Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications

Abstract

Background There is increasing interest and patient demand for minimally invasive cardiac surgery. Aim We aimed to assess the safety and potential indications of minimally invasive coronary artery bypass grafting (CABG) and possibilities of such techniques and debating it will become the standard procedure. Patients and methods From February 2015 till February 2020, 83 cases underwent CABG via right submammary incision, and of them, 18 cases underwent hybrid technique. Results The procedure was successfully performed in all. Conversion rate to full sternotomy was 0%. Hospital mortality was seen in two (2.4%) patients. Re-exploration for bleeding was done in 0 (0%) patients. Superficial wound infection was seen in five (6%) patients, and deep wound infection was seen in one (1.2%) patient. Graft failure occurred in one patient who needed redo-operation after 6 months postoperatively, and one patient needed to lengthen the left internal mammary artery with composite vein graft. Conclusions Minimally invasive direct coronary artery bypass is a safe procedure for patients requiring left internal mammary artery to left anterior descending, as for hybrid CABG, clear indications are still to be revised.

Keywords

• coronary artery bypass grafting
• cardiac surgery
• minimal invasive cardiac surgery