Minimally invasive direct coronary artery bypass (MIDCAB) with the GEISTER® Thoragate™ system requires a substantially smaller incision than conventional coronary artery bypass grafting (CABG). A leftside minithoracotomy is being performed, then the left internal mammary artery (IMA) harvested under direct vision, and an anastomosis being performed between IMA and LAD under direct vision, using a  mechanical GEISTER® stabilizer system, fixed by a t-bar or a flexible arm either on the ThoraGate™ itself, or - after changing the retractor in situ - on a small mini-thoracotomy retractor, for local mechanical immobilization.

+ stable rib elevation

+ facilitates harvesting

+ excellent exposure

+ larger operating area

+ choice of 2 lower blades + choice of 3 upper blades