Journal of Rare Cardiovascular Diseases
ISSN: 2299-3711 (Print)
e-ISSN: 2300-5505 (Online)
Menu
Impact of minimally invasive multivessel coronary artery bypass grafting on early outcome
Sobhy Abouramadan
Mustafa Ebrahim
Ehab Elshihy
Hesham Alkady
Ibrahim Ahmed
Show More
1
Department of Cardiothoracic Surgery, Cairo University, Cairo, Egypt
Received: 2025-09-10
Revised: 2025-10-14
Accepted: 2025-11-05
Published: 2025-12-22
Full Text
Abstract
Objective: To appreciate the potential value of minimally invasive multivessel coronary artery bypass surgery (MICS-CABG) in order to discuss the uptake and early outcomes of this procedure through left anterior thoracotomy. Patients and Methods: This study included 30 patients with ischemic heart disease of both genders who were operated upon through MICS-CABG at Kasr Alainy Hospitals in the period between February 2023 and 2024. Results: Mean age in studied patients was 57.67±7.42 years in which 28 patients were males and 2 patients were females. Mean cross clamp time was 109.64±23.16 minutes and the Mean bypass time was 175.23±30.84 minutes. Regarding the use of inotropes among studied patients, 12 (40.0%) patients were off inotropes, Noradrenaline was needed in 13 patients, Adrenaline was needed in 11 patients, While Nitroglycerin was needed in 4 patients. Mean pain score was 2.30±0.79. Postoperative superficial wound infection was reported in 2 (6.7%) patients. No postoperative need for IABP, re-exploration, or postoperative mortality were reported in the study. Mean time of Intubation was 5.60±0.77 hours and the Mean duration of ICU stay was 2.63±0.49 days. Mean duration of hospital stay was 5.90±0.92 days. Conclusion: Based on our findings, patients who underwent MICS-CABG in Kasr Alainy Hospitals had favorable outcome without postoperative need for IABP or re-exploration. In addition, MICS- CABG had early recovery times (Mechanical ventilation, ICU and hospital stay) with low pain scoring giving the opportunity for early return to work and normal daily activities. The wound appeared cosmetically better with low incidence of infection been reported. Therefore, MICS-CABG is safe in properly selected patients with low risk profile and more studies with large cohort are needed.
Keywords
Minimally invasive; MICS-CABG; left anterior thoracotomy; early outcome.
Journal Help
Indexation
User
Keywords
Classification of Rare Cardiovascular Diseases
anticoagulation
atrial fibrillation
atrial septal defect
cardiomyopathy
computed tomography
congenital heart disease
echocardiography
electrocardiogram
electrocardiography
heart failure
implantable cardioverter‑defibrillator
magnetic resonance imaging
pregnancy
pulmonary arterial hypertension
pulmonary hypertension
rare cardiovascular disease
rare disease
right heart catheterization
right ventricular failure
Instruction for authors
Submit an article