Type of Surgery
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Last updated: 11/24/2009
Patients under the age of 70, but not limited by age, with a history of coronary artery disease can be evaluated for this procedure. High risk patients with advanced age, at risk for stroke, or suffering peripheral vascular disease, renal disease,...
or with poor lung function may benefit from OPCAB and MIDCAB.
Typically disease of the left anterior descending coronary artery is treated with the technique called off-pump
MIDCAB. With sternotomy, disease of the right and left coronary arteries can also be addressed by OPCAB. The significance and location of the coronary artery lesions may limit the success of the MIDCAB or OPCAB procedure. Most practices have at least one surgeon skilled in performing revascularizations without cardiopulmonary bypass. Of all coronary artery bypass grafting procedures, approximately 10–20% are performed in this manner.
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This narrated animation shows what happens in a myocardial infarction or heart attack. It shows how a blockage of a coronary artery causes a heart attack, leads to heart damage, and may lead to arrhythmias (abnormal electrical activity of the heart).
In traditional open heart surgery, a large incision is made in the chest, and the sternum must be broken (A). Minimally invasive surgery uses a much smaller incision between the ribs to access the heart (B). (Illustration by GGS Inc.)
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Minimally invasive coronary artery surgery is also called limited access coronary artery surgery. It's being evaluated in several medical centers as an alternative to the standard methods for coronary artery bypass graft surgery (CABG). Like CABG, the surgery is done to reroute, or "bypass," blood around coronary arteries that are clogged by fatty buildups of plaque to improve the supply of blood and oxygen to the heart.
From http://www.americanheart.org/presenter.jhtml?identifier=4702
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We are trying to balance those kinds of losses with the profitable side of business, which includes doing more cardiac surgeries. An emphasis has been placed on cardiac care because the medium age of residents is increasing, and more people are showing up with symptoms of heart disease.
-Kevin M. Spiegel
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