Heart and Aorta

1
Can All Patients Needing Bypass Have OPCAB?
This is a very technical question and one need to
consider many factors before reaching a
decision. Even when OPCAB is planned for a
certain patient the decision can be changed on
the operating table depending on conditions
unique to individual patients. A heart suffering
from critical shortage of blood supply, as in the
case of many undergoing bypass, may not tolerate
the long operation on beating heart. The blood
vessel needing bypass may be buried deep inside
the heart muscle or its wall may be very thick
and hard like stone. These situations make the
operation technically difficult and may
necessitate the use of CPB machine. Needless to
say, every patient is unique and there is no one
treatment suiting all.
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