Type of Surgery
Information
Last updated: 11/24/2009
MIDCAB
Conversion to a full sternotomy or sternotomy with cardiopulmonary bypass is expected in 1–2% of patients. Redo procedures and reoperation can occur in over 5% of patients, which is still lower than the risk of a second...
procedure associated with balloon angioplasty and stent placement. Over 90% of all patients are expected to be free of adverse events. Complications most frequently involve rib fracture (over 10% of patients). Mortality associated with MICAB is low and is not seen during the surgical procedure in most instances, but is associated with post-operative complications.
OPCAB
Conversion to cardiopulmonary bypass may be required in patients if anastomosis cannot be completed due to unstable blood pressure, arrhythmia, ischemia, poor anastomosis, or poor surgical access. The same operative mortality is expected when compared to cardiopulmonary bypass patients. The expected decrease in neurological events, renal dysfunction, pulmonary complications, or arrhythmias has not yet been shown to be a consistent benefit, therefore all of these complications can still occur.
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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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Other Information
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
Other Information
In 2006, 2,192 heart transplantations were performed in the United States. There are 257 transplant hospitals in the United States, 135 of which perform heart transplantations. (http://www.unos.org/)
From: Unos.org
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