Coronary bypass · Decision guide
Understand why CABG is recommended—and compare the plan, not just the incision.
CABG routes blood around narrowed coronary arteries using grafts. It can relieve persistent angina and improve prognosis in selected coronary disease; the number and location of diseased arteries, diabetes and heart function shape the choice.
Medicines remain part of care. CABG and coronary stents are alternatives for different patterns of artery disease.
Sources: ACC revascularization guidance (2021) · ESC coronary guidance (2024)
Small-thoracotomy CABG improved the one-month physical-recovery score by 2.9 points versus sternotomy in selected patients; it did not test every bypass patient.
Hisar’s offer names Faruk Gençoğlu and seven hospital days. The hotel-duration fields conflict.
Sources: Bookimed: Hisar robotic CABG offer
Free Bookimed support. Compare options before deciding.
Sources: ACC revascularization guidance (2021) · ESC coronary guidance (2024)
Sources: NHS: CABG recovery
Istanbul, Turkey
Faruk Gençoğlu
Hisar Hospital Intercontinental
An advertised $20,000 robotic bypass package with preoperative tests, nursing, seven hospital days, hotel accommodation and transfers.
$20,000 advertised package
USD · advertised offer checked 8 October 2026.
An advertised named-surgeon package with explicit medical and travel services; no package-specific robotic CABG outcomes are supplied.
Barcelona, Spain
Xavier Ruyra Baliarda
Centro Médico Teknon
CABG with a named cardiac surgeon, preoperative specialist consultations, an individual room and five hospital days in the advertised package.
$41,411.97 advertised package
USD · observed 8 October 2026; individual quote required.
A named-surgeon CABG offer with defined medical inclusions. It supplies no package-specific outcomes cohort or comparative access-route results.
Complex multivessel disease, particularly with diabetes, can favour CABG over stents when the patient is suitable for surgery. Left-main disease and reduced pumping function also affect the benefit.
In stable coronary disease, treatment may relieve angina, prevent later events or improve survival in selected groups. Medicines and risk-factor treatment remain part of care after bypass or stenting.
Sources: ACC revascularization guidance (2021) · ESC coronary guidance (2024)
Coronary angiography shows the location and complexity of disease. The most useful comparison is whether each route can provide sufficiently complete treatment.
| Pathway | Main benefit | Main limitation |
|---|---|---|
| Medicines and risk-factor treatment | Relieve symptoms and reduce cardiovascular risk without an operation | May not control persistent angina or resolve high-risk coronary anatomy |
| PCI / stent | Opens a narrowed segment through a catheter | Complex multivessel disease may make complete treatment or long-term durability less favourable |
| CABG / bypass | Creates routes around diseased arteries and can address several vessels | Requires an operation and a longer initial recovery; graft and vessel selection matter |
Sources: ACC revascularization guidance (2021) · ESC coronary guidance (2024)
MIST, published in 2026, randomized 170 patients suitable for either multivessel CABG approach at seven centres. At one month, physical-recovery scores favoured small-thoracotomy surgery by 2.9 SF-36 points (95% CI 0.3–5.5). Previous cardiac surgery, haemodynamic compromise and combined procedures were excluded.
No deaths or strokes occurred through 12 months, but this small selected trial cannot establish equal rare-event safety or long-term graft durability. It informs a treatment discussion; it does not rank its investigators as surgeons.
CABG access and heart support are separate choices. Off-pump means the operation is performed without a heart-lung machine; it does not mean the incision is small. Robot-assisted or small-thoracotomy CABG is available for selected anatomy.
The benefit of any approach depends on completing the required graft plan. Limited exposure or an intraoperative problem can make a change of access necessary.
Sources: Bypasschirurgie | DHZC · Mayo Clinic: minimally invasive surgery
The angiogram defines the target arteries; echocardiography adds pumping and valve information. Earlier stents, grafts and operations can change the technical plan.
Sources: ACC revascularization guidance (2021) · ESC coronary guidance (2024)
Our programme directory identifies services that explicitly describe bypass surgery. Compare the named operating team, experience with cases like yours, support for complex or repeat surgery and the plan if complications occur.
Turkey · Gebze, Kocaeli (Istanbul region)
Complex valve repair and valve-sparing aortic-root surgery
Anadolu in Gebze offers complex valve repair and replacement of an enlarged aortic root while retaining the natural valve. Smaller-incision valve operations and selected robotic mitral or tricuspid procedures are also part of its cardiovascular programme.
What this means for your choiceComplex valve repair and valve-sparing root replacement provide routes to retain suitable native valve tissue.
Clinic, specialists and research →Sources: Cardiovascular Surgery — Anadolu Medical Center · Robotic Surgery — Anadolu Medical Center · Prof. Haşim Üstünsoy | Anadolu Medical Center · Prof. Haşim Üstünsoy — Anadolu Medical Center
Thailand · Bangkok
Surgical and catheter valve treatment within one heart team
Bumrungrad’s Heart Valve Center offers surgical valve repair/replacement together with TAVI and MitraClip assessment. Imaging, cardiac anaesthesia and rehabilitation are part of the same multidisciplinary service.
What this means for your choiceSurgical and catheter valve options can be assessed in one service with imaging, anaesthesia and rehabilitation disciplines.
Clinic, specialists and research →Sources: Bumrungrad Heart Valve Center · Treating Aortic Valve Stenosis with Transcatheter Aortic Valve Replacement (TAVR)
United States · Los Angeles
Robotic mitral repair measured by anatomy and durability
Cedars-Sinai’s Smidt programme has studied both an expanding robotic team and the durability of complex Barlow repair. Its evidence distinguishes getting a valve repaired from preventing recurrent leakage years later.
What this means for your choiceAnatomy-specific repair data separate routine prolapse from Barlow disease and include follow-up for recurrent leakage.
Clinic, specialists and research →Sources: Eliminating the learning curve in robotic mitral valve repair: Results from 1400 patients. · Robotic repair for Barlow mitral regurgitation: Repairability, safety, and durability. · Joanna Chikwe, MD · Joanna Chikwe clinical profile
Spain · Barcelona
CABG with a named team and defined inpatient care
Teknon’s current CABG package names Xavier Ruyra Baliarda and includes preoperative testing and consultations, an individual room and five hospital days. The hospital also describes his team’s beating-heart and blood-conservation techniques.
What this means for your choiceThe medical package defines preoperative assessment, room type and inpatient days, with hotel, airfare and transfers transparently excluded.
Clinic, specialists and research →Sources: Xavier Ruyra Baliarda — teknon cabg · Dr Xavier Ruyra — official Teknon clinical profile
Sources: Cardiovascular Surgery — Anadolu Medical Center · Bypasschirurgie | DHZC · Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital · Dr. Naresh Trehan | Medanta · Mr Ulrich Rosendahl | Royal Brompton & Harefield hospitals
Hisar’s named robotic CABG package is advertised at $20,000 with seven hospital days. Teknon’s named CABG package is $41,411.97 with five hospital days and an individual room. Their access specifications and travel inclusions differ.
The CABG cost guide shows included care and material gaps next to each price. Combined valve surgery, reoperation or a hybrid graft-and-stent plan represent different treatment scopes.
Sources: Hisar robotic CABG — advertised Bookimed package · Xavier Ruyra Baliarda — teknon cabg
NHS patient guidance describes roughly a week in hospital after CABG, about six weeks to most usual activities and two to three months for full recovery. These are different milestones, not a promised schedule. Rehabilitation, wound care and follow-up should be part of the quote and travel plan.
Sources: NHS: CABG recovery
Explore each specialist’s clinical focus, current programme and the studies relevant to this treatment. The listed roles include cardiac surgeons and, where appropriate, interventional cardiologists.
Gebze, Kocaeli (Istanbul region) · Turkey
cardiac surgeon
Üstünsoy directs adult cardiovascular surgery at Anadolu, whose programme includes coronary bypass.
Sources: Prof. Haşim Üstünsoy | Anadolu Medical Center · Cardiovascular Surgery — Anadolu Medical Center
Istanbul · Turkey
cardiac surgeon
Fedakar’s Hisar practice includes coronary bypass and beating-heart CABG.
Sources: Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital
Gurugram · India
cardiac surgeon
Trehan’s Medanta listing includes coronary bypass, off-pump and beating-heart CABG.
London · United Kingdom
cardiac surgeon
Rosendahl’s Royal Brompton practice includes coronary bypass alongside valve and aortic reconstruction.
Sources: Ulrich Rosendahl — clinical expertise and Royal Brompton location · Mr Ulrich Rosendahl | Royal Brompton & Harefield hospitals
Bangkok · Thailand
cardiac surgeon
Bumrungrad lists coronary disease among Ongcharit’s clinical interests as a cardiothoracic surgeon.
Sources: Pat Ongcharit, M.D. | Bumrungrad International Hospital
Gurugram · India
cardiac surgeon
Bazaz’s Medanta practice explicitly includes total-arterial beating-heart bypass and coronary endarterectomy.
Sources: Dr. Surinder Bazaz — Medanta Gurugram · Cardiac Surgery Experts in Gurugram — Medanta
Continue your guide
Free Bookimed support. Compare options before deciding.
Free Bookimed support. Compare options before deciding.
