In the past, heart bypass surgery was commonly associated with major procedures that required surgeons to open or split the breastbone through a long incision. While effective, this method often involved longer recovery times and greater postoperative discomfort. With advancements in medical technology, Minimally Invasive Cardiac Surgery (MICS) is now available, allowing bypass procedures to be performed through smaller incisions without fully opening the chest.
At Mandaya Royal Hospital Puri, this minimally invasive bypass procedure is performed by dr. Wirya A. Graha Sp.BTKV, Subsp.JD(K). With a more modern approach, this technique offers several advantages, including reduced pain, lower risk of complications, and faster recovery compared to conventional methods.
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Understanding MICS Bypass Surgery Without Opening the Chest
MICS bypass surgery is a procedure performed to create a new pathway (bypass) to treat narrowed or blocked coronary arteries.
Unlike conventional surgery that requires opening the breastbone, this technique uses a small incision in the rib area or under the left chest. During the procedure, surgeons use specialized instruments to connect blood vessels for the bypass while the heart continues to beat.
To ensure stability during the operation, a special stabilizing device is used to keep the heart steady. This allows the surgeon to perform precise suturing safely without interfering with the heart’s function.
Advantages of MICS Bypass Surgery
The following are some of the key benefits of MICS bypass surgery:
- No need to open the breastbone (sternum)
- Small incision, approximately 5 cm under the armpit
- Minimal trauma to tissues and blood vessels
- Reduced blood loss
- Less postoperative pain
- Lower risk and severity of complications, especially in patients with underlying conditions such as diabetes and in elderly patients
- Faster recovery process
- Patients can generally resume light activities within 3–4 weeks after surgery.
Who Is Suitable for MICS Bypass Surgery?
Minimally invasive bypass surgery may be considered for patients who:
- Have coronary artery disease due to narrowing or blockage of the heart’s blood vessels
- Require bypass surgery but want to avoid large incisions
- Prefer a faster recovery after the procedure
- Have undergone medical evaluation and are deemed suitable by a specialist.
Profile and Practice Schedule of dr. Wirya at Mandaya Royal Hospital Puri

dr. Wirya A. Graha Sp.BTKV, Subsp.JD(K) is a thoracic, cardiac, and vascular surgeon with a subspecialty in adult cardiac surgery, experienced in performing various heart and vascular procedures. He completed his specialist training in Thoracic and Cardiovascular Surgery at the Faculty of Medicine, Universitas Indonesia.

In his daily practice, dr. Wirya specializes in Minimally Invasive Cardiac Surgery (MICS), a technique that allows heart surgery to be performed through small incisions without fully opening the breastbone. This approach offers several benefits, including less postoperative pain, lower risk of complications, and faster recovery compared to conventional techniques.
In addition, dr. Wirya also performs various procedures, including bypass surgery, heart valve surgery, and aortic surgery. He is a member of the Indonesian Medical Association (IDI) and is committed to providing professional, safe, and patient-centered thoracic and cardiovascular surgical care.
dr. Wirya A. Graha Sp.BTKV, Subsp.JD(K) is available for consultation at Mandaya Royal Hospital Puri on:
- Tuesday: 16.30 – 19.00 WIB
- Thursday: 16.30 – 19.00 WIB
- Saturday: 10.00 – 13.00 WIB.
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 check queue numbers and access complete information.
The information provided on this page is for educational and general informational purposes only and does not represent the full scope of medical services provided by each doctor. For appropriate treatment based on your condition, it is recommended to consult directly with the relevant doctor.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.

