Hybrid coronary revascularization

Associate Editor-In-Chief: Mohammed A. Sbeih, M.D.[mailto:msbeih@perfuse.org] Phone:617-849-2629

Hybrid coronary bypass is a relatively new procedure and alternative to traditional bypass surgery that is defined by the performance of coronary bypass surgery and coronary stenting during the same operation. It is not to be confused with a MIDCAB procedure, which uses the smaller thoracotomy incision but does not involve coronary stenting. Hybrid bypass offers all the benefits of a MIDCAB:


 * 1) A much smaller incision (made through the rib cage as opposed to cutting the sternum and opening the rib cage) than with traditional bypass surgery.
 * 2) Less pain for the patient and quicker recovery time.
 * 3) Less risk of complications, infections etc and also decreases the necessity for two separate cardiac procedures (bypass and stenting).

Not all hospitals and/or surgeons offer this procedure and it requires a specially equipped OR. As such, it is worth inquiring to determine which hospitals do and whether or not a patient can benefit from this procedure.