Treatments Offered At
- Heart & Vascular Care at Long Beach Memorial
- Heart & Vascular Care at Orange Coast Memorial
- Heart & Vascular Care at Saddleback Memorial - Laguna Hills
Innovative advancements in cardiac revascularization and coronary artery bypass grafting (CABG) surgical techniques have allowed this surgery to be performed without having the heart stopped and connected to a heart-lung machine—cardiopulmonary bypass (CPB), and without separating the breastbone (sternum) and ribcage. Robotic-assisted surgery reduces the risks associated with the use of the heart-lung machine—cardiopulmonary bypass (CPB), and allows for a faster recovery.
How Minimally Invasive Direct CAB Surgery Is Performed
Robotic-assisted MIDCAB surgery is typically performed when the arteries (left anterior descending (LAD)) at the front of the heart are blocked. Small keyhole incisions (one to two centimeters) are made on the chest, between the ribs. One of the incisions is used to pass a tiny camera, called an endoscope, to allow the atria to be viewed. The other two incisions are used to insert robotic surgical tools. During the operation, the surgeon sits at a console in the surgical suite and directs the robotic arms to perform the surgery. While the heart is still beating, the surgeon delicately grafts the bypass. The new vessel bypasses around the clogged coronary arteries. Blood can then flow freely to the heart. During the procedure, the surgeon may use a stabilization device to still the small area of the beating heart where the bypass is being grafted.
Benefits of Robotic-Assisted Heart Surgery
Robotic-assisted MIDCAB surgery offers the same benefits as open-heart coronary artery bypass grafting (CABG) surgery with shorter hospitalization, less bleeding, and a faster recovery.
Robotic-assisted MIDCAB surgery is only ideal for patients at low risk of complications, and those who have blocked arteries towards the front of the heart which can be reached through a small opening near the ribs. Each patient's diagnosis and treatment is unique and your physician will recommend the best approach for you.
Following the surgery, cardiac rehabilitation is provided in stages to help reduce risk for future heart problems and to make the recovery process faster.