The heart surgery team at St. Anthony's Heart & Vascular Institute provides world-class care in a personalized, community hospital setting, close to home. The team provides state-of-the-art treatment of congenital and acquired abnormalities of the heart and cardiovascular system.
For more information on heart surgery or to schedule an appointment with St. Anthony’s cardiac team, call us at 314-ANTHONY (268-4669).
Coronary Artery Bypass Graft (CABG) Surgery, Via Median Sternotomy
During this surgery, the patient is connected to a heart-lung bypass machine, which does the work of the heart and lungs while the procedure is underway. The surgeon divides the patient’s chest from the collarbone area to the rib area and separates the breastbone to access the heart. The surgeon then grafts a vein or artery from another part of the patient’s body, usually the leg, and uses it to make a detour or graft around the blocked area in the artery.
Clampless, Off-Pump Coronary Artery Bypass Graft Surgery
With clampless, off-pump (or beating heart) coronary artery bypass graft surgery, the patient is not connected to a heart-lung machine, so the heart and lungs continue to function normally during surgery. Recent technology provides surgeons with devices that hold a portion of the heart still, enabling the doctor to work while the remainder of the heart continues to beat.
Advantages of Off-Pump Surgery
Heart Valve Surgery
The four valves of the heart—aortic, mitral, pulmonary and tricuspid—work constantly to keep blood flowing. In the event one or more does not perform effectively due to heart valve disease, the surgeon will repair or replace the valves.
Minimally Invasive Coronary Artery Bypass, Mitral Valve or Aortic Valve Surgery
During minimally invasive coronary artery bypass graft, mitral valve or aortic valve surgeries, the surgeon enters with a tiny incision between the ribs or from the side, rather than with a larger incision down the breastbone.
Advantages of Minimally Invasive Surgery
Due to the surgeon's limited window of observation, minimally invasive surgery procedures are best limited to patients who have one specific problem with their hearts. Patients in need of multiple bypass grafts or procedures are not suitable candidates for minimally invasive surgery.