Cver the years, there have been continuous improvements and modifications in operating technique and the developments of the new devices to aid the surgeon in the field of coronary arterial bypass surgery. And those improvements have lead cardiac surg...
Cver the years, there have been continuous improvements and modifications in operating technique and the developments of the new devices to aid the surgeon in the field of coronary arterial bypass surgery. And those improvements have lead cardiac surgeons to the off-pump coronary arterial bypass surgery(OPCAB) - surgery without cardiopulmonary bypass including cardioplegia. Nowadays, revascularization surgery of multiple coronary arteries without cardiopulmonary bypass is becoming a routine procedure in the technical arsenal of the modern cardiac surgeon. The key requirements of the successful OPCAB are good exposure and stabilization of all target vessels while minimal hemodynamic compromises ensue. Current data shows appreciable postoperative outcome for OPCAB. Furthermore, it has numerous benefits for the subset of patients traditionally considered to be high-risk for CABG.