Problem faced in minimal Invasive direct Coronary Artery Bypass surgery by a surgeon

Volume : VII, Issue : VIII, August - 2018

Dr. Mariappan Balaiah, Dr. Gnanavelu Ganesan

Introduction: Minimally Invasive direct coronary artery bypass (MIDCAB) offers arterial revascularization of LAD, Diagonal, High

OM‘s especially in the lesions not suitable for coronary intervention.

By avoidance of sternotomy and its invasiveness is less than that of conventional surgeries.

Aim: We in this study discuss the difficulties which we are facing in MIDCAB procedure.

Materials and Methods: 10 patients were operated on with the MIDCAB procedure. The inclusion criteria for MIDCAB were

LAD ostial lesions, Diagonal ostial lesions and High OM‘s ostial lesion in which stenting will be very difficult with high recurrence

rate.

Results: Mean age of patients was 58 ± 5 years. Patients preoperative and postoperative levels of cardiac CK–MB (creatine kinase

MB) were not significantly different, However cardiac troponin I ( p < 0.001) Hb (p < 0.001) Hematocrit ( p < 0.001) were

significantly different. No perioperative myocardial infarctions of cereovascular accidents were seen, The patients were

discharged at a mean day of 6.8 with oral antiaggregant therapy. Even the surgeon facing lot of difficulties no mortality was seen

in the study population.

Conclusion: MIDCAB is associated with few perioperative problem, by our experience is a very good option for LAD and High OM

disease.