What is minimally invasive heart surgery?
Minimally invasive coronary artery surgery is also called limited access coronary artery surgery. It's being evaluated in several medical centers as an alternative to the standard methods for coronary artery bypass graft surgery (CABG). Like CABG, the surgery is done to reroute, or "bypass," blood around arteries clogged by atherosclerosis and improve the supply of blood and oxygen to the heart.
What is minimally invasive coronary artery bypass (OPCAB)?
By using small devices called stabilizers, we can perform the bypass on an immobilized section of the heart while the heart continues to beat and the lungs continue to work. We believe this is more "physiologic" and is better tolerated by our higher risk patients than procedures using the heart lung machine. Recently NorthShore University HealthSystem became one of the first hospitals in the country to use an automatic connector device that eliminates the need for sutures and allows us to attach our bypass grafts with a "no-touch" technique without clamps, an advance that we believe will minimize the risk of stroke or neurocognitive dysfunction.
We recently received a $500,00 grant from the American Heart Associationto further study this new technology.
What to expect
The night before surgery you will be allowed to eat dinner. Nothing to eat or drink after midnight except for small sips of water with medication. Sleeping pills will be provided if needed. Antibacterial soap should be used for last shower. You will be called by the ambulatory surgery unit and told what time to come to the hospital the next morning. The operating room has been specially prepared for your surgery. The anesthesiologist will give you medication shortly before your surgery begins which will make you drowsy. After you are asleep a breathing tube will be inserted and your breathing will be taken over by a ventilator (breathing machine). After surgery you will go to the Intensive Care Unit for 24 hours. The breathing tube will be discontinued when you are fully awake, but the anesthetic medications we will give you will make it is unlikely that you will remember this portion of your hospital stay. From the intensive Care Unit you will be transferred to a private room on the cardiothoracic Surgery Unit. You
will be in the hospital for 4 - 5 days.
In addition to the cardiothoracic surgeon the following personnel will help care for you : nurse practitioners, specially trained cardiac surgery nurses, pharmacists, music therapist, physical therapist, respiratory therapist, dietician, discharge planning nurses and cardiac rehabilitation nurses.
If you would like additional information or would like to make an appointment, call 847.570.2868.
2650 Ridge Avenue
Evanston, IL 60201