About MIDCAB Surgery
Key Highlights
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Minimally invasive approach with a small incision, avoiding full sternotomy.Typically performed on a beating heart, often without the need for a heart-lung machine (cardiopulmonary bypass).Reduced post-operative pain and trauma compared to traditional bypass surgery.Lower risk of infection and bleeding complications.Shorter hospital stay and faster overall recovery time.Improved cosmetic result with a smaller scar.liHigh long-term patency (success) rate of the bypass graft, especially when using the internal mammary artery./li/ul
Who is this surgery for?
- Significant blockage (stenosis) of the Left Anterior Descending (LAD) coronary artery, often termed 'widow-maker' artery disease.
- Patients with single-vessel coronary artery disease, primarily affecting the LAD.
- Individuals who are not ideal candidates for traditional CABG due to factors like advanced age, osteoporosis, or other comorbidities.
- Patients who have had previous chest surgeries or radiation, making a repeat sternotomy risky.
- Those seeking a procedure with a quicker recovery and return to normal activities.
- When angioplasty and stenting are not suitable or have failed.
How to prepare
- Complete a thorough pre-operative evaluation, including blood tests, ECG, echocardiogram, and coronary angiography.
- Discuss all current medications with the cardiac team; blood thinners (like aspirin, clopidogrel) may need to be stopped days before surgery.
- Undergo a chest X-ray and possibly a CT scan to map the chest anatomy for surgical planning.
- Maintain a healthy diet and stop smoking several weeks before the procedure to improve healing.
- Fast (no food or drink) for at least 8 hours prior to the scheduled surgery time.
- Arrange for help at home and plan for time off work during the initial recovery period.
Risks & possible complications
- Bleeding or hematoma at the incision site.
- Infection of the surgical wound or, rarely, deeper chest structures.
- Arrhythmias (irregular heartbeats), which are common but usually temporary.
- Re-stenosis (re-narrowing) or failure of the bypass graft over time.
- Pneumothorax (collapsed lung) due to the entry into the chest cavity.
- Injury to surrounding structures like nerves, which can cause temporary numbness or pain.
- Rare but serious risks include heart attack, stroke, kidney problems, or the need for conversion to an open procedure.
Recovery & hospital stay
- Initial hospital stay is typically 3-5 days for monitoring and initial pain management.
- Pain and discomfort at the incision site are common but manageable with medication.
- Patients are encouraged to start walking soon after surgery to prevent complications and aid recovery.
- Heavy lifting (more than 5-10 kgs), strenuous exercise, and driving are restricted for 4-6 weeks.
- Cardiac rehabilitation is strongly recommended to safely rebuild strength and endurance.
- Follow-up appointments are crucial to monitor heart function and the healing of the incision.
- A heart-healthy diet, medication adherence (like aspirin, statins), and lifestyle changes are essential for long-term success.
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Typical hospital stay: 3-5 days
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Expected recovery time: 4-6 weeks for basic activities, 2-3 months for full recovery
Frequently Asked Questions
If you are considering midcab surgery in India, these questions and answers can help you make a confident, informed decision.
Popular choices for midcab surgery in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform midcab surgery. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for midcab surgery compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 500 Thousand | 3-5 days | ~ 4-6 weeks for basic activities, 2-3 months for full recovery | Know More |
| Turkey | TRY 875 Thousand – 1.75 Million | 3-5 days | ~ 4-6 weeks for basic activities, 2-3 months for full recovery | Know More |
Top hospitals for MIDCAB Surgery in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing midcab surgery.
Rohan Davis, a 58-year-old high school...
Rohan Davis, a 58-year-old high school history teacher and avid gardener, had always been active. A year ago, he began experiencing a tight, squeezing sensation in his chest while mowing the lawn or climbing stairs. Initially dismissing it as heartburn, the episodes became more frequent and were accompanied by shortness of breath. His primary care physician referred him to a cardiologist, who discovered a severe, isolated blockage in his Left Anterior Descending (LAD) artery, a condition known as 'the widowmaker.' Given Rohan's overall good health and desire to avoid the full sternotomy of traditional bypass, his cardiac surgeon recommended Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) surgery. The procedure involved a small incision between his ribs, avoiding the need to crack his chest open. While anxious about any heart surgery, Rohan was relieved by the less invasive approach. Post-surgery, his recovery was notably faster than he'd feared. He experienced less pain and was walking the hospital corridor within a day. After six weeks of careful cardiac rehab, he was back to tending his garden, pain-free. Emotionally, he journeyed from fear and denial about his mortality to immense gratitude. The MIDCAB procedure allowed him to return to the life and students he loved with a renewed sense of vitality and a deep appreciation for modern medicine.
Cardiac surgeons for MIDCAB Surgery
Explore experienced cardiac surgeons who regularly perform midcab surgery and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore