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Off-pump coronary artery bypass grafting is a surgical procedure that restores blood flow to the heart muscle. This is done by using blood vessels from other parts of the body to make a new route for blood to flow around blocked coronary (heart) arteries. Off-pump coronary artery bypass grafting, also called 'beating heart', can be done without stopping the heart and putting a patient on a heart-lung machine.
Atherosclerosis is a disease of the arteries. Cholesterol and fatty deposits build up on the walls of the arteries. This restricts blood flow. When the buildup happens in the heart, it may lead to chest pain, called angina, or heart attack. Lifestyle changes and medicines can be used to treat atherosclerosis.
Most people who require coronary artery bypass graft surgery are candidates for the off-pump approach. Surgeons weigh several factors, such as the location of blocked arteries, a patient's history of past thoracic surgeries, and the presence of co-existing diseases.
Off-pump coronary artery bypass grafting may be used to treat:
If you are planning to have an off-pump coronary artery bypass grafting, your doctor will review a list of possible complications, which may include:
Some factors that may increase the risk of complications with heart surgery include:
Your doctor will likely do the following:
Talk to your doctor about your medication. You may need to stop taking certain medication for one week before surgery, such as:
Your doctor may also ask you to:
General anesthesia will be given. You will be asleep during the procedure.
An off-pump coronary artery bypass grafting can either be done through a minimally invasive incision or a conventional approach. During this procedure you won’t be on a heart-lung machine. Instead, a device will be attached to your heart to stabilize it and you will receive medicine to slow down the heart.
You will be monitored in the intensive care unit, where you will have the following interventions:
How Long Will It Take?
The surgery can take anywhere from 3 to 6 hours.
How Much Will It Hurt?
Anesthesia prevents pain during surgery. You may be given medication for any pain during recovery. Pain levels vary from patient to patient.
Average Hospital Stay
The average stay is 3 to 6 days.
At the Hospital
When you return home, do the following to help ensure a smooth recovery:
Every patient’s recovery can be different. You will need to shower, daily, with a mild soap. Ask your doctor when it is safe to take a bath or soak in water. You may find that there will be some areas of discomfort in the area of surgery that can last for several weeks. Also, it is common that you may feel tired for many weeks following this type of surgery.
If you had a conventional approach, you will be asked not to do any type of heavy lifting for two months that will cause pain at the surgical site. People with jobs requiring strong physical activity may require additional time before resuming those types of activities. Be sure to ask your doctor when you can drive and return to work.
When to Call Your Surgeon
In case of an emergency, call for medical help right away.
To learn more about how we can help you, contact us. We’ll return your call the same day and can secure you an appointment with one of our doctors within the week.
Request an appointment online or call 617-789-2045.
Or call 617-789-2045
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