Expert Answer · General

How long does heart surgery take?

Quick Answer

Heart surgery duration varies significantly by procedure. Coronary artery bypass (CABG) typically takes 3-5 hours. Valve replacement or repair takes 3-4 hours. Combined CABG-valve surgery takes 4-6 hours. Aortic root replacement takes 4-6 hours. Complex aortic arch surgery can take 6-10+ hours. TAVR (transcatheter) typically takes 1-2 hours. These times include anesthesia induction and bypass time but not pre-operative preparation.

In Depth

The complete answer.

The total time from entering the operating room to leaving may be 1-2 hours longer than the surgical time itself, due to anesthesia preparation, positioning, and wound closure. Cardiopulmonary bypass (heart-lung machine) time — the period when the heart is stopped — is a subset of total operative time and is a predictor of complications. Shorter bypass times generally correlate with better outcomes. Minimally invasive approaches may take slightly longer operatively but result in shorter overall recovery.

Answered By
Rahul R. Handa, MD
Cardiovascular & Thoracic Surgeon
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