resources than any other single procedure. The analysis of the previous studies indicates the most important factors affecting costs and outcomes are gender, age, whether or not the surgery is a reoperation, and whether the patient experiences postoperative complications. other factors are access to Quality Care, availability of Specialists, cost of Hospital Stay, and Cost of Bypass Surgery in Bangladesh.

Conclusion:

Eventually, Coronary artery bypass grafting (CABG) is a safe treatment for patients with coronary artery disease. Progressive improvements in post-operative survival over its twenty-year history have been observed through improvements in surgical technique. Many quality improvement initiatives consider factors related to better outcomes of bypass surgery in Bangladesh. These include the experience and qualified surgeon, the material resources (equipment, facilities, and staffing ratios) required to provide care, and better postoperative care.

Recent Posts

Leave a Comment

Professor AKM Manzurul Alam doing pediatric congenital cardiac surgery