Special Report: The Heart of the Matter

Mending a broken heart

There are essentially two ways to address blockages in arteries: angioplasty or open heart surgery.

Bypass surgery

This procedure involves rerouting oxygenated blood around a blockage in a coronary artery so it can flow to the heart muscle.

Step 1: A vein from a patient's leg or artery from the forearm is taken to be used to create a "bypass" around the blockage.
Step 2: In the example above, one end of the artery is attached to the aorta, above the blockage. The other end is attached to the ventricle below the blockage. Once the operation is complete, the blockage is bypassed and blood flow to the heart muscle is restored.

Angioplasty

This procedure is designed to break up the blockage in the artery.

How a stent works:

Step 1: A balloon is inserted through a catheter tube up through a femoral artery to the blockage in the artery.
Step 2: The balloon is then inflated with a special solution, opening up the artery and restoring blood flow. Around the outside of the balloon is a stent, a stainless steel piece of mesh that expands with the balloon and keeps the artery open after it is deflated.
Step 3: Once the procedure is completed, the balloon is deflated and the catheter is removed. Blood is allowed to flow through the artery to the heart.

Wave

About Wave

Wave is published six times a year by the Winnipeg Health Region in cooperation with the Winnipeg Free Press. It is available at newsstands, hospitals and clinics throughout Winnipeg, as well as McNally Robinson Books.

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