
Our medical experts are ready to answer your questions and guide you through your treatment options.
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?
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.
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.
The precise steps of the MICS CABG procedure will depend on the individual patient's condition and the surgeon's specific plan.
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.
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.
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.
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.
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.
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.
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.
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 |
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.
India offers premium medical procedures at affordable prices. Discover our most popular treatments, delivered by the country's finest doctors.
Meet our team of highly qualified and experienced medical professionals dedicated to providing the best healthcare services.
Get Personalized Medical Treatment Options From India's Top Hospitals. Our Medical Experts Are Ready To Assist You Every Step Of The Way.