da Vinci® Surgery - Coronary Bypass (Revascularization) Surgery
Coronary artery disease occurs when a waxy substance (plaque) builds up inside your coronary arteries. As the plaque hardens over time, it can reduce blood flow to your heart. If you have coronary artery disease that cannot be controlled with lifestyle changes, medicine or other options, your doctor may suggest surgery. This type of surgery is known as coronary bypass or revascularization surgery. It can be done with open surgery through one large incision (cut) or minimally invasive surgery through a few small incisions between the ribs (also called thoracoscopy).
Coronary Bypass SurgeryThe goal of surgery is to restore blood flow to your heart. This is done by redirecting the flow of blood around a section of the blocked artery. Surgeons take a healthy blood vessel from your leg, arm, chest or abdomen and connect it to the other arteries in your heart. This allows blood to pass around (bypass) the blocked area.
If you’re facing coronary artery surgery, ask your doctor if you are a candidate for minimally invasive surgery, including da Vinci Surgery.
Why da Vinci Surgery?
Instead of a large open incision, da Vinci technology enables your surgeon to operate through a few small incisions (cuts) between your ribs, similar to minimally invasive thoracoscopy. There is no need to cut through your breast bone or spread your ribs, and surgeons do not need to use a heart lung machine which stops your heart during surgery. The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System features:
- A 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision, and control
Clinical data suggests da Vinci Coronary Bypass Surgery offers the following potential benefits:
- Low rate of major complications1
- Low rate of blood loss and transfusions1
- Short time in intensive care unit (ICU)1
- Short hospital stay1
- Small incisions for minimal scarring
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
- To locate a da Vinci surgeon nearest you, use our surgeon locator
- Learn more about the da Vinci Surgical System
Risks & Considerations Related to Coronary Bypass Surgery (Mammary to Left Anterior Descending Coronary Artery Anastomosis for Cardiac Revascularization with Adjunctive Mediastinotomy): graft injury or narrowing, blood vessel connection fails requiring another operation, stroke caused by a clot that gets stuck in smaller arteries of the brain, heart failure (heart cannot pump enough blood to the body), tear in the aortic wall causes it to separate, lengthy time on a breathing machine of 48 hours or more, lengthy time for a heart lung machine, extracorporeal membrane oxygenation (outside body technique to provide cardiac and respiratory support), intraaortic balloon pump (mechanical device to increase oxygen to cardiac muscles) or other cardiac assist systems, fluid in the lungs, sudden lack of blood flow to a limb due to a block in the blood stream, valve infection, irregular heartbeat that requires a pacemaker, kidney or lung failure, sac-like cover around the heart becomes swollen and causes a low fever and chest pain for up to 6 months, bleeding disorder in which the blood cannot properly clot, heart attack, memory loss and/or loss of mental clarity, infections which may affect the kidneys, chest, valves or bladder cut in the major artery(ies) that sends blood to the pelvis and legs, pooling of blood between the chest wall and lung, pressure on the heart when blood/fluids build up between the heart muscle and its outer sac.
- Poston RS, Tran R, Collins M, Reynolds M, Connerney I, Reicher B, Zimrin D, Griffith BP, Bartlett ST. Comparison of economic and patient outcomes with minimally invasive versus traditional off-pump coronary artery bypass grafting techniques. Ann Surg. 2008 Oct;248(4):638-46.
Important Safety Information
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.
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