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Welcome to our health education library. The information shared below is provided to you as an educational and informational source only and is not intended to replace a medical examination or consultation, or medical advice given to you by a physician or medical professional.

Minimally Invasive Bypass SurgeryCirug­a de bypass m­nimamente invasiva

Minimally Invasive Bypass Surgery

If you have coronary artery disease, bypass surgery can help. It creates a new pathway around the blocked part of your artery. This allows blood to flow again. In most cases, a healthy blood vessel (bypass graft) from another part of your body is used to create the new pathway. If you have more than one blockage, more than one bypass is done. For minimally invasive bypass surgery, incisions made in your chest are often much smaller than those made for traditional bypass surgery.

Image of chest

Reaching Your Heart

To get to your heart, one or more incisions must be made in your chest. An incision is made over your ribs or breastbone. The bones are then moved apart to allow access to the heart. Depending on the method your surgeon uses, small incisions may also be made near your neck and groin. After surgery, the bones are brought back together, and the incisions are sewn up.

Image of  heart-lung machine

Stopping or Slowing Your Heart

Minimally invasive bypass surgery is sometimes done without stopping the heart. The heart is only slowed down with medications. Then, a special instrument is used to hold part of the heart still while the graft is sewn on. If your surgeon decides that the entire heart must be stopped, your blood is passed through a heart-lung machine. This machine gives oxygen to your blood and pumps it back through your body. Your heart and lungs take over again once the surgery is done.

Image of graft

Attaching the Graft

First, the graft vessel is removed from your chest, leg, or arm. Then, one end of the graft is sewn to an opening in the coronary artery below the blockage. If a saphenous vein or radial artery is used, the other end is sewn onto the aorta. If a mammary artery is used, the other end is already attached to a branch of the aorta.

Date Last Reviewed: 2007-01-15T00:00:00-07:00

Date Last Modified: 2006-06-07T00:00:00-06:00

Jay L. Jordan, MD, is an experienced cardiologist and internal medicine physician who provides a comprehensive range of cardiac care services in Beverly Hills, Los Angeles, Santa Monica, Glendale, Burbank, Calabasas and nearby communities. Take the first step in preventing and controlling heart disease with symptoms such as angina, arrhythmias, atrial fibrillation, cardiomyopathy, carotid artery disease, chest pain, congestive heart failure, coronary vascular disease, hypertension, palpitations, shortness of breath and stroke. Call Dr. Jay L. Jordan at 310-854-5493 or request an appointment online.

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