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World’s First Triple Bypass Surgery and Aortic Valve Replacement Carried Out Simultaneously Using Pioneering Minimally Invasive Technique

contact: John P. Demoleas
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contact: Richard Clarke
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For Immediate Release


The innovative procedure, performed through small incisions, rather than the typical sternotomy chest incision, has sentimental added value: the patient is the surgeon’s late wife’s father

(NEW YORK, May 2010)—A team of surgeons led by Dr. Joseph McGinn, Medical Director of The Heart Institute, performed on April 22 2010, the world’s first Minimally Invasive Triple Bypass and Minimally Invasive Aortic Valve Replacement on a 77 year old gentleman. The Minimally Invasive Cardiac Surgery/Coronary Artery Bypass Grafting, whose name is shortened to MICS CABG (pronounced &mix cabbage”) has been developed and perfected since 2005 by none other than Dr. Joseph McGinn.

The patient, Dr. Arthur Pidoriano—a 77 year old male—was Dr. McGinn’s late wife’s father. “I know the man who is in the operating room very well and I respect him so much,” said Dr. McGinn, “although we have performed thousands of MICS CABG and minimally invasive aortic valve procedures, both have never been performed on the same patient at the same time. As challenging as this particular case sounded, I felt confident in the outcome.”

Pidoriano, a heavy smoker who was having trouble breathing prior to the surgery, left the hospital only 6 days after the procedure. “He has recovered faster than I expected. His breathing has improved dramatically since the surgery,” said Dr. McGinn.

The pioneering procedure took place only 2 days before the 128th Charity Ball, “Learning for Life,” to benefit the completion of Regina M. McGinn, M.D. Education Center due to open this fall. Dr. Regina McGinn, Dr. Josph McGinn’s late wife, died of cancer in 2001 at the age of 43. She was a leader in medical education and a physician at the Staten Island University Hospital.

Benefits of MICS CABG include less pain—since it is performed without having to break the ribs or the breastbone—lower risk of wound infection and minimized scarring for an improved cosmetic outcome. Most patients leave the hospital within two to three days and resume normal activities, like driving, within a couple of weeks.

MICS CABG is performed on a beating heart, making three incisions—two of them used to insert equipment that stabilize the heart while the surgeon manually performs the bypass through the third incision that is 3 inches long. Medtronic, Inc. and Dr. McGinn have worked together to improve and create new instruments beneficial to performing MICS CABG. They have developed the retractor known as the Thoratrak®, which is used in every procedure, as well as the Octopus Nuvo®, a stabilization and positioning device used for the first time in February 2010 during Dr. McGinn’s 500th MICS CABG case.

The Heart Institute—opened in 2001 and jointly operated by Staten Island University Hospital and Richmond University Medical Center—is one of the nation’s leading heart hospitals, known for its pioneering techniques in heart surgery and angioplasties, for its most advanced diagnostic technologies, post-surgical outpatient care, and cardiac prevention programs. Procedures include coronary bypass operations, heart valve repair/replacements, aneurysm surgery, angioplasties and cardiac catheterizations.