Cardiac Services

Cardiothoracic Surgery Procedures

Minimally Invasive Surgery

Minimally invasive cardiothoracic surgery is quickly becoming the standard of care at Rhode Island Hospital. We routinely apply the full range of minimally invasive techniques and technology for many of our patients with valvular disease or coronary artery disease. We also apply these techniques to many children and infants with congenital heart defects.

The advantages of minimally invasive heart surgery include:

  • smaller incisions
  • no incision through the middle of the sternum
  • avoidance of cardiopulmonary bypass

Many of our patients leave the hospital within four days of their operation and return to work within two or three weeks.

Minimally invasive surgery is applicable to the broadest range of complex cardiac cases. 20-30 percent of all our procedures are performed using minimally invasive techniques. These include:

  • minimally invasive off-bypass coronary artery bypass (OPCAB),
  • less invasive sternal approach (LISA) and
  • minimal access surgery (MACS).

Keyhole surgery techniques have also been effective in repairing heart valves and congenital heart defects. It is the preferred approach for aortic valve replacement, especially in elderly patients, and is well suited for patients who have had prior valve procedures.

For mitral valve repair or replacement procedures, surgeons often find that the keyhole approach provides access equal to that achieved in traditional open-chest surgery. Structural and congenital cardiac defects can be repaired with more cosmetically appealing approaches for our younger patients.

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