What is the cause of tightness in the chest after a bypass surgery?
CEO & Chief Cardiac Surgeon,
National Heart Institute,
New Delhi
Q: My mother is 73 years old. She had a triple heart bypass surgery a year and a half ago. She is a diabetic and is on insulin. She has high blood pressure too but both are under control with medication. She is 5 feet tall and slightly overweight. After the bypass, she complains of tightness in her chest, which increases and decreases sometimes. But it is very uncomfortable. I have shown her to numerous doctors but there is no relief although all her tests have been clear. Please advise.
A:Following a bypass surgery, pain can be of two kinds. One is pain from the wounds and muscle and bones which are cut during the surgery and this pain and discomfort can last up to 3-6 months and certain people even complaint of tightness even beyond this period. The second kind of pain is the typical anginal pain which can return after bypass surgery in certain people where the smaller arteries are blocked or where the bypass operation itself may have some blockages coming up.Its extremely difficult to treat a specific problem through email and I think you would have to contact your doctor only in this matter.