Reliable Treatment to Save Lives with Coronary Artery Bypass Surgery

At our hospital, we perform coronary artery bypass surgery for coronary artery disease based on extensive experience and global evidence. We offer the most suitable surgical methods tailored to each patient’s condition, including arterial grafts and off-pump coronary artery bypass (OPCAB).

Providing Medical Institution

Kishiwada Tokushukai Hospital

〒596-0042
4-27-1 Kamoricho, Kishiwada City

https://kishiwada.tokushukai.or.jp/en/

Specialty

**Cardiovascular Surgery:**
1. Coronary Artery Disease
2. Heart Valve Disease
3. Aortic Aneurysm
4. Aortic Dissection
5. Arteriosclerosis Obliterans
6. Arterial Thrombosis
7. Complications of Myocardial Infarction
- Ischemic Cardiomyopathy
- Left Ventricular Rupture
- Left Ventricular Aneurysm
- Ventricular Septal Rupture
- Papillary Muscle Dysfunction (Mitral Regurgitation)
8. Infective Endocarditis
9. Intracardiac Tumors

**Cardiology:**
1. Ischemic Heart Disease (e.g., Angina, Myocardial Infarction)
2. Lower Limb Arteriosclerosis Obliterans
3. Arrhythmia
4. Heart Valve Disease
5. Aortic Stenosis
6. Mitral Regurgitation

**Lower Gastrointestinal Surgery**
*Da Vinci Si - Robot-Assisted Surgery*
1. Malignant Diseases
2. Surgical Treatment of Small and Large Intestine Diseases
3. Primarily Surgical and Medical Treatments for Colon and Rectal Cancer
4. Robot-Assisted Surgery
5. Laparoscopic Surgery
6. Multimodal Therapy Combining Surgery, Chemotherapy, and Radiation Therapy
7. Systemic Chemotherapy for Unresectable Colorectal Cancer

**Breast Surgery:**
1. Breast-Conserving Surgery
2. Mastectomy
3. Sentinel Lymph Node Biopsy
4. Lymph Node Dissection
5. Breast Reconstruction Using Autologous Tissue

**Neurosurgery:**
1. Stroke
2. Cerebral Hemorrhage
3. Subarachnoid Hemorrhage
4. Cerebral Infarction
5. Head Trauma
6. Traumatic Intracranial Hematoma
7. Skull Fracture
8. Chronic Subdural Hematoma
9. Brain and Spinal Cord Tumors
10. Acoustic Neuroma
11. Pituitary Tumor
12. Meningioma
13. Metastatic Brain Tumors
14. Functional Neurological Disorders
15. Facial Spasm
16. Trigeminal Neuralgia
17. Epilepsy
18. Normal Pressure Hydrocephalus

**Urology**
*Da Vinci Si - Robot-Assisted Surgery*
1. Robot-Assisted Laparoscopic Radical Prostatectomy
2. Prostate Cancer
3. Renal Cancer
4. Upper Urinary Tract Cancer
5. Urolithiasis (Urinary Stones)

**Radiology:**
1. Comprehensive Imaging Diagnosis (X-ray, Ultrasound, CT, MRI, Angiography, PET)
2. Liver Tumors
3. Gastrointestinal Hemorrhage
4. Arterial Embolization for Hemoptysis and Traumatic Hemorrhage
5. Transcatheter Venous Embolization for Gastric Varices
6. Intra-Arterial Chemotherapy for Cancer
7. Reservoir Placement
8. CT-Guided Biopsy (Interventional Radiology - IVR)
9. TomoTherapy - Radixact

**Dialysis**
*Travel Hemodialysis* (Available for Individual Travelers Only, Not for Groups)

**Other**
*Second Opinion* (In-person Only, Online Not Available)

Eligibility Criteria/Exclusions for Treatment

1. Medical Information: - Diagnosis (e.g., coronary artery disease, ischemic heart disease) - Detailed symptoms and progression - History of treatment and test results from other hospitals (e.g., echocardiography, CT, catheter examination) - Past medical history and comorbidities** (e.g., diabetes, hypertension) 2. Treatment History: - History of coronary artery treatments (e.g., PCI, stent placement, bypass surgery) - Details of medication treatment, including effectiveness and any side effects - Allergies and current medications 3. Age: - Age restrictions apply (pediatric cases) 4. Treatment Period, Duration, and Time: - Expected hospital stay duration (e.g., typical hospitalization days for bypass surgery) - Surgery time and postoperative care period - Frequency of outpatient visits and follow-up schedule 5. Other Conditions: - Urgency (e.g., whether emergency treatment is required for acute myocardial infarction) - Feasibility of treatment based on the patient’s physical strength and overall condition Based on the above information, we assess the feasibility of treatment acceptance and develop an appropriate treatment plan.

Precautions / Contraindications

1. Explanation of Treatment Methods:
- Provide detailed information on coronary artery bypass surgery and alternative treatment options (e.g., catheter intervention, stent placement), including the risks and benefits of each.
- Explain the use of arterial and venous grafts, the possible use of a heart-lung machine, and the feasibility of minimally invasive surgery (OPCAB).

2. Surgery and Hospitalization:
- Inform about the surgery time and the expected length of hospitalization (typically 1–2 weeks).
- Discuss postoperative pain management and the need for rehabilitation.
- Explain potential postoperative complications, such as infections, bleeding, or blood clots.

3. Preoperative Preparation:
- Highlight the importance of preoperative tests (e.g., blood tests, electrocardiograms, CT scans).
- Review medications that need to be stopped before surgery (e.g., anticoagulants, antiplatelet agents) and the required discontinuation period.
- Discuss dietary restrictions and fasting requirements before surgery.

4. Post-Discharge Follow-Up:
- Explain lifestyle restrictions after discharge (e.g., limitations on physical activities, carrying heavy items) and the timeline for returning to work.
- Emphasize the necessity of regular outpatient follow-ups and their schedule.
- Provide information on symptoms to monitor post-surgery (e.g., chest pain, shortness of breath, fever) and how to respond if they occur.

5. Cost Considerations:
- Provide an estimate of treatment costs.

6. Emergency Contact Information:
- Share the contact information for medical facilities or attending physicians to be reached promptly in case of sudden health issues after surgery or discharge.