Site Map

Heart bypass surgery - minimally invasive - discharge

Minimally invasive direct coronary artery bypass - discharge; MIDCAB - discharge; Robot assisted coronary artery bypass - discharge; RACAB - discharge; Keyhole heart surgery - discharge; Coronary artery disease - MIDCAB discharge; CAD - MIDCAB discharge

Heart bypass surgery creates a new route, called a bypass, for blood and oxygen to reach your heart.

Minimally invasive coronary (heart) artery bypass can be done without stopping the heart. Therefore, you DO NOT need to be put on a heart-lung machine for this procedure.

This article discusses what you need to do to care for yourself after you leave the hospital.

Images

Heart bypass surgery incision
Taking your carotid pulse
Radial pulse

I Would Like to Learn About:

When You're in the Hospital

You had minimally invasive coronary artery bypass surgery on one or more of your coronary arteries. Your surgeon used an artery from your chest to create a detour, or bypass, around arteries that were blocked and could not bring blood to your heart. A 3- to 5-inch-long (7.5 to 12.5 centimeters) cut (incision) was made in the left part of your chest between your ribs. This allowed your doctor to reach your heart.

What to Expect at Home

You may be able to leave the hospital 2 or 3 days after surgery. You may also be able to return to normal activities after 2 or 3 weeks.

After surgery, it is normal to:

Self-care

You may want to have someone stay with you in your home for the first week.

Learn how to check your pulse, and check it every day.

Do the breathing exercises you learned in the hospital for the first 1 to 2 weeks.

Weigh yourself every day.

Shower every day, washing your incision gently with soap and water. DO NOT swim, soak in a hot tub, or take baths until your incision is completely healed. Follow a heart-healthy diet.

If you are feeling depressed, talk with your family and friends. Ask your health care provider about getting help from a counselor.

Continue to take all your medicines for your heart, diabetes, high blood pressure, or any other conditions you have.

Know how to respond to angina symptoms.

Activity

Stay active during your recovery, but start slowly. Ask your provider how active you should be.

Be careful how you use your arms and upper body when you move around for the first 2 or 3 weeks after your surgery. Ask your provider when you may return to work. For the first week after surgery:

You may be referred to a cardiac rehabilitation program. You will get information and counseling about activity, diet, and exercise.

When to Call the Doctor

Call your provider if:

Related Information

Heart bypass surgery - minimally invasive
Heart failure - overview
High blood cholesterol levels
Angina
Coronary heart disease
Tips on how to quit smoking
Butter, margarine, and cooking oils
Heart bypass surgery - discharge
Angina - when you have chest pain
Angina - discharge
Heart attack - discharge
Aspirin and heart disease
Being active after your heart attack
Being active when you have heart disease
Cholesterol and lifestyle
Antiplatelet drugs - P2Y12 inhibitors
Controlling your high blood pressure
Dietary fats explained
Fast food tips
Heart disease - risk factors
How to read food labels
Mediterranean diet
Angina - what to ask your doctor
Heart attack - what to ask your doctor

References

Fihn SD, Blankenship JC, Alerxander KP, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2014;130(19):1749-1767. PMID: 25070666 www.ncbi.nlm.nih.gov/pubmed/25070666.

Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2012;126(25):3097-3137. PMID: 23166210 www.ncbi.nlm.nih.gov/pubmed/23166210.

Fleg JL, Forman DE, Berra K, et al. Secondary prevention of atherosclerotic cardiovascular disease in older adults: a scientific statement from the American Heart Association. Circulation. 2013;128(22):2422-2446. PMID: 24166575 www.ncbi.nlm.nih.gov/pubmed/24166575.

Kulik A, Ruel M, Jneid H, et al. Secondary prevention after coronary artery bypass graft surgery: a scientific statement from the American Heart Association. Circulation. 2015;131(10):927-964. PMID: 25679302 www.ncbi.nlm.nih.gov/pubmed/25679302.

Morrow DA, de Lemos JA. Stable ischemic heart disease. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 61.

Omer S, Cornwell LD, Bakaeen FG. Acquired heart disease. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 59.

BACK TO TOP

Review Date: 7/25/2018  

Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

ADAM Quality Logo

A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics. This site complies with the HONcode standard for trustworthy health information: verify here.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2019 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.