Heart Surgery Option, the minimally invasive coronary bypass procedures are known with the names of MIDCAB and MICS-CABG. Dr. Giovanni B. Ciuffo describes the MIDCAB below to show you how he is able to evolve and improve on these modern surgical options.

1. Heart Surgery Option | Giovanni B. Ciuffo, MD
Heart Surgery Option, the minimally invasive coronary bypass procedures are known with the names of
MIDCAB and MICS-CABG. Dr. Giovanni B. Ciuffo describes the MIDCAB below to show you how he is
able to evolve and improve on these modern surgical options.
Heart Surgery Option
MIDCAB stands for Minimally Invasive Direct Coronary Artery Bypass. This technique represented the
first breakthrough in the field of minimally invasive coronary surgery. It is carried out through a small
chest incision and does not require the use of the heart-lung machine.
This operation is performed on the beating heart and instead of the traditional big midline incision, a 2
inch to 3 inch long transverse incision is all that is necessary to access the heart.
The Left Internal Mammary Artery, which is the blood vessel hanging from the two silk stitches, is
harvested from the chest wall and prepared for connection to the blocked coronary in the front of the
heart.
A mechanical stabilizer, that two-pronged fork, is used to immobilize the portion of the heart surface
where the blocked coronary vessel is and allow the surgeon to connect the left internal mammary artery
to it.
The wound is then closed with plastic surgery techniques and the scar will be effectively hidden in the
skin fold underneath the left breast. This approach can basically afford most of our patients a scarless
and often painless operation.
After this minimally invasive operation, our patients experience minimal pain with a small surgical scar
and can often go home within the next 48 hours with a left internal mammary artery graft. Once again,
this mammary graft is by far the best life insurance that modern medicine can offer to coronary
patients.
Heart Surgery Option
Ask your cardiologist about the Heart Surgery Option (s) available. It is important to remember, though,
that each patient needs to get an individual evaluation by the heart surgeon in order to decide if he or
she is a suitable candidate for this procedure.
Minimally Invasive and Bloodless Heart Surgery Center
Dr. Giovanni B. Ciuffo is the director of the Minimally Invasive and Bloodless Heart Surgery Center and
performs Minimally Invasive and Bloodless Heart Surgeries. To contact the Minimally Invasive and
Bloodless Heart Surgery Center call 330-363-1341.