Off-pump bypass surgery

An Off-Pump Coronary Artery Bypass Surgery is an advanced, open-heart surgery that is done without a heart-lung machine. During this procedure, the heart continues to beat and supply blood to the rest of the body, and it is also known as 'beating heart surgery.' Off-Pump CABG is done to facilitate blood flow to the coronary arteries, where the surgeon takes a healthy vein or artery from another part of the body and then uses the vessel to 'bypass' the blocked blood vessel to restore the normal blood flow. 

Off-pump bypass surgery

Who Needs Off-Pump Bypass?

Patients suffering from severe coronary artery disease would require Off-Pump Bypass surgery. It is recommended for patients where lifestyle changes, medication, and a coronary angioplasty fail to provide relief from symptoms.

How Is Off-Pump Bypass or Beating Heart Surgery Performed?

In layman's terms, this is a bypass surgery that is done while the heart is still beating and performing its duties. It is also known as Off Pump Coronary Artery Bypass Surgery. The surgeon first removes a part of a healthy vein or artery from another in the body, either from the leg or chest, and it is known as a graft. 

One end of the graft is attached to an area above the coronary artery, and the other end is fixed below the blockage. Once the graft is placed and attached, the blood flow is restored. In order to keep the heart beating heart steady, the surgeon uses a 'stabilization,' a heart positioner that provides better access to the blocked arteries while the surgeon completes the procedure. 


It is not a minimally invasive procedure. However, some expert surgeons use small incisions near the rib regions to perform the surgery.

Off-Pump Bypass is done without Heart-Lung Machine, while in CABG, the machine takes over the functioning of your heart during the procedure.

Off-Pump Bypass Surgery is done by an expert Cardiothoracic Surgeon.

The recovery time depends on the patient's health history, current health, and other comorbid conditions. It may take up to a month or two to resume regular activities.

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