Minimally Invasive Cardiac Surgery

Balloon pulmonary valvotomy
September 23, 2016

Minimally Invasive Cardiac Surgery In Bangalore | MICS Surgery in Bangalore

Minimally Invasive Cardiac Surgery, also known as MICS CABG (Minimally Invasive Cardiac Surgery/Coronary Artery Bypass Grafting). This is a procedure performed through several small incisions instead of the traditional open-heart surgery. This is favored by surgeons and patients because of reduced post-operative discomfort, faster healing times and lowered risk of infections or complications. The incision used for minimally invasive heart surgery is about 3 to 4 inches instead of the 6- to 8-inch incision required for traditional surgery. The Heart Center Hospital provides the Best Minimally Invasive Cardiac Surgery in Bangalore, with the help of top MICS Consultants.

Minimally invasive valve surgery is more complex and demanding than standard heart surgery, and many surgeons are not trained in its use or are uncomfortable performing it.  All surgeons would agree that if minimally invasive valve surgery is to be done, the patient must receive the same quality operation through the small incision that they would receive with a full incision.  With regards to mitral valve surgery, surgeons should be able to repair nearly 90% of degenerative mitral valve or ischemic mitral valve diseases, and this should not be compromised by the technique of surgery.

For select patients, the surgeon may decide that minimally invasive bypass surgery is appropriate. MICS (minimally invasive cardiac surgery) procedures are often done on a beating heart or through a smaller incision. Pioneering work is also being done throughout the world to develop techniques that will allow surgeons to perform beating-heart bypass procedures through “keyhole” incisions.

Coronary Artery Bypass Grafting (CABG)

Coronary Artery Bypass Grafting (CABG), or bypass surgery, is a safe and effective way of surgically treating the symptoms of coronary artery disease. It is a procedure that reroutes the blood around a blockage in the coronary artery, creating an alternative pathway for blood to deliver important nutrients and oxygen to the heart muscle.

Grafts are created by using portions of another artery or vein from the patient’s body. The most commonly used vessels are the internal mammary arteries, which are inside the chest wall, or the greater saphenous veins, which are in the leg. These vessels are “spares.” Blood flow is usually not affected by removing them. Less often, the radial artery in the arm may be used for a graft. Grafts usually last for 10 to 12 years.

Off-pump/beating heart bypass surgery allows surgeons to perform surgery on the heart while it is still beating. A medication may be given to slow the heart during surgery, but the heart keeps beating during the procedure. This type of surgery may be an option for patients with single-vessel disease (such as disease of the left anterior descending artery or right coronary artery).

During off-pump/beating heart surgery, the heart-lung machine is not used. The surgeon uses advanced operating equipment to stabilize (hold) portions of the heart and bypass the blocked artery in a highly controlled operative environment. Meanwhile, the rest of the heart keeps pumping and circulating blood to the body.