Coronary heart disease is still one of the most important health problems, despite all the progress in medicine today. Because the narrowed or clogged coronary arteries cannot supply the muscle tissue of our heart enough, they cause chest pain or shortness of breath with effort and eventually a heart attack. Unfortunately, a heart attack leaves irreversible damage to our hearts. In traditional bypass surgeries, the disadvantages of the patient, both due to the patient being connected to the heart-lung machine during the surgery, and the operation by cutting the rib cage bones, are minimized with the minimally invasive method.
What are the advantages of minimally invasive coronary bypass surgery?
The minimally invasive method has many advantages over traditional bypass surgery. In coronary bypass surgeries performed with minimally invasive method, the heart is reached through the ribs “without making any bone incision” with a 7 cm incision made under the left breast of the patient. Bypass surgery is performed on the working heart without stopping the heart by removing the breast artery with direct vision. In traditional bypass surgeries, patients stay in the hospital for 6-7 days after surgery, and they can usually return to work after a period of 2-3 months. An important part of this process is the healing process of the cut breastbone. After minimally invasive coronary bypass surgery, patients are usually ready to go home on the 4th postoperative day. They can return to their daily activities much faster, and even start driving after they are discharged. After 3 weeks, they can return to their jobs.
Can those with lung disease be operated with a minimally invasive method?
In order to apply this method, since the heart of the patients is reached through the incision made on the left side of the chest, the patient should not have had a lung disease before. Adhesions in the lungs may prevent reaching both the breast artery and the patient’s heart. Similar problems can be encountered in extremely obese patients. The number of sick vessels of the patient and the location of the patient’s vessels in the heart are also important factors that guide the decision about this method. With this method, a maximum of 3-4 vessels can be bypassed. However, if the patient’s vein cannot be reached by this method, a method called “hybrid approach” is applied. The vessels that can reach with this method are bypassed with the minimally invasive method. All of the sick veins are treated at once by placing a stent in the veins that cannot be reached.