Learn about MIDCAB Surgery Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in MIDCAB Surgery and request assistance for cost estimates or appointments.

About MIDCAB Surgery

Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) surgery is an advanced cardiac procedure designed to treat coronary artery disease with significantly less trauma than traditional open-heart surgery. It specifically targets blockages in the left anterior descending (LAD) artery. The surgeon accesses the heart through a small incision, typically between the ribs, and uses specialized instruments to bypass the blocked artery using a healthy vessel, often the left internal mammary artery (LIMA). This approach avoids the need for a full sternotomy (splitting the breastbone) and often eliminates the need for a heart-lung machine. MIDCAB is renowned for offering patients a faster recovery, less post-operative pain, reduced blood loss, and a lower risk of infection compared to conventional CABG, making it an excellent option for suitable candidates.

Key Highlights

    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.
  • checked Typical hospital stay: 3-5 days
  • checked 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.

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 USD 2,719 – USD 5,438 3-5 days ~ 4-6 weeks for basic activities, 2-3 months for full recovery Know More
Turkey USD 20,131 – USD 40,263 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.

Manipal Hospital Siliguri

  • IconSiliguri, India
  • Icon30 Doctors

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
  • Icon44 Doctors

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors

SIMS Hospital Vadapalani

  • IconChennai, India
  • Icon71 Doctors

Manipal Hospital Mukundapur

  • IconKolkata, India
  • Icon145 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors

Medanta The Medicity

  • IconGurgaon, India
  • Icon900 Doctors

Nanavati Max Hospital

  • IconMumbai, India
  • Icon187 Doctors
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Cardiac surgeons for MIDCAB Surgery

Explore experienced cardiac surgeons who regularly perform midcab surgery and provide pre- and post-operative care in India.

Dr. Robert Coelho
  • 32 Years Experience
  • Pediatric Cardiac surgeon
Speaks: English, Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai

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Dr. Richard Saldanha
  • 38 Years Experience
  • Cardiac surgeon
Speaks: English, Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai

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Dr. Joseph Xavier
  • 31 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

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Dr. Rohit Ravindra Tanga
  • 22 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

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Dr. Arun V
  • 12 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

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Dr. Vinod Subramanian
  • 14 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem

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Dr. Mukundan Seshadri
  • 32 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield

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Dr. Arun Veeram Reddy
  • 14 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield

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Dr. Murali Krishna
  • 16 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Ns Devananda
  • 31 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Bhaskar B V
  • 17 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Upendra Shenoy
  • 24 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore

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Dr. Srinivas Babu
  • 14 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada

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Dr. Umesh Nareppa
  • 24 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram

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Dr. Bashi V Velayudhan
  • 38 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

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Dr. Rajkamal Vishnu
  • 9 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

OPD-desk synced • Updated
Dr. A Mohammed Ibrahim
  • 12 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

OPD-desk synced • Updated
Dr. Mohammed Idhrees
  • 18 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

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Dr. Ashwin Kumar H
  • 12 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

OPD-desk synced • Updated
Dr. Murali Krishna
  • 16 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

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