Technique of minimally invasive coronary artery bypass grafting

Abstract Minimally invasive cardiac surgery (MICS) has emerged as a safe alternative to standard cardiac surgery. The technique for minimally invasive coronary artery bypass grafting (MICS CABG) has evolved over the years, and in addition to multivessel revascularization, bilaterally internal thoracic artery take down is currently feasible to allow for multiarterial grafting. Evidence is emerging that minimally invasive CABG maintains equivocal safety profile to full sternotomy CABG, while providing superior morbidity profile and postoperative recovery. Further randomized controlled trials involving the comparison between minimally invasive CABG and percutaneous coronary intervention or conventional CABG would widen the applicability and utilization of the procedure. This chapter will review the technical aspects of the procedure.