Innovations in heart surgery are continuously advancing, especially the progress in treating coronary artery narrowing or blockage with minimally invasive cardiac surgery coronary artery bypass grafting (Minimally invasive cardiac surgery Coronary Artery Bypass Grafting – MICS CABG) that does not require cutting open the sternum. This reduces surgical risks and complications and enables quicker recovery, allowing patients to maintain a quality life without lengthy recuperation.
What is Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)?
Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting or Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG) is a procedure to create a detour to treat narrowed or blocked coronary arteries. Surgeons use special tools to make a small incision about 7 – 10 centimeters in the rib area or under the left breast instead of opening the sternum. These special tools are used to sew bypass grafts while the heart continues to beat carefully. A stabilization device is used to keep the heart steady to ensure the bypass grafts are sewn securely and minimize interference with heart function. This procedure requires a highly skilled and experienced cardiac surgeon, reducing trauma, allowing a swift recovery, and providing results comparable to traditional surgery.
What are the steps for Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)?
- The patient undergoes a thorough examination and evaluation by a cardiac and thoracic surgeon to determine eligibility for minimally invasive cardiac surgery coronary artery bypass grafting.
- The surgeon plans to select the blood vessels for MICS CABG.
- The patient is given general anesthesia. The surgeon then uses special tools to make a small incision in the left breast area, accessing the heart through the intercostal space without cutting through the sternum. Special equipment is used to stabilize the heart area that requires grafting. The left internal thoracic artery is used for the bypass by sewing the artery to the blocked coronary artery to create a detour before closing the surgical incision.
Indications for Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)
- This method can be used in the same way as standard coronary artery bypass surgery.
- However, additional special examinations are necessary such as CT scans to decide if there are contraindications for minimally invasive surgery for safety and procedural success by the surgical team.
Who is suitable for Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)?
- Patients with coronary artery disease
- Patients who do not want their chest opened
- Elderly patients looking to reduce the risks of major surgery
- Patients without severe chronic lung disease
- Patients with mild heart enlargement
Advantages of Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)
|
Traditional Open-Heart Surgery |
Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting |
|
• Open sternum surgery |
• No need to open sternum |
|
• Tissue and surrounding blood vessels damage |
• Reduced tissue and blood vessel trauma |
|
• High blood loss |
• Low blood loss |
|
• Significant pain |
• Less pain |
|
• High risk of post-operative complications |
• Reduces severity of complications, especially for patients with underlying conditions such as diabetes, elderly, etc. |
|
• Slow recovery, long recuperation time |
• Fast recovery, short recuperation time |
Post-operative care after Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)
After MICS CABG surgery, patients are cared for in the surgical cardiac intensive care unit CCU for about 3 days, and then rest in the hospital 4 days. If no complications occur, they can be discharged to go home by strictly following the doctor’s advice, keeping an eye on any abnormal symptoms and attending follow-up appointments as scheduled.
Why choose Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG) at Bangkok Heart Hospital?
- The first specialized private heart hospital in Thailand.
- The MICS cardiac surgery team has experience in performing over 400 cases of minimally invasive cardiac surgery coronary artery bypass grafting (MICS CABG)
- State-of-the-art technology and equipment for diagnosing and performing minimally invasive cardiac surgeries (MICS)
- Plans and personalizes heart disease surgical treatments with internationally recognized standards and results.
Minimally invasive cardiac surgery coronary artery bypass grafting (Minimally invasive cardiac surgery Coronary Artery Bypass Grafting – MICS CABG) is suitable for those with blocked coronary arteries on the front side, accessible through a small incision between the ribs. However, heart disease treatment may vary in each case, depending on diagnosis and assessment by the medical team.
Hospitals specializing in Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)
Bangkok Heart Hospital is ready to provide care and treatment of narrowed or blocked coronary arteries with minimally invasive cardiac surgery coronary artery bypass grafting (Minimally invasive cardiac surgery Coronary Artery Bypass Grafting – MICS CABG), which is less painful and ensures quick recovery, all conducted by a highly experienced team of cardiac and thoracic surgeons and multidisciplinary experts to achieve quality life restoration.
Doctors specialized in Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting (MICS CABG)
- Dr. Nuttapon Arayawudhikul Cardiothoracic Surgeon specializing in Minimal Invasive Cardiac Surgery CABG at Bangkok Heart Hospital
- Dr. Permyos Ruengsakulrach Cardiothoracic Surgeon, specializing in Minimal Invasive Cardiac Surgery CABG, and minimally invasive valve surgery, off-pump coronary artery bypass technique at Bangkok Heart Hospital
