This approach provides patients some benefit in that cardiopulmonary bypass (use of a heart-lung machine) may be avoided, and smaller incisions can be used
Patency (openness) of the grafted vessels is expected to be the same as what is seen in traditional coronary artery bypass grafting.
Rib fracture is the most common adverse event. Pericarditis also is a possible complication. Supraventricular arrhythmias and ST segment elevation also may develop.
Minimally invasive valve surgery has been an outgrowth of the success with minimally invasive coronary artery bypass grafting.
surgery performed on the beating heart to provide coronary artery bypass grafting. This technique is often referred to as MIDCAB, minimally invasive direct coronary artery bypass; or OPCAB, off-pump CABG.
off-pump CABG (OPCAB) and minimally invasive direct coronary artery bypass (MIDCAB).
performed on the diseased heart to reroute blood around clogged arteries and improve the blood and oxygen supply to the heart.
A cardiothoracic, cardiovascular, or cardiac surgeon receives additional training to successfully complete this procedure.
Faster recovery time, decreased procedure costs, and reduced morbidity and mortality are the goals of this technique.
Percutaneous balloon angioplasty and coronary stenting of the left anterior descending artery are successful alternative procedures.
It was performed as early as the 1950s, although the technology associated with stabilizing the cardiac structure during the procedure has become more sophisticated.
The minimally invasive technique enables the surgeon to work on the heart through small chest holes called ports and other small incisions.
Patients under the age of 70, but not limited by age, with a history of coronary artery disease can be evaluated for this procedure. High risk patients with advanced age, at risk
Minimally invasive heart bypass surgery is done without stopping the heart and putting the patient on a heart-lung machine. A 3 to 5 inch incision is made in the left part of the chest between the ribs. This incision is much less traumatic than the traditional heart bypass surgery incision which separates the breast bone. Minimally invasive heart bypass surgery allows the patient less pain and a faster recovery.Reviewed ByReview Date: 03/21/2009David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
the anesthesiologist and perfusionist (person monitoring blood flow) have developed better techniques to preserve cardiac function during the procedure to help the surgeon achieve the desired outcome.