Minimally Invasive Coronary Bypass Surgery

Minimally Invasive Coronary Bypass Surgery

Minimally invasive coronary artery bypass surgery is an advanced surgical technique used to restore blood flow to the heart while minimizing physical trauma to the chest. Unlike the conventional open-heart surgery approach of cutting through the breastbone, this method makes small incisions between the ribs. This is done to bypass blocked coronary arteries, providing an alternative route for blood and oxygen to reach the heart muscle.

In minimally invasive coronary bypass surgery, the heart surgeon performs a small incision, usually a few inches, on the left side of the chest between the ribs. The chest muscles are carefully parted, and a small portion of the costal cartilage may be removed to safely reach the heart.

Your surgeon will dissect an artery inside the chest, usually the internal mammary artery, and join it to the obstructed coronary artery with very thin sutures. While most cases do not need the heart-lung machine, your surgeon will keep it on standby in case of any medical requirement. Patients will receive general anesthesia to remain unconscious and to ensure it is experienced during the entire surgery. Special equipment is used to support the heart, and certain medications may be employed to temporarily reduce the heart rate. A drainage tube is inserted into the chest and usually removed after one to two days.

Patients who have a substantial blockage in one or both coronary arteries are recommended to have this surgery. When the heart's blood flow is diminished as a result of partial or total blockage of these arteries, coronary artery disease develops. The severity of the illness and the general health of the heart determine the available treatment options. Your care team will take you through the details of your case and help you decide the most suitable course of action. In certain situations, angioplasty or stent implantation may be more suitable. A highly trained and experienced team of experts at UMC Hospitals offers the best minimally invasive cardiac surgery in Navi Mumbai.

While minimally invasive coronary bypass surgery generally carries fewer risks than traditional open-heart surgery, complications can still occur. These may include:

  • Blood clots in the legs or lungs
  • Bleeding or need for transfusion
  • Breathing difficulties
  • Heart attack or stroke
  • Pain at the incision site

Some patients may experience:

  • Temporary memory loss or reduced mental clarity
  • Infections of the lungs, urinary tract, or chest
  • Irregular heart rhythms
  • Chest wound infections, particularly in patients with diabetes or obesity
  • Postpericardiotomy syndrome, marked by low-grade fever and chest discomfort

Your care team will discuss these risks in detail before surgery.

Before the procedure, inform your doctor about all medications you are taking, including supplements. Certain drugs that affect blood clotting may need to be stopped weeks before surgery. Notify your doctor if you develop any illness, such as fever, cold, or infection before surgery. On the day of surgery, you will usually be advised not to eat or drink from the previous night and to arrive at the hospital at a scheduled time.

Most patients are usually discharged two to three days after the surgery. You will be given all the necessary information regarding the care of your wounds, medications, physical activities, and follow-up appointments. Avoid any kind of heavy activities like lifting weights or exercising rigorously for at least two to three weeks.

UMC Hospitals offers the best minimally invasive coronary bypass treatment in Navi Mumbai using a multidisciplinary approach. Care is guided by clinical evidence, patient safety, and individualised treatment planning. The focus remains on clear communication, informed decision-making, and continuity of care throughout diagnosis, treatment, and recovery.