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What is opcab?

In medicine advance surgeries may include a way to make heart surgery less invasive. A patient is avoided to place on a bypass machine and the coronary artery is bypassed.

In traditional bypass surgery, patients are placed on a heart machine.it reroutes the blood outside the body and oxygenates it .finally returns it to the body, so that the heart is not moving during surgery.

The doctor gains access to the heart with a sternotomy .he uses stabilizers to hold steady the artery which is to be bypassed. Thus the heart is repositioned and vascular repairs are made.

What are the advantages?

  • The risk of stroke is Reduced

  • Very Few complications associated with the lungs

  • Less need for blood transfusions

  • Less injury to the heart muscle

  • Faster discharge from the hospital

  • Patient discharged sooner with off-pump surgery

Candidates for OPCAB may include the following patients:

  • Age over 70 with multiple diseased vessels

  • with lung disease such as COPD

  • with kidney disease

  • with a high risk of stroke (CVA)

  • with a previous history of stroke

  • with a low EF indicating poor heart function

  • with heavy atherosclerosis in the aorta

  • who refuse blood transfusions for religious or other reasons

OPCAB is not recommended in the following patients:

  • with enlarged hearts

  • with valve disease

  • who require long grafts

  • with blockages extending into the heart muscle

  • OPCAB Surgical Procedure

  • To relieve symptoms of CAD

  • Improve blood flow to the heart

  • To lengthen the patient’s life

What are Risk factors?

  • Diabetes

  • History of kidney disease

  • Poor cardiac function

  • Extensive heart disease

  • Poor nutrition

  • Smoking

  • Obesity

  • Age (over 60)

  • Alcoholism

  • Chronic Illness

  • Steroid Use

What are Common post-operative guidelines?

One should not drive for 2 weeks after the surgery.

Instructions will be given on care of your incisions.

no heavy lifting or strenuous exercise for the first few weeks

the type of work you perform and your particular situation.so Talk to your surgeon as return to work

Take your prescribed medications to prevent blood clots from forming.

A cardiac rehabilitation program like exercise, lifestyle modification, and monitoring to educate and assist you with your recovery.

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Contact Info

Dr.Kuldeep Kumar Chulliparambil
Renai Medicity,
Kochin
Palarivattom P.O.
Kerala
Pin: 682025
ckkkuldeep@yahoo.com
09961014446
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