Minimally Invasive Coronary Artery Bypass Grafting (CABG)

Minimally Invasive Coronary Artery Bypass Grafting (CABG)

Coronary Artery Bypass Grafting (CABG) is a surgical procedure done to treat blocked or narrowed arteries of the heart. Commonly known as open heart surgery, it is traditionally done through a large incision across the breastbone while the patient is placed on a heart-lung machine. Minimally invasive CABG is a keyhole surgery done through a small incision and without stopping the patient’s heart. The procedure is as effective as the traditional method, but with more advantages.

Benefits of minimally invasive CABG over traditional open-heart surgery include:

  • Faster recovery time
  • Fewer complications
  • Smaller scar
  • Less blood loss
  • Shorter surgery time and hospital stay
  • Lower risk of infections, stroke and arrhythmia
  • Economical

CABG is indicated in the following conditions:

  • Blockage in one or two coronary arteries
  • Angina with poor response to medications and cardiac rehabilitation
  • Failed angioplasty or stenting
  • Patients at higher risk for open-heart surgery
  • Advanced atherosclerosis
  • Chronic lung diseases

Minimally Invasive CABG procedure takes about 2-3 hours. The surgery is performed by a cardiothoracic surgeon who is supported by an anaesthetist, operation theatre staff and junior surgeons. A perfusionist, a heart-lung bypass machine specialist is also present in cases where the patient may need that support.

General anaesthesia is administered to the patient prior to the procedure. The surgeon then makes a 2–3-inch incision between the ribs on the left side of the chest. An endoscope with an attached camera is inserted through the incision along with other specialized surgical instruments. The muscles in the area are pushed apart to find an artery from the chest wall, usually the internal mammary arteries. A portion of the artery is removed and attached to the aorta on one side and the blocked coronary artery on the other side, to bypass the blockage. The procedure is repeated if there is more than one blocked artery. All the instruments are removed and the incision is closed with sutures.

Patient is monitored for 24 hours in a Cardiac Care Unit and then moved to a regular room. If the results of the procedure are good, patient is discharged after 3-5 days with instructions for care at home.

The Centre for Cardiac Sciences at Kokilaben Dhirubhai Ambani Hospital, Indore provides the best Coronary Artery Bypass Grafting (CABG) facilities. The team is led by top cardiac surgeons who have years of expertise in performing Minimally Invasive Coronary Artery Bypass Grafting (CABG). They use the most advanced technology to perform this surgery ensuring better outcomes and faster recovery.