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Cardiothoracic Surgery of Savannah now offers one of the most exciting advances
in open-heart surgery -- "beating heart" or "off
pump" coronary artery bypass, also known as OPCAB. In
conventional coronary artery bypass surgery, the patient is placed
on the "pump" (cardiopulmonary bypass). The heart is the
stopped, the bypass procedure completed, the heart is restarted,
and the patient is taken off the pump. Many procedures have been
done this way and the procedure is generally very safe. However,
many side effects of bypass surgery are felt to be due NOT to
the surgery itself, but to the effects of cardiopulmonary bypass
or the "pump". Some of these include stroke, mental
confusion, bleeding, fever, and fluid accumulation. Surgical techniques
and instruments have now been developed which allow us to do
bypass procedures while the heart is beating and without the need
for the "pump". This has been shown to decrease the
above side effects of surgery and make the surgery less invasive.
This will lead to a shorter hospital stay and a quicker recovery.
Most patients who need coronary artery bypass can have
"beating heart" or "off pump" procedures.
If your physician recommends coronary artery bypass, be sure to ask about less
invasive "beating heart" surgery.
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