Minimally Invasive Cardiac Surgery/Coronary Artery Bypass Grafting
What is MICS CABG?
Minimally invasive cardiac surgery/coronary artery bypass grafting, or MICS CABG (pronounced mix cabbage), is an "off-pump," multi-vessel coronary artery bypass surgery. It is much less invasive than traditional bypass surgery, in that, the surgery is performed through three small incisions rather than the typical sternotomy incision. The first incision, also known as the window incision, is approximately 2" in length. The second and third incisions act as access ports and are approximately 1" in length. The anastomoses are performed under direct vision through the lateral mini-thoracotomy. The internal mammary artery (IMA) takedown can be performed under direct vision, with video assistance, or robotically. Additionally, in order to achieve complete revascularization, a pump-assisted, beating-heart approach can be employed. The surgery is performed without breaking ribs or the breastbone.
MICS CABG is much less invasive than traditional bypass surgery, in that, the surgery is performed through three small incisions and without breaking the ribs or the breastbone.
The Many Benefits of MICS CABG
- Less pain (no broken bones)
- Lower risk of wound infection
- Fewer restrictions, including no driving restrictions
- Faster recovery, many patients discharged from the hospital within two to three days and can return to work within two weeks
- Improved cosmetic outcome
- Advanced age
- Long-term steroid use
- Severe COPD (Chronic Obstructive Pulmonary Disease)
- Severe deconditionings
- Need for other major operative procedure
- Patients with severe arthritic or orthopedic problems
- Urgent or emergent cases
- Advanced peripheral vascular disease
- Morbid obesity