Minimally invasive coronary artery bypass surgery and everything you need to know about this procedure

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.

Minimally invasive coronary artery bypass surgery and an overview

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 of the coronary arteries, impedes the flow of blood nourishing the heart and causes angina pectoris 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 with a minimally invasive technique using small incisions in the chest wall without the need for a long incision. It is performed using the latest robots and techniques, so that the doctor can work in this narrow space, as this operation falls under the term Laparoscopic heart surgery.

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.

Types of minimally invasive coronary artery bypass surgery

Beating heart surgery is performed while your heart is still beating so you don't need help from a doctor Cardiac bypass device and lung, there are two types of minimally invasive coronary bypass surgery:

First: Minimally Invasive Direct Coronary Artery Bypass (MIDCAB)

If your doctor recommends MIDCAB for you, you won't need the help of 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 one 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.

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 minimally invasive coronary artery bypass surgery are:

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

I have shown numerous 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 at a remote console and view the heart through a 3D monitor.

• Thoracoscopic surgery: The surgeon will insert a 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 a thoracoscope.

• Small incision in the chest: Your doctor will make a small incision between the ribs in your chest to access 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

  

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
• Stroke
• 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 contact 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 Bimaristan Medical Center in Turkey assists you in all stages of treatment and follow-up and guides you to the best doctors and treatment centers in Turkey.

Finally, we find that coronary artery bypass surgery is one of the most modern surgical methods currently used.
It also provides advantages that are not provided by the traditional method, as coronary artery bypass surgery is minimally invasive and does not carry as much risk to the patient as other methods.

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Sources:

1. Ucsfhelath
2. Mercy health
3. Pennmedicine