Cardiac bypass surgery with aortic or mitral valve replacement surgery

Duration for in hospital stay: 9 days

Admission day:

- Admission to hospital
- Clinical evaluation by the treating physician and his team
- Preoperative check-up (Full Blood Count (FBC), Blood group, Rhesus, crossmatch 4 units of erythrocytes + plasma, Urea, Creatinine, Glucose, Electorlytes, Liver enzymes (LFTs), PT, aPTT, INR, HIV, HbsAg, HCV, Urinalysis, ECG, Chest X-Ray, Cardiac Ultrasound)
- Cardiological evaluation
- Preoperative assessment by consultant anesthesiologist
- Patient preparation

Day of surgery:

- Proposed operation – Intraoperative transesophageal ultrasound
- Transfer to Intensive Care Unit (ICU)
- Postoperative assessment by treating surgeon and his team and ICU physicians

1st postoperative day:

- Treatment in ICU
- Postoperative assessment by treating surgeon and his team and ICU physicians

2nd postoperative day:

- Transfer to the Ward
- Telemetry
- Postoperative assessment by treating surgeon and anesthesiologist
- Mobilization
- Physical Therapy – respiratory therapy.
- Blood Potassium check (afternoon)

3rd postoperative day:

- Postoperative assessment by treating surgeon and his team
- FBC, Blood Potassium (Χ2), Sodium, Urea, Creatinine, LFTs, Glucose Chest X-Ray, ECG – INR (in case of anticoagulation therapy)
- ECG

4th postoperative day:

- Postoperative assessment by treating surgeon and his team
- Blood Potassium check (x2) and INR (in case of anticoagulation therapy)

5th postoperative day:

- Postoperative assessment by treating surgeon and his team
- Blood Potassium check (x2) and INR (in case of anticoagulation therapy)

6th postoperative day:

- Postoperative assessment by treating surgeon and his team
- FBC, Blood Potassium (Χ2), Sodium, Urea, Creatinine, LFTs, Glucose Chest X-Ray, ECG – INR (in case of anticoagulation therapy)
- Cardiac ultrasound
- ECG

7th postoperative day:

- Postoperative assessment by treating surgeon and his team
- Blood Potassium check (morning)
- Detailed postoperative instructions in the patients native language (wound care, dietary instructions, physical activities, rehabilitation, things to avoid, medication – if needed)
- Discharge from hospital

1st follow-up appointment:

In 1 week - clinical evaluation by treating physician and his team
Full Blood Count, Urea, Creatinine, Electorlytes, Liver enzymes, PT, aPTT, INR, ECG, Chest X-Ray, ECG

2nd follow-up appointment:

In 2 more weeks
Full Blood Count, Urea, Creatinine, Electorlytes, Liver enzymes, PT, aPTT, INR, ECG, Chest X-Ray

Rehabilitation:

The patient can return to work in 3 months after the operation

ATTENTION:

The patient should avoid lifting weights, driving as well as any activity that might endanger the proper healing of the sternal wound for a period of 6 weeks

INFORMATION:

The free personal assistant fluent in your own native language will be escorting you throughout the duration of your hospital stay

With the hospital 24 / 7
- Free personal assistant
- IPD Doctor
- Attending Physician

**The total cost depends on patient’s health condition, test results etc.

*** Accommodation in hotel can be extended upon request.