Off-pump coronary
artery bypass involves performing a coronary artery bypass while the heart is
beating. A heart-lung bypass machine is not needed during the procedure.
Also Known As:
- Artery bypass
- Beating heart coronary artery bypass
- Off-pump coronary artery bypass grafting
- OPCAB
Conditions Treated with Off-Pump Coronary
Artery Bypass:
Off-pump coronary
artery bypass may be performed in cases of coronary artery disease and
atherosclerosis of the coronary arteries.
Non-surgical
alternatives to off-pump coronary artery bypass include vasodilators, blood
thinners, blood pressure medication, and lifestyle changes such as weight loss
and dietary changes. A coronary artery bypass with a heart-lung bypass machine
is a surgical alternative to the procedure.
Anesthesia with Off-Pump Coronary Artery
Bypass:
Off-pump coronary
artery bypass is performed under general anesthesia, which means that the
patient is asleep and completely unaware during the procedure.
Potential Complications from Off-Pump
Coronary Artery Bypass:
Possible risks
following off-pump coronary artery bypass include infection, bleeding, blood
clots, ischemia, scarring and a negative reaction to the anesthesia. It is also
possible to require an emergency switch to a cardiopulmonary bypass.
Prognosis after Off-Pump Coronary Artery
Bypass:
The prognosis for a
positive end result following off-pump coronary artery bypass is very good.
Most arterial grafts will last for ten years or longer.
Recovery from Off-Pump Coronary Artery
Bypass:
Total recovery from
off-pump coronary artery bypass takes
six to eight weeks.