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OPCAB off pump coronary artery bypass has becomea preferred technique of coronary revascularization in India, and more so inthe East. This technique was restarted by Buffalo and Bennetti who hadpublished their results in 1985. Since then, there has been a great enthusiasmamong coronary surgeons to develop and standardize this technique of CABGcoronary artery bypass grafting. In the late nineties, nearly all thecoronary centers in India started performing this technique. But, by theearly 2000, only a few surgeons continued this practice. Only those who couldperform this OPCAB technique in nearly 100% of their patients continued thisand the rest of them returned back to the conventional on pump CABG. To attainthis result, we had to re-engineer our technique of anesthesia, surgicaltechnique, stabilization, and positioning of the heart to enable us to performOPCAB in all patients who needed CABG. We have analyzed our last 3000 patientsoperated by the same surgeon Dr MPV, in the same center with the same team.As OPCAB was the only procedure performed for coronary revascularization, wehave compared our first 1000 patients, with the second 2000 patients thatunderwent the procedure. Our technique and our results are presented.


CABG Coronary Artery Bypass Grafting; OPCAB Off Pump Coronary Artery Bypass; ONCAB On Pump Coronary Artery Disease; Diffuse Coronary Artery Disease; IABP Intra-Aortic Balloon Pump; CPB Cardiopulmonary Bypass

Cite this paper

Vettath, M. , Ismail, E. and Kannan, A. 2013 Re-engineering in OPCAB—A Vettath’s perspective. World Journal of Cardiovascular Diseases, 3, 33-44. doi: 10.4236-wjcd.2013.34A006.

Autor: Murali P. Vettath, Et Ismail, Av Kannan



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