Peter Munk Cardiac Centre, Toronto General Hospital · Decision guide
Toronto, Canada · Total-arterial bypass through a smaller chest incision
Toronto General’s Peter Munk MICS programme, directed by Piroze Davierwala, describes single-vessel and selected multivessel CABG using arterial grafts. The service distinguishes graft strategy, access side and use of heart–lung support.
UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG.
Sources: Minimally invasive coronary artery bypass graft surgery
The programme describes multivessel arterial bypass without a heart–lung machine in selected patients.
Sources: Minimally invasive coronary artery bypass graft surgery
Davierwala is identified as surgical director; his preceding Leipzig experience is documented separately.
Your diagnosis, selected specialist and treatment priorities.
Sources: Minimally invasive coronary artery bypass graft surgery · MICS programme and Dr Piroze M. Davierwala · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.
Sources: Minimally invasive coronary artery bypass graft surgery · MICS programme and Dr Piroze M. Davierwala · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.
Toronto · Canada
cardiac surgeon
Piroze Davierwala directs the minimally invasive cardiac-surgery programme at UHN. Its coronary service includes selected multivessel total-arterial CABG through an incision between the ribs without heart–lung support.
Sources: Minimally invasive coronary artery bypass graft surgery · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.
Read alongside Piroze M. Davierwala’s profile →
Davierwala coauthored a 186-patient elective series from 2015–2021. Bilateral internal thoracic arteries were used in 88%; there was one hospital death and two conversions to sternotomy. Estimated five-year survival was 93.3%.
How to interpret this: Selected single-centre cohort associated with the Leipzig programme. It is historical experience, not a current Toronto result or a head-to-head proof that every patient benefits from this strategy.
Sources: Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.
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