Minimally invasive cardiac (MICS) procedures involve the use of small incisions in the chest to reach the heart. These incisions are either between the ribs or through a small incision in the breastbone.
Benefits of Minimally Invasive Cardiac surgery (MICS)
In some patients MICS can:
- Lower the risk of infection
- Reduce post-surgery pain
- Shorten hospital stay
- Quicken recovery time
Cardiac Procedures that Can Use Minimally Invasive Approaches
Surgical Aortic valve replacement (SAVR)
This is a surgical procedure that involves replacing a malfunctioning aortic valve with an artificial valve. The aortic valve is one of the heart’s four valves which aid in blood flow through the heart and out of the body. This procedure will ensure that the patient’s blood can exit the heart and flow out to the rest of the body normally.
Atrial Septal Defect (ASD) closure
A septal defect is a condition whereby a child is born with a hole in the wall that separates the heart’s four chambers. Transcatheter correction and open cardiac surgery are the most often used procedures for a septal defect. Most children require would surgery to fix a septal abnormality. The child can live with the patch for a lifetime. If not closed in childhood, the ASD can be closed in adulthood.
Mitral Valve Surgery (MV repair or replacement)
The mitral valve helps blood flow through the left-sided chambers of the heart. Mitral valve surgery is a procedure performed to address any malfunction of the valve. The surgeon can replace the patient’s poorly working mitral valve with an artificial valve that will ensure that blood can flow into the left ventricle without straining the heart. In some patients the valve can be repaired rather than replaced.
Patent Foramen Ovale (PFO) Closure
Patent Foramen Ovale is a small opening that exists between the right and left atria, which are the upper chambers of the heart. Patent foramen transcatheter repair is a minimally invasive procedure used by cardiothoracic surgeons & interventional cardiologists to closure this hole in the heart.
During the procedure, the surgeon inserts a device that can plug up the PFO. The device is attached to a catheter, which is a long flexible tube. The catheter is inserted through a blood vessel in the groin and guided to the PFO. Then the surgeon will use the device to close the hole and then removes the catheter from the body.
Surgical Radiofrequency Ablation for Atrial Fibrillation (AF Ablation)
This is a procedure used to treat atrial fibrillation. It uses minor burns or freezes to produce some scarring on the wall of the heart. This may help maintain a normal heart rhythm.
Tricuspid Valve Repair (TV repair)
The tricuspid valve allows blood flow between the two right-sided chambers of the heart. The valve is repaired using the appropriate techniques which may include the use of artificial chords to support the valve leaflets, patches to correct for leaflet abnormalities and reinforcing the ring around the valve.
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