Minimally invasive coronary bypass surgery

Minimally invasive coronary artery bypass surgery

Minimally invasive coronary artery bypass surgery is the latest technology in heart surgery, which is now a routine procedure in Turkey, its advantages and risks, and who is the right patient for this procedure.

Overview of Minimally Invasive Coronary Artery Bypass Surgery

The heart pumps blood throughout the body to provide it with oxygen and the materials necessary for its survival, but who nourishes the heart itself?
The coronary arteries are responsible for this and thus are responsible for feeding the heart continuous oxygen.

Coronary artery disease, which causes narrowing of one or more coronary arteries, obstructs the blood flow to the heart and causes angina or Myocardial infarction.

To treat this emergency situation, the doctor may give vasodilator drugs that help increase blood flow to the heart, such as nitrates and calcium channel blockers, or we stretch narrow vessels using percutaneous coronary intervention technique or by bypassing the blockage area with coronary artery bypass grafting By using a vessel (artery or vein) of secondary importance and can be dispensed with from the patient's body (to avoid immune rejection) and linking the pre-occlusion to the post-occlusion by means of this graft.

This operation was performed using the beating heart technique, and the doctor had to spread the sternum and perform the operation on a beating heart with the help of special techniques. This procedure is considered a challenge to the doctor and the patient and is not without risks.

Today in Turkey, it is possible to place these bypasses using a minimally invasive technique By using small incisions in the chest wall without the need for a long incision, it is performed using the latest robots and technologies, so the doctor can work in this narrow space.

What is minimally invasive coronary artery bypass surgery?

Minimally invasive coronary bypass surgery (also known as beating heart surgery) is a less invasive alternative to CABG surgery.

Minimally invasive bypass surgery can improve blood flow to the heart without the potential complications, without the use of a cardiopulmonary bypass machine and the long recovery time associated with conventional CABG surgery.open heart surgery.

Minimally invasive coronary artery bypass surgery
Minimally invasive coronary artery bypass surgery

Types of minimally invasive coronary bypass surgery

Beating heart surgery is done while your heart is still beating, so you don't need the help of a heart-lung bypass machine. There are two types of minimally invasive coronary bypass surgery:

First: Minimally Invasive Direct Coronary Artery Bypass (MIDCAB)

If your doctor recommends MIDCAB surgery for you, you won't need help from a heart-lung bypass machine to keep your heart beating during the procedure.

You'll also need smaller incisions in the chest to access the coronary arteries compared to a single, large incision in traditional CABG surgery.

Small incisions expose only areas of the arteries that need to be grafted rather than the entire heart in open CABG surgery.

Advantages of MIDCAB versus traditional CABG surgery include:

  1. Low risk of infection.
  2. Small incisions mean smaller scars.

MIDCAB surgery is not suitable for patients who require bypasses of several vessels. Because of the smaller incisions, the surgeon can repair vessels on only one side of the heart.

Second: Off-pump coronary artery bypass (OPCAB)

OPCAB is a type of minimally invasive coronary artery bypass surgery that requires a smaller incision and does not require the use of a cardiopulmonary bypass machine.

during Coronary artery bypass grafting without a pump, a cardiovascular surgeon will take an artery or vein from another area of the body and use that vessel to bypass the blocked vessel to restore normal blood flow.

Patients who have OPCAB usually have less pain and a shorter recovery time than patients who have undergone traditional coronary artery bypass surgery. The use of robots in cardiac surgery and its results in Turkey.

An image showing the difference in incisions between traditional and minimally invasive coronary bypass surgery
Minimally invasive coronary artery bypass surgery vs. traditional surgery

Who is a candidate for minimally invasive coronary bypass surgery?

Minimally invasive coronary bypass surgery is not an option for all patients.

Ideal candidates for this method of treatment are:

  • Who has one to three narrowed arteries.
  • Too high risk of conventional CABG surgery (older adults or people with COPD)

I have shown Studies It is possible to perform minimally invasive coronary bypass surgery in elderly patients.

What to expect during minimally invasive coronary bypass surgery in Turkey?

Minimally invasive coronary bypass surgery can be performed in several different ways:

  • Robot-assisted heart surgery: The surgeon will use a robot to bypass the blocked blood vessel. The surgeon will move the robotic arms in a remote control unit and view the heart through a 3D screen.
  • Thoracoscopy surgery: The surgeon will insert the thoracoscope with a video camera into an incision in the chest wall and repair the heart with tiny instruments that are attached to the heart through the thoracoscope.
  • Small incision in the chest: Your doctor will make a small incision between the ribs in your chest to access the blocked blood vessels.

What are the advantages of minimally invasive coronary bypass surgery?

There are many advantages of beating heart surgery, including:

  • Shortest hospital recovery time after surgery
  • Faster return to normal activity
  • Less risk of infection
  • Less blood loss
  • smaller incision
  • Lower risk of depression after surgery
  • Better survival rate
  • Fewer complications in the kidneys or liver

    Image showing the location and shape of the scar after minimally invasive coronary artery bypass surgery
    Scar appearance after minimally invasive coronary artery bypass surgery

What are the risks of minimally invasive coronary bypass surgery?

Although there are fewer complications associated with minimally invasive coronary bypass surgery than conventional coronary artery bypass surgery, the procedure is still risky. Complications can include:

  • infection
  • bleeding
  • brain attack
  • wound infection
  • Arrhythmia
  • blood clots
  • Renal failure
  • Anesthesia complications
  • sudden death

And in case the patient faces any problem after the operation, his family’s Bimaristan Center is in Turkey and he can us With us at any time.

Recovery from minimally invasive coronary bypass surgery

Recovery after minimally invasive coronary bypass is faster and easier than after a traditional CABG.

You will spend about five days in the hospital to recover from the procedure. Once you are discharged from the hospital you will not be able to drive home and you should not tire yourself until you get clearance from the doctor. You will have a follow-up appointment within a week of the surgery.

Recovery may take a few weeks, as you gradually regain strength, you may be referred to a cardiac rehabilitation program to help you return safely to your normal activities as it helps Bimaristan Medical Center In Turkey at all stages of treatment and follow-up and guide you to the best doctors and treatment centers in Turkey.

Common Questions

Coronary artery bypass surgery or coronary artery bypass grafting.

The cost of coronary artery bypass surgery in Turkey is about 14 thousand euros, the coronary artery bypass surgery takes about 3-6 hours, and for minimally invasive coronary artery surgery, it takes less than that, about 2-4 hours.

In general, studies have shown that coronary artery bypass surgery has a low mortality rate of about 2-3% and the incidence of complications ranges from 20-30%, and the percentage is lower when performed with the minimally invasive technique; The mortality rate, according to the latest studies, ranged from 0-4%, and the incidence of complications such as wound infection, arrhythmia, and strokes ranged from 1.6-40%.

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