DLSMC's Open Heart Surgery team offers a wide range of cardiovascular procedures including multi-arterial surgeries, beating-heart or off-pump
coronary artery bypass surgery (OPCAB), and vascular graft treatments.
When a way to do "off-pump
" CABG without splitting the sternum was developed, patients were happy to have less postoperative pain and a quicker recovery.
KEYWORDS: Stroke, Coronary Artery Bypass, Atheroembolism, Off-pump
, Aorta, Cardio-pulmonary bypass, Morbidity.
Treatment of patients undergoing on-pump or off-pump
coronary surgeries followed a standardized care from operation to discharge irrespective of the type of procedure performed.
Ravullapalli, "The effects of preemptive pregabalin on attenuation of stress response to endotracheal intubation and opioid-sparing effect in patients undergoing off-pump
coronary artery bypass grafting," Annals of Cardiac Anaesthesia, vol.
Endoscopic resection or stapling of aneurysm with off-pump
is used in the rest cases which may increase surgery risks.
There are many types of Open Heart Surgeries: On-pump open heart surgery and Off-pump
or beating open heart surgery.
CABG surgery may be considered in selected patients to reduce perioperative infusions.
Significant platelet activation occurs after on-pump coronary artery bypass grafting (CABG) when compared with off-pump
CABG.2,4 Maximum drop in PC after CPB is usually seen between day one to day four,5,6 after which the PC usually starts to recover.
There is an ongoing debate regarding the benefit of CABG with (on-pump) or without (off-pump
) cardiopulmonary bypass surgery, particularly with respect to benefits in the elderly.
Data was available for two surgical modifications: use of off-pump
coronary artery bypass grafting (OPCAB) and cannulation with a different type of cannula ("Select 3D cannula," Medtronic Inc., Minneapolis, MN) .
The patient underwent off-pump
CABG using skeletonized left internal mammary artery (LIMA) to the LAD and long saphenous vein (LSV) grafts to the OM and PDA arteries.