MINIMALLY INVASIVE CORONARY ARTERY BYPASS GRAFTING - A NOVEL TECHNIQUE AND STUDY AT OUR CENTRE

Dr. Kamlesh Jain; Dr. Yashasvi Sharma

Volume : VII, Issue : VII, July - 2018

MINIMALLY INVASIVE CORONARY ARTERY BYPASS GRAFTING - A NOVEL TECHNIQUE AND STUDY AT OUR CENTRE

Dr. Kamlesh Jain, Dr. Yashasvi Sharma

Abstract :

Background�Minimally invasive coronary artery bypass grafting (MICS CABG) is a procedure that does not require any additional infrastructure and can be done at all cardiac centers . It helps to decrease the invasiveness of surgery and with better postoperative results .This study aims to assess feasibility and advantages of MICS CABG.

Methods and Results�All myocardial territories are accessed via a 4– to 6–cm left fifth intercostal thoracotomy. An apical positioner and epicardial stabilizer are introduced into the chest through the subxyphoid and left seventh intercostal spaces, respectively. The left internal thoracic artery is used to graft the left anterior descending artery and saphenous vein segments are used to graft the lateral and inferior myocardial territories. Proximalanastomoses are performed directly onto the aorta. In the 50 MICS CABG procedures at our centers, meanSD age was 54 +/–9 years and 18 patients were female (36%). The average number of grafts was 1.2 +/– 0.4, with complete revascularization in 95% of patients. There were no conversions to sternotomy, and no reinterventions for bleeding .Only one patient had superficial wound infection.

Conclusions�MICS CABG is feasible any cardiac center . It is beneficial to patient and with excellent result as observed by the study done at our center.