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Surgery.com / Heart / Minimally Invasive Heart Surgery

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Last updated: 11/24/2009

Resources

BOOKS

Hensley, Frederick A., Donald E. Martin, and Glenn P. Gravlee, eds. A Practical Approach to Cardiac Anesthesia. 3rd ed. Philadelphia: Lippincott Williams & Wilkins 2003.

PERIODICALS

Borst,...

H. G. and F. W. Mohr. "The History of Coronary Artery Surgery—A Brief Review."The Thoracic and Cardiovascular Surgeon 49 (2001): 195–198.

Holubkov, R., et al. "MIDCAB Characteristics and Results: the CardioThoracic Systems (CTS) Registry."European Journal of Cardio-Thoracic Surgery 14, suppl.1 (1998): S25–S30.

Lund, O., et al. "On-pump Versus Off-pump Coronary Artery Bypass: Independent Risk Factors and Off-Pump Graft Patency."European Journal of Cardio-Thoracic Surgery 20 (2001): 901–907.

Moussa, I., et al. "Frequency of Early Occlusion and Stenosis in Bypass Grafts After Minimally Invasive Direct Coronary Arterial Bypass Surgery."The American Journal of Cardiology 88 (2001): 311–313.


 
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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).

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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.) 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

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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