A COMPARATIVE ANALYSIS OF IMMEDIATE POSTOPERATIVE OUTCOMES: AORTOCORONARY BYPASS SURGERY VIA MINITHORACOTOMY VERSUS CONVENTIONAL MEDIAN STERNOTOMY IN ISCHEMIC HEART DISEASE
Keywords:
Ischemic Heart Disease; Coronary Artery Bypass Grafting (CABG); Minithoracotomy; Minimally Invasive Cardiac Surgery (MICS); Immediate Outcomes; Surgical Revascularization.Abstract
Ischemic heart disease (IHD) remains a leading cause of global morbidity and mortality. While conventional coronary artery bypass grafting (CABG) via median sternotomy is the gold standard for surgical revascularization, it is associated with significant surgical trauma. Minimally invasive approaches, such as CABG via minithoracotomy, have been developed to mitigate these adverse effects. This study aims to evaluate the immediate postoperative outcomes of aortocoronary bypass surgery performed via a left anterior small thoracotomy compared to the traditional sternotomy approach. Clinical data from a matched cohort of patients with IHD will be analyzed, focusing on intraoperative parameters, postoperative recovery times, and the incidence of immediate complications. Early evidence suggests that the minithoracotomy approach provides comparable revascularization efficacy while significantly reducing blood loss, postoperative pain, and length of hospital stay.
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