Minimally invasive coronary artery surgery is becoming a popular additionto the standard cardiac bypass surgery in selectedpatients with accessible single or double vesseldisease. However, the limited anterior thoracotomyused to access the heart involves traumato the muscle tissue during removal of the fourthcostal cartilage and a small piece of connectedrib, perhaps leading to more severe postoperativepain compared with patients undergoingroutine sternotomy.
In Minimally Invasive Direct Coronary Artery Bypass Grafting the chest bone is not opened and instead, small cuts are made on the chest between the ribs. These surgeries are mainly used to bypass blood vessels at the front of the heart and are a relatively new procedure. It is not done for everyone, especially if more coronary arteries need to be bypassed in the same time.
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