Minimally Invasive Cardiac Surgery (MICS) is a minimally invasive heart surgery technique performed through small incisions in the chest without the need to open the breastbone, unlike conventional open-heart surgery. This technique is often referred to as small-incision heart surgery because the procedure is carried out through a small opening, approximately 5 cm in length, between the ribs to access the heart.
Through the MICS approach, cardiac surgeons can treat various heart conditions while minimizing trauma to the chest area. Although performed through smaller incisions, the goal of MICS remains the same as conventional open-heart surgery, which is to repair or treat heart conditions according to the patient’s needs.
This minimally invasive heart surgery technique is considered to offer several advantages, such as less postoperative pain, smaller scars, shorter hospital stays, and relatively faster recovery times. MICS can also be used for various cardiac procedures, ranging from coronary artery bypass surgery to heart valve surgery.
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Types of Heart Surgery That Can Be Performed Using the MICS Method
Several heart procedures can be performed using the MICS approach, including:
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Heart Valve Surgery
Heart valve surgery is performed to treat heart valve diseases, such as aortic valve stenosis or aortic valve regurgitation.
In patients with these conditions, valve replacement can be performed through a small incision in the chest without fully opening the breastbone. In some cases, surgeons may also use a specialized camera to improve precision during the procedure.
The goal of this procedure is to improve blood flow from the heart, relieve symptoms, and preserve optimal heart muscle function. Because it is performed using a minimally invasive technique, the procedure may also reduce surgical trauma and help patients recover more quickly.
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Coronary Artery Bypass Surgery
Minimally invasive coronary artery bypass surgery may be an option for selected patients with coronary artery disease, including those who require bypass grafting for one or multiple coronary arteries.
Unlike conventional bypass surgery, the MICS approach is generally performed without temporarily stopping the patient’s heartbeat.
During this procedure, surgeons make a small incision on the side of the chest to create a new pathway for blood flow around blocked coronary arteries. With this technique, blood flow to the heart muscle can be restored without opening the breastbone as in conventional bypass surgery.
What Are the Advantages of MICS Compared to Conventional Heart Surgery?
Some of the advantages of MICS compared to conventional heart surgery include:
- Faster recovery time, allowing most patients to resume daily activities within approximately 2–4 weeks
- Less postoperative pain and smaller scars
- Reduced physical and psychological trauma related to surgery
- Shorter hospital stays, typically around 3–4 days
- Better early recovery of lung function after surgery
- Lower risk of infection and bleeding
MICS Heart Surgery Specialist at RS Mandaya Royal Puri
dr. Wirya A. Graha is a thoracic, cardiac, and vascular surgeon with a subspecialty in adult cardiac surgery who has extensive experience in performing various heart and vascular surgical procedures. He completed his Thoracic and Cardiovascular Surgery specialist training at the Faculty of Medicine, Universitas Indonesia, and has further developed expertise in modern cardiac surgery techniques, including minimally invasive procedures.
In his clinical practice, dr. Wirya is known for his expertise in Minimally Invasive Cardiac Surgery (MICS), a heart surgery technique performed through small incisions without fully opening the breastbone. This approach allows procedures to be carried out with less surgical trauma, offering patients benefits such as reduced postoperative pain, lower complication risks, and faster recovery compared to conventional heart surgery.
Some of the international training programs and conferences attended by dr. Wirya include:
- 2017: 25th Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery, Seoul, South Korea
- 2018: 28th Annual Meeting of the Association of Thoracic and Cardiovascular Surgeons of Asia
- 2019: 1st Joint Biennial South East Asian Regional Congress on Cardiovascular and Thoracic Surgery in collaboration with the 20th MATCVS Annual Scientific Meeting, Malacca
- 2021: 25th European Vascular Course and 5th European Cardiovascular Course
dr. Wirya A. Graha is available for consultation at Mandaya Royal Hospital Puri on:
- Tuesday: 4:30 PM – 8:00 PM
- Thursday: 4:30 PM – 8:00 PM
- Saturday: 10:00 AM – 1:00 PM
To make your visit to Mandaya Royal Hospital Puri more convenient, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to schedule visits, check queue numbers, and access other important information.
The information provided on this page is intended for educational and general informational purposes only and may not represent the full scope of medical services available from each doctor. To ensure appropriate treatment according to your health condition, direct consultation with the relevant doctor is recommended.
If you have questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.
