Minimally invasive direct coronary artery bypass surgery
Minimally Invasive Direct Coronary Artery Bypass is a surgical treatment for coronary heart disease that is a less invasive method of coronary artery bypass surgery. MIDCAB gains surgical access to the heart with a smaller incision than other types of CABG. MIDCAB is sometimes referred to as "keyhole" heart surgery because the operation is analogous to operating through a keyhole.
MIDCAB is a form of off-pump coronary artery bypass surgery, performed "off-pump" - without the use of cardiopulmonary bypass. MIDCAB differs from OPCAB in the type of incision used for the surgery; with traditional CABG and OPCAB a median sternotomy provides access to the heart; with MIDCAB, the surgeon enters the chest cavity through a mini-thoracotomy.
MIDCAB surgery is no longer reserved for only anteriorly placed single- or double-vessel diseases, because such lesions are usually managed with angioplasty. The surgery has recently begun to be used in multi-vessel coronary disease.MIDCAB in hybrid revascularization
People with multi-vessel coronary disease, who desire a minimally invasive approach to surgery may be eligible for hybrid bypass. A hybrid approach combines coronary bypass and coronary stenting.
