Minimally invasive direct coronary artery bypass - discharge; MIDCAB - discharge; Robot assisted coronary artery bypass - discharge; RACAB - discharge; Keyhole heart surgery - discharge; Coronary artery disease - MIDCAB discharge; CAD - MIDCAB discharge
Heart bypass surgery creates a new route, called a bypass, for blood and oxygen to reach your heart muscle.
Minimally invasive coronary (heart) artery bypass can be done without stopping the heart. Therefore, you do not need to be put on a heart-lung machine for this procedure.
This article discusses what you need to do to care for yourself after you leave the hospital.
You had minimally invasive coronary artery bypass surgery on one or more of your coronary arteries. Your surgeon used an artery from your chest to create a bypass, around arteries that were blocked and could not bring blood to your heart. A 3- to 5-inch-long (7.5 to 12.5 centimeters) cut (incision) was made in the left part of your chest between your ribs. This allowed your surgeon to reach your heart.
You may be able to leave the hospital 2 or 3 days after surgery. You may also be able to return to normal activities after 2 or 3 weeks.
After surgery, it is normal to:
You may want to have someone stay with you in your home for the first week.
Learn how to check your pulse, and check it every day.
Do the breathing exercises you learned in the hospital for the first 1 to 2 weeks.
Weigh yourself every day.
Shower every day, washing your incision gently with soap and water. Do not swim, soak in a hot tub, or take baths until your incision is completely healed. Follow a heart-healthy diet.
If you are feeling depressed, talk with your family and friends. Ask your health care provider about getting help from a counselor.
Continue to take all your medicines for your heart, diabetes, high blood pressure, or any other conditions you have.
Stay active during your recovery, but start slowly. Ask your provider how active you should be.
Be careful how you use your arms and upper body when you move around for the first 2 or 3 weeks after your surgery. Ask your provider when you may return to work. For the first week after surgery:
You may be referred to a cardiac rehabilitation program. You will get information and counseling about activity, diet, and exercise.
Contact your provider if:
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Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2014;129(16):e462. PMID: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.
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Kulik A, Ruel M, Jneid H, et al. Secondary prevention after coronary artery bypass graft surgery: a scientific statement from the American Heart Association. Circulation. 2015;131(10):927-964. PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.
Morrow DA, de Lemos JA. Stable ischemic heart disease. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 40.
Omer S, Bakaeen FG. Acquired heart disease: coronary insufficiency. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. Philadelphia, PA: Elsevier; 2022:chap 60.BACK TO TOP
Review Date: 8/23/2022
Reviewed By: Thomas S. Metkus, MD, Assistant Professor of Medicine and Surgery, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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