Endoscopic coronary artery bypass surgery

What is endoscopic coronary artery bypass surgery?

Endoscopic coronary artery bypass surgery is a major heart surgery.



Why is Endoscopic coronary artery bypass surgery done?

The goal of endoscopic coronary artery bypass surgery is to improve blood flow to the heart and to alleviate chest pain. It is used to treat coronary heart disease.

How is the surgery done?

This would depend on the type that is performed.

Totally endoscopic coronary artery bypass surgery is performed through four to five fingertip-sized slits with the help of the da Vinci Surgical System.

Beating heart surgery is performed whilst the heart is still beating — and it doesnt require the assistance of a heart-lung bypass machine.

There are also two types of minimally invasive coronary artery bypass surgery:

Minimally invasive direct coronary artery bypass (MIDCAB)

If this goes ahead, the patient will not need the help of a heart-lung bypass machine to keep their heart beating during the procedure. A doctor will also cut smaller incisions in the chest to gain access coronary arteries — this is compared to one large incision in traditional CABG surgery.

Smaller incisions only expose the areas of the arteries that need grafts instead of the whole heart in a traditional CABG surgery.

Off-pump coronary artery bypass (OPCAB) is a type of minimally invasive coronary artery bypass surgery, it requires a smaller incision than the traditional method. It doesn't require the use of a heart-lung bypass machine. During an off-pump coronary artery bypass procedure, the cardiovascular surgeon will take a vein or an artery from another area of the body and use that vessel to bypass the blocked vessel to restore normal blood flow.


A doctor and treatment team will explain to the patient what to expect before, during and after surgery and what the potential risks of the surgery are.

A doctor and the team will discuss their concerns you have about their surgery.

Patients may need to have hair shaved at the areas of your body where the procedure will take place.


Recovery after minimally invasive coronary bypass is less intense than after a traditional CABG. A patient can spend approximately five days in the hospital recovering from the procedure. Once a patient is discharged, they will not be able to drive home and should take it easy until they have a doctor’s clearance. Patients are able to have a follow-up appointment within a week of their surgery.

Recovery may take a few weeks, as patients gradually regain strength. They may be offered a cardiac rehabilitation program to help them safely get back to normal activities.

What is alternative treatments are available?

An efficient alternative to Endoscopic coronary artery bypass surgery is full sternotomy coronary artery bypass graft surgery in selected patients.

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