Nationally recognized in their sub-specialties, the Cardiovascular Center's surgeons offer the most experienced team in the Intermountain West in minimally invasive cardiac surgery (MICS). As the only medical center in Utah to offer MICS, our cardiothoracic program has built a successful and growing track record by employing innovative and less invasive surgical techniques. The experienced precision of our surgeons is backed up by the most advanced imaging technologies available.
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About Minimally Invasive Surgery
Is the pre-operative evaluation different with MICS?
In general, all patients being evaluated for cardiac surgery are thoroughly screened. First, we must make sure that the surgery is needed. Many patients avoid visiting a heart surgeon because they fear they will be hastily taken to the operating room. Our job, however, is not only to know when to operate, but also when not to operate. This requires experience and sound judgment in order to counsel our patients and their families well. We will be best prepared to deal with any situations that are specific to our patients.
How do you do the surgery through such small holes?
Evolving technology has allowed development of instruments and techniques such that many surgeries can be performed through the smaller incisions. Although many of the operations have additional challenges because of limited access, the fundamental concepts are similar to those performed in the open surgery manner.
What are the complications of MICS? How do they differ from traditional heart surgery?
Heart surgery, of any type, has inherent risks regardless of a particular approach. Commonly cited complications include infection, bleeding, stroke, electrical conduction problems, organ failure, arrhythmias, and death. Fortunately, these complications, even in the open operations are relatively rare.
Although many procedures can be performed without the use of the cardiopulmonary bypass machine, valvular operations require the use of the heart-lung machine. Typically, the access for this machine is through tubes placed in the groin artery and vein. Patients can experience numbness or drainage at the groin incision site. In addition, some patients will experience temporary numbness under their right breast at the site of the chest incision. As mentioned above, MICS typically carries lower complication rates because there is less risk of bleeding, earlier ambulation and return to activity, and less risk of infection.
Who is a candidate?
The majority of minimally-invasive cardiac surgery is directed to patients with valvular heart disease including aortic, mitral, and tricuspid valve stenosis (narrowin) or regurgitation (leaking). In addition, minimally invasive cardiac surgery can be used for the treatment of atrial fibrillation, closure of atrial septal defects and patent foramen ovales, and certain patients requiring coronary artery bypass surgery.
Conditions treated with MICS
- Minimally invasive heart surgery (MICS) provides a unique approach to many traditional cardiac surgery operations. At University of Utah Health Care, we perform the following operations using minimally-invasive techniques:
- Mitral valve repair or replacement
- Aortic valve repair or replacement
- Tricuspid valve repair or replacement
- Modified Maze procedure
- Atrial septal defect repairs
- Patent foramen ovale repairs
- Limited coronary artery bypass grafting
- Epicardial lead placement
Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Heart Failure, Heart Transplant, Lung Transplant, Minimally Invasive Heart Surgery, Minimally Invasive Lung & Esophageal Surgery, Valvular Heart Disease
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Adult Congenital Heart Disease, Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Heart Failure, Heart Stem Cell Therapy, Heart Transplant, Lung Transplant, Minimally Invasive Heart Surgery, Surgical Ventricular Restoration, Valvular Heart Disease
Cardiothoracic Surgery, Nurse Practitioner
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