HYBRID EVENT: You can participate in person at Paris, France or Virtually from your home or work.

2nd Edition of International Heart Congress

June 20-22,2024 | Hybrid Event

June 20 -22, 2024 | Paris, France
Heart Congress 2023

A Less invasive, multivessel, multiarterial technique of coronary artery bypass graft surgery with conventional instruments in the real world

Francisco Mauricio Rincon Tello, Speaker at Cardiology Conferences
ClĂ­nica Los Nogales, Colombia
Title : A Less invasive, multivessel, multiarterial technique of coronary artery bypass graft surgery with conventional instruments in the real world


This work shows the development of an innovative surgical technique that makes it possible to treat ischemic heart disease with lower associated risks, offering complete revascularization. We routinely perform a technique via left mini-thoracotomy or video-assisted multi-arterial grafts without manipulating the aorta. Depending on the patient's stability and the possibility of offering complete revascularization, we implement techniques outside or in extracorporeal circulation. After a learning curve with dedicated teams, we believe that this technique offers better results than conventional ones.

Materials and methods: Data are collected and described from patients who underwent minimally invasive techniques at our institution in the last two years when the routine less-invasive revascularization program began. We will prospectively describe the technique and its development. Type of intervention. Grafts used. Bridges made. Length of stay, complications, and follow-up of patients.

Results: 48 patients underwent myocardial revascularization under a minimally invasive technique, mostly multi-arterial grafts and without touching the aorta. Some of them with hybrid procedures. Summary of results: Reintervention for bleeding 0%. Reoperation 1 (2.08%) Perioperative cerebral infarction 0%. Deep infection 0%. Superficial infection 0%. Foreign body reaction / granuloma 2%. Residence time like conventional techniques. Less time to return to daily life / work 3 to 4 weeks vs. 6 or more. Greater pain during the first postoperative week. Minor pain from the second postoperative week

udience Take Away Notes

  • The development of these techniques demonstrates (compared to conventional ones) a lower rate of complications and faster recovery to daily life, while still offering the advantages that surgical myocardial revascularization has demonstrated over time. It must be part of the management and treatment tools for our patients
  • These experiences will serve as an example and motivation for others in the field who are trying to enhance their job development favoring patients experiences and results
  • Health teams that care for underserved patients in developing countries can develop and maintain less invasive programs generating a huge impact on health care
  • Aligned with the purpose of the conference; These techniques will overcome Hindrances, will make Evolutions and Advancements and should be part of the Recent Trends in Cardiology


Dr. Rincón Tello began his academic preparation at the Pontificia Universidad Javeriana (PUJ) where he graduated as a Surgeon, with a postgraduate first specialization in General Surgery and later a second specialization in Cardiovascular Surgery. He was the winner of First National Place in the 2011 Surgical Resident Contest of the Colombian Society of Surgery, and in 2015 he received the Observership Mount Sinai NY scholarship Santo Domingo program of the Colombian Society of Cardiology and Cardiovascular Surgery.  He is a Cardiac Surgeon at the Fundación Santa Fe de Bogotá and the head of the Cardiovascular Surgery Service at the Los Nogales Clinic. Member of the Colombian Society of Cardiology and Cardiovascular Surgery since 2014, the Society of Thoracic Surgeons (STS) since 2018. and the Latin American Association of Cardiac & Endovascular Surgery (LACES) since 2020