Heart and Aorta How is OPCAB done? | Page 5

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

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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