General information on bypass surgery

Atherosclerosis of the coronary arteries is the most common heart condition.

CABG is one of the main treatment options for this condition. This procedure requires a median sternotomy and requires several months of recovery. It is therefore advisable to avoid the 25-to-30-cm incision if possible. Endo-CABG is one of the alternatives. Endo is short for endoscopic.

Who is a candidate for an endo-CABG?

In principle, patients with multivessel disease are candidates for this procedure.

Endo-CABG methodology

Endo-CABG is a minimally invasive approach to a coronary artery bypass with patients who have multivessel disease and avoids a median sternotomy using thoracoscopic techniques.

Unlike endo-ACAB, the endo-CABG procedure is used to treat patients with sclerosis in multiple coronary arteries.

The left internal mammary artery and right internal mammary artery are thoracoscopically opened through 3 small 5-mm holes. A 4-to-5-cm incision is then made between the ribs without any mechanical spreading of the ribs. The bypasses to the narrowed coronary arteries are performed.

This procedure uses a heart-lung machine connected to the patient through the artery and vein in the groin.

Benefits of this procedure

Endo-CABG is an alternative treatment of coronary atherosclerosis with patients who have multivessel disease

  • Safe and efficient
  • Minimal surgical trauma, so:
    • Less pain
    • Smaller scar
    • Less blood loss
    • Shorter hospital stay
    • Faster recovery
    • Faster return to work
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