Facing heart surgery? Here’s what you should know

Learning that you may need heart surgery can bring up a range of emotions – uncertainty, concern and a need for clarity. One of the first questions many people have is: What are my options?

Two commonly used approaches in heart surgery today are traditional open-heart surgery and minimally invasive surgery, which may include the use of robotic assistance. While both can be effective, they differ in how the procedure is performed, the recovery process and the types of conditions they are best suited to treat.

A closer look at traditional open-heart surgery

For decades, open-heart surgery has been the gold standard in cardiac care. In this procedure, a large incision is made down the center of the chest and the breastbone is divided to provide surgeons with direct access to the heart. This method allows for a clear view and is especially effective for complex or extensive repairs.

Many patients benefit from this time-tested technique, but it does come with a few trade-offs. Because of the larger incision and the invasiveness of the surgery, recovery can be longer and more physically demanding. Patients may experience more pain, spend more time in the hospital and need additional weeks before resuming normal activities. There is also a slightly higher risk of infection, bleeding and complications compared to less invasive methods.

A modern alternative: minimally invasive and robotic-assisted heart surgery

Over the past decade, cardiac surgery has evolved. Today, patients who qualify may be candidates for minimally invasive heart surgery – an approach that avoids opening the chest completely. Instead, the surgeon makes a few small incisions between the ribs and uses specialized instruments, often guided by robotic technology, to perform the procedure.

Dr. Kenneth Liao, a Baylor Medicine robotic cardiac surgeon, has performed more than 700 robotic-assisted heart surgeries here in Houston. With his expertise, many patients experience faster recovery times, smaller scars and a quicker return to daily life. This method also can reduce the risk of infection and blood loss thanks to the precision and efficiency of robotic assistance.

It’s not uncommon for patients to be amazed at how quickly they’re back on their feet. Some go home just a few days after surgery and many are walking, eating and regaining their energy in a matter of weeks, not months.

Which option is right for you?

There’s no one-size-fits-all answer. Your treatment will depend on your heart condition, overall health and personal goals for recovery. Not all patients are candidates for minimally invasive surgery, just as not all conditions require open-heart surgery.

That’s why a thorough consultation with your cardiac surgeon is so important. At Baylor Medicine, Liao and his team take the time to walk patients through every option, answer questions thoroughly and recommend a surgical plan that’s tailored to your unique situation. They’re not just looking at your heart – they’re looking at you as a whole person.

Moving forward with confidence

If you’re preparing for heart surgery or considering your options, it’s important to feel informed and supported. Advances in surgical methods continue to expand what’s possible in cardiac care, offering many patients a smoother recovery and a better quality of life afterward.

For individuals seeking more information or a second opinion, Liao and the team at Baylor Medicine are available to provide insight and guidance, helping you understand the options that may be available for your specific case. Call (713) 798-1300 to schedule an appointment.

Learn more about cardiovascular medicine. 

By Kelsey Scott, communications associate in the Michael E. DeBakey Department of Surgery