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MIDCAB / OPCAB Surgery
MIDCAB (Minimally
Invasive Direct Coronary Artery Bypass)
In conventional heart operations, the heart is completely exposed through
a midline incision in the chest, the circulation of the
body is supported on a heart-lung machine and the heart is stopped cold.
Select patients may now have their coronary bypass performed using instruments
slipped through small "keyhole" incisions
between the ribs. The (MIDCAB) is performed on the beating
heart, usually bypassing the left internal mammary artery to the
left anterior descending artery (LIMA to LAD). This approach reduce
the surgical discomfort and trauma to the chest and ultimately speeds
the recovery process.
OPCAB (Off-Pump Coronary Artery Bypass)
Patients who require coronary bypass to multiple vessels
can still benefit from a less invasive off-pump or beating-heart
approach to their surgery. Using a combination of techiques and advanced
equipment the arteries on the surface of the heart are exposed and stabilized
then shunted and finally grafted without the need for a "heart-lung machine".
The OPCAB (off-pump coronary artery bypass) has been shown to
reduce blood loss, cost and hospitalization times.
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