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Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) Treatment in Mumbai for UAE

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Minimally Invasive CABG in Mumbai for UAE Patients | Cost & Hospitals

Considering Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) can bring many questions for patients from the UAE, especially when seeking advanced cardiac care options abroad. Uncertainty about treatment quality, recovery, and overall experience is a natural concern during such an important health decision.

Mumbai stands out as a leading medical hub, renowned for its world-class cardiac facilities and a seamless experience tailored for international patients. Its reputation for advanced surgical techniques like MICS CABG draws many seeking high-quality, specialized treatment not readily available or affordable elsewhere.

The city's hospitals are home to renowned cardiothoracic surgeons, ensuring comprehensive, integrated care pathways from initial consultation through to recovery. Patients benefit from modern infrastructure and dedicated medical teams focused on personalized care and ease of follow-ups within the city's robust healthcare ecosystem.

Is Mumbai the ideal destination for your MICS CABG journey?

What is Minimally Invasive Coronary Artery Bypass Surgery?

Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) is a modern cardiac procedure performed to restore blood flow to the heart muscle. Unlike traditional open-heart surgery, MICS CABG is done through a small incision on the left side of the chest, without cutting through the breastbone (sternum). This technique allows surgeons to graft healthy blood vessels (typically from the leg or chest wall) to bypass blocked or narrowed coronary arteries, improving oxygen supply to the heart. It is often performed on a beating heart, avoiding the need for a heart-lung bypass machine in many cases. The primary goal is to alleviate symptoms like chest pain (angina) and reduce the risk of future cardiac events, offering significant advantages in recovery for suitable candidates.

Are There Different Approaches to Coronary Artery Bypass Grafting?

While MICS CABG is a specific advanced technique, it’s helpful to understand its context among other CABG approaches. The primary difference lies in how the heart is accessed and whether a heart-lung machine is used.

Traditional Open-Heart CABG: This involves a long incision down the center of the chest and cutting through the sternum to access the heart. It often uses a heart-lung machine to temporarily stop the heart during surgery.

Minimally Invasive CABG (MICS CABG): As described, this approach uses a small incision, typically on the side of the chest, preserving the sternum. It can be performed on a beating heart (off-pump) or, less commonly, with the assistance of a heart-lung machine (on-pump).

Off-Pump CABG (Beating Heart Surgery): This technique can be applied in both traditional and minimally invasive settings, where the surgeon performs the bypass while the heart continues to beat, avoiding the heart-lung machine. MICS CABG often utilizes this method.

Robotic-Assisted CABG: In some specialized centers, robotic systems may assist surgeons in performing MICS CABG with even greater precision, though the core principles remain similar to manual MICS.

When is Minimally Invasive CABG Recommended?

  • When severe blockages are present in multiple coronary arteries, limiting blood flow to the heart.
  • If prior attempts at angioplasty or stenting have failed or are not suitable for the extent of coronary artery disease.
  • For patients experiencing persistent angina (chest pain) despite medication, indicating significant cardiac ischemia.
  • When a patient's overall health profile, including lung function and absence of severe peripheral vascular disease, makes them a good candidate for a less invasive approach.
  • As an option for younger patients or those seeking faster recovery and reduced post-operative discomfort compared to traditional open-heart surgery.

What Pre-Treatment Evaluations are Necessary?

  • Comprehensive blood tests, including complete blood count, kidney and liver function tests, and coagulation profile.
  • Electrocardiogram (ECG) to assess heart rhythm and electrical activity.
  • Echocardiogram to evaluate heart structure, function, and valve health.
  • Coronary Angiogram to precisely map the blockages in the coronary arteries.
  • Chest X-ray and Pulmonary Function Tests (PFTs) to assess lung health.
  • Consultations with a cardiologist, cardiac surgeon, and anesthesiologist to determine suitability for MICS CABG.
  • Screening for infections and other comorbidities that might affect surgical outcomes.

How is Minimally Invasive CABG Performed?

The precise steps of the MICS CABG procedure will depend on the individual patient's condition and the surgeon's specific plan.

Anesthesia and Incision

The patient is placed under general anesthesia. A small incision, typically 3-5 inches long, is made on the left side of the chest, usually between the ribs. This avoids the need to cut through the breastbone.

Accessing the Heart and Harvesting Grafts

Through this small incision, specialized instruments are used to access the heart. One or more healthy blood vessels, often the internal mammary artery from the chest wall or a vein from the leg, are carefully harvested to serve as bypass grafts.

Bypass Creation

The surgeon then connects these grafts to bypass the blocked coronary arteries. In many MICS procedures, this is done while the heart is still beating (off-pump), with the help of a stabilizer that immobilizes a small section of the heart. For some cases, a heart-lung machine may still be used.

Closure

Once all bypasses are complete and checked for proper blood flow, the chest incision is closed in layers. Drainage tubes may be inserted temporarily to prevent fluid accumulation.

What Does Recovery from MICS CABG Involve?

Recovery from MICS CABG is typically faster and less painful compared to traditional open-heart surgery. Patients usually spend a shorter time in the intensive care unit and the hospital, often discharging within 4-7 days. Pain management is crucial in the initial days. Patients are encouraged to ambulate early, with gradual increases in activity. Restrictions on lifting heavy objects and strenuous activities will apply for several weeks, but the absence of a sternal incision often means fewer long-term limitations. Regular follow-up appointments with the cardiac surgeon and cardiologist are essential. Most patients are advised to participate in a cardiac rehabilitation program to strengthen their heart and improve overall fitness, aiding a comprehensive return to daily life.

What are the Risks and Success Rates of MICS CABG?

  • Potential for bleeding during or after surgery, which may require blood transfusions.
  • Risk of infection at the incision site or within the chest.
  • Possibility of developing irregular heart rhythms (arrhythmias) post-operatively.
  • Though rare, complications such as stroke or heart attack can occur.
  • Graft failure or narrowing over time, potentially requiring further intervention.
  • Adverse reactions to anesthesia or medications.

The success rates for MICS CABG are generally very high, often comparable to traditional CABG, with studies indicating graft patency rates exceeding 90% at five years. A successful MICS CABG can significantly improve a patient's quality of life by reducing angina, enhancing exercise tolerance, and lowering the risk of future cardiac events. Outcomes can vary depending on individual patient factors, the number of bypasses required, the surgeon's experience, and adherence to post-operative care and lifestyle changes. Long-term success is greatly influenced by managing risk factors such as hypertension, diabetes, and cholesterol, alongside regular medical follow-ups.

What is the Cost of MICS CABG in Mumbai?

The cost of Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) in Mumbai can vary considerably based on several factors. These include the specific hospital chosen (private or corporate hospitals generally have higher costs), the experience and reputation of the cardiac surgeon, the complexity of the procedure (e.g., number of bypasses), the technology utilized, the length of hospital stay, and any additional medical services required during recovery. Comprehensive packages often cover surgical fees, anesthesia, hospital room charges, medications, and initial rehabilitation.

In Mumbai, the estimated cost for MICS CABG generally ranges from INR 3,50,000 to INR 6,50,000.

Comparing MICS CABG Costs: Mumbai vs. Global

Patients from the UAE often seek international medical care for advanced procedures like MICS CABG due to significant cost differences while maintaining high standards of care. Here’s a comparison of MICS CABG costs in Mumbai against other major medical destinations:

Location Estimated Cost (USD)
Mumbai, India $4,200 - $7,800
United States $50,000 - $120,000
United Kingdom $35,000 - $70,000
Singapore $30,000 - $55,000
Thailand $15,000 - $30,000
Germany $30,000 - $60,000
Ready to explore MICS CABG options in Mumbai? Connect with our expert team for personalized guidance and hospital comparisons.

How We Support International Patients in Mumbai

  • Assistance with medical visa applications and extensions for you and your accompanying family.
  • Arrangement of comfortable accommodation options, from hotels to serviced apartments, near the hospital.
  • Facilitation of local transportation, including airport transfers and daily commutes to and from the hospital.
  • Provision of language interpretation services to ensure clear communication with medical staff.
  • Coordination of all medical appointments, surgical scheduling, and follow-up consultations.
  • Dedicated patient relationship managers to address all queries and provide support throughout your stay.

Essential Documents for Your Medical Visit to Mumbai

  • A valid passport with at least six months of validity beyond your intended stay.
  • A medical visa specifically obtained for treatment in India.
  • All relevant past and current medical records, test results, and diagnostic reports.
  • A referral letter from your local physician outlining your medical condition and the recommended treatment.
  • Proof of financial solvency to cover your medical expenses and stay.
  • Identification and contact details of an emergency contact person.

Preparing for Your MICS CABG Procedure in Mumbai

  • Follow any dietary restrictions or nutritional guidelines provided by your medical team prior to arrival.
  • Review all current medications with your doctor, including supplements, and clarify which ones to continue or stop.
  • If you smoke, it is strongly advised to quit several weeks before surgery to improve lung function and recovery.
  • Arrange your travel schedule to allow ample time for pre-operative assessments upon arrival in Mumbai.
  • Undergo any recommended physical activity or breathing exercises to optimize your fitness for surgery.
  • Ensure you have a support person or family member to accompany you during your treatment and early recovery phase.

Aftercare and Recovery Instructions for MICS CABG

  • Keep the surgical incision clean and dry, following specific wound care instructions to prevent infection.
  • Adhere strictly to your prescribed medication schedule, including pain relievers, antiplatelet drugs, and statins.
  • Gradually increase physical activity as advised by your medical team, avoiding heavy lifting or strenuous exertion.
  • Attend all scheduled follow-up appointments with your cardiac surgeon and cardiologist.
  • Engage in a structured cardiac rehabilitation program to regain strength and improve cardiovascular health.
  • Adopt a heart-healthy lifestyle, including a balanced diet and regular exercise, for long-term well-being.

Ready to Take the Next Step for Your Heart Health?

Making an informed decision about your health is paramount. Our team in Mumbai is dedicated to guiding you through every stage of your MICS CABG journey, ensuring clarity, comfort, and confidence.

Begin your journey to a healthier heart. Reach out to us for a detailed consultation and seamless treatment planning in Mumbai.

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