If OPCAB is not ‘Key Hole’ operation, what is ‘Key hole Bypass operation’?

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Minimally Invasive Cardiac Surgery

Minimally Invasive Cardiac Surgery

The ‘key hole bypass operation’ is known as Minimally Invasive Coronary Artery Bypass or MICAS. In this operation the large wound in front of the chest is totally avoided. Through small incisions at the side of the chest main blocks can be treated. The recovery is much faster and patient can be back to work in 4 weeks.


MICAS can also be combined with Stenting in what is called a HYBrid operation to treat complicated disease patterns. The first HYBrid operation in Kerala was done at Medical Trust Hospital last year.


Beating heart operations form 30-40% of all bypass operations worldwide. Some of the institutions in India (including Medical Trust Hospital, Kochi) perform more than 90% as beating heart procedures. As bypass operations enter fifth decade of their existence, the number of patients requiring repeat operations is on the rise. This is one place where beating heart operation has a special role. It helps to reduce the blood loss, hospital stay and ICU stay in repeat bypass situations.

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