Minimally invasive coronary artery bypass (CABG; CTVS)

What is a Minimally Invasive Coronary Artery Bypass?

Minimally invasive coronary artery bypass is a procedure that restores blood flow to the heart using very small incisions instead of opening the chest completely. It works by bypassing blocked arteries with healthy vessels, improving heart function. Because the incision is small, recovery is quicker, pain is less, and daily activities can be resumed sooner compared to traditional bypass surgery.

Why is Early Detection of Coronary Artery Disease Important?

• Prevents heart attacks by treating blockages before they become critical.

• Allows minimally invasive treatments instead of high-risk emergency procedures.

• Improves long-term heart function and overall survival rates.

• Reduces complications like heart failure or irregular heart rhythms.

Why Choose Manipal Hospitals for Minimally Invasive Coronary Artery Bypass Surgery?

• Skilled cardiothoracic surgeons with extensive experience in minimally invasive cardiac procedures.

• NABH-accredited cardiac centres prioritizing safety and precision.

• Advanced imaging and robotic-assisted technologies for enhanced accuracy.

• Complete spectrum of cardiac services—from diagnostics to rehabilitation.

• Dedicated international patient support for seamless coordination.

• Cost-effective yet world-class cardiac care with shorter hospital stays.

Types of Coronary Artery Bypass We Perform

• Minimally Invasive Direct Coronary Artery Bypass (MIDCAB): Performed through small incisions without stopping the heart.

• Off-Pump Coronary Artery Bypass: Bypass performed on a beating heart.

• Hybrid Coronary Revascularization: Combines stenting with minimally invasive bypass.

• Single or multi-vessel bypass depending on the location of blockages.

Treatment Options Available

Surgical Options

• Minimally Invasive Coronary Artery Bypass: Small incisions to bypass blocked arteries.

• Robotic-Assisted Bypass Surgery: Enhanced precision using robotic instruments.

• Hybrid Procedures: Combination of stents and bypass for selected patients.

• Graft Placement: Using healthy vessels from the chest or leg.

Non-Surgical Treatments

• Medications to reduce angina and control blockages.

• Lifestyle modification programs including diet and exercise.

• Cardiac rehabilitation for long-term heart health.

• Angioplasty and stenting for eligible patients.

Who is Eligible for Minimally Invasive Coronary Artery Bypass?

• Patients with single or double-vessel coronary artery disease.

• Those unsuitable for angioplasty or stenting.

• Individuals who prefer quicker recovery and fewer complications.

• Patients with blockage in the left anterior descending (LAD) artery.

• People seeking second opinions or minimally invasive alternatives.

Who Should Not Undergo Certain Treatments?

• Patients with severe multi-vessel disease needing full open-heart surgery.

• Individuals with weak heart function or high surgical risk.

• Those with prior chest surgeries causing dense scar tissue.

• Patients with uncontrolled medical conditions like severe lung disease.

Preparing for Minimally Invasive Coronary Artery Bypass

Checklist

• Medical records: Angiography reports, ECG, echocardiogram, past medical history.

• Medication list: Blood thinners, heart medicines, allergies.

• Travel and visa documents for international patients.

• Pre-surgery counselling and consent.

• Arrangement of family support or caregiver.

• Insurance or TPA approval for cardiac surgery.

What to Expect During Treatment?

Timeline

• Diagnosis: Confirm blockages through angiography and imaging.

• Planning: Treatment strategy decided by a multidisciplinary cardiac team.

• Surgery: Minimally invasive bypass performed through small chest incisions.

• Follow-Up: Routine monitoring, medications, and rehabilitation sessions.
  

Team Involved

Cardiothoracic surgeons, cardiac anesthesiologists, cardiologists, radiologists, intensivists, physiotherapists, and international patient coordinators.

Recovery and Aftercare

• Pain and wound care management with medications.

• Breathing and mobility exercises as advised by physiotherapists.

• Medication schedule for heart protection and healing.

• Nutrition counselling to support cardiac recovery.

• Gradual return to normal activities under medical guidance.

Risks & Complications

• Infection or bleeding at incision sites.

• Irregular heart rhythms after surgery.

• Graft blockage or reduced blood flow.

• Lung-related issues due to reduced mobility.

• Reaction to anesthesia or medications.
  

Benefits of Treatment at Manipal Hospitals

• Faster recovery with minimal scarring.

• Reduced pain and lower infection risk.

• Shorter hospital stay and quicker return to routine.

• High precision through advanced technologies.

• Supportive environment for international patients and families.