Keyhole Coronary Artery Surgery
Why Should I Choose Keyhole Coronary Artery Bypass Surgery?
Keyhole Coronary Artery Bypass surgery London is a method by which we use surgery to bypass blocks in heart arteries that create problems such as chest pain, breathlessness and heart attacks. There are certain patients where symptom relief is the most important result, but of course in many cases, it’s equally about making the patient healthier, and helping them live longer. Different types of surgery are best for different desired results, and many surgeries can be combined for multiple effects – therefore we look at all aspects of the patient and their needs before deciding on a course of action for treatment.
However, for most patients who are suitable for a keyhole treatment, this approach often works best. This is because of the benefits keyhole surgery has over traditional heart surgery are enormous. While there is absolutely nothing wrong with traditional heart surgery, it does involve opening the breastbone – a more painful operation, that takes longer to heal from. Therefore, wherever possible we would avoid this, and would recommend using a keyhole treatment for bypass grafting or revascularisation when applicable.
The benefits of coronary artery bypass surgery London over traditional heart surgery are:
- Less pain
- Less recovery time – you can get back to your daily life quicker
- Less bleeding
- Less chance of infection
- Smaller, less noticeable scarring (and in some cases none at all)
Keyhole Coronary Artery Surgery
How does The Keyhole Heart Clinic perform keyhole Coronary Artery Bypass surgery London?
Keyhole Coronary Artery surgery also known as Minimally Invasive Coronary Artery Bypass Surgery London is performed via a left minithoracotomy incision on the beating heart. The procedure is an excellent therapy when performed by surgeons with experience in both keyhole surgery and beating heart surgery.
It is most commonly used in patients with isolated disease of the Left Anterior Descending Artery (LAD) a very important branch of the left coronary artery. It is also possible to graft more than one vessel using this technique in highly selected patients.
What are the differences between the keyhole Coronary Artery Bypass surgery procedure London and traditional heart surgery approaches?
Here is a diagram to simplify the differences between traditional and minimally invasive approaches:
What is involved in the hybrid keyhole Coronary Artery Surgery procedure?
To widen the benefits of keyhole revascularisation, a therapy called hybrid Coronary Artery Bypass grafting can be offered to some patients. This treatment involves two procedures performed either on separate occasions or at the same time, which is designed to offer the superior benefits of revascularisation of the LAD via the MIDCAB opening, followed by treatment of any remaining narrowed arteries using stents – the aim of which being to avoid breastbone division.
Until recently, little was known about the immediate and long-term outcomes of this approach. In a recent article to be published in The Journal of the American College of Surgeons, Hybrid Coronary Revascularisation was compared with traditional multi-vessel bypass grafting via breastbone division.
Hybrid Coronary Artery Bypass surgery London was associated with:
- Reduced rates of in-hospital major morbidity
- Reduced blood transfusion use
- Reduced chest tube drainage (blood loss)
- Reduced postoperative length of stay
Hybrid therapies can be used to treat coronary disease and valve disease through keyhole techniques. In some patients with multi-vessel coronary disease, the entire procedure can be performed by keyhole heart surgery. This can only be performed in selected patients by highly experienced keyhole surgeons – please watch the above video of Mr Inderpaul Birdi describing the procedure for more detail.