Learn about OPCAB Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in OPCAB and request assistance for cost estimates or appointments.

About OPCAB

Off-Pump Coronary Artery Bypass (OPCAB) is an advanced cardiac surgery technique used to treat severe coronary artery disease. Unlike traditional bypass surgery, OPCAB is performed on a beating heart without the use of a heart-lung bypass machine (cardiopulmonary bypass). The surgeon uses a specialized stabilizer to immobilize a small section of the heart while grafting healthy blood vessels, typically from the chest or leg, to bypass blocked coronary arteries and restore normal blood flow to the heart muscle. This innovative approach is often chosen for high-risk patients, such as the elderly or those with kidney disease, as it reduces the systemic inflammatory response and potential neurological complications associated with stopping the heart. OPCAB aims to provide the life-saving benefits of coronary revascularization with a potentially lower risk of certain complications and a faster recovery.

Key Highlights

    Performed on a beating heart, eliminating the need for a heart-lung machine (cardiopulmonary bypass).May reduce the risk of stroke, kidney problems, and systemic inflammation associated with traditional bypass.Often leads to shorter hospital stays and faster overall recovery times.Can be a safer option for high-risk patients, such as the elderly or those with pre-existing kidney or lung conditions.Effective in treating multi-vessel coronary artery disease with proven long-term graft patency.

Who is this surgery for?

  • Severe blockages in multiple coronary arteries (multi-vessel coronary artery disease).
  • Patients considered high-risk for complications from cardiopulmonary bypass (e.g., advanced age, severe aortic calcification, chronic kidney disease, or cerebrovascular disease).
  • Failed or unsuitable percutaneous coronary intervention (PCI/angioplasty).
  • Left main coronary artery disease.
  • Patients requiring combined procedures where avoiding bypass machine use is beneficial.

How to prepare

  • Complete cardiac evaluation, including angiography, echocardiogram, and blood tests.
  • Pre-operative counseling to discuss the procedure, risks, and recovery expectations.
  • Management of current medications; blood thinners (like aspirin or warfarin) may need to be stopped days before surgery.
  • Fasting for 8-12 hours prior to the procedure.
  • Pre-operative hygiene, including a special antiseptic shower.
  • Informed consent process after detailed discussion with the cardiac surgeon.

Risks & possible complications

  • General surgical risks: bleeding, infection at the incision site, or adverse reaction to anesthesia.
  • Cardiac risks: arrhythmias (irregular heartbeat), low cardiac output, or need for conversion to on-pump bypass during surgery.
  • Graft-related complications: early graft failure or narrowing over time.
  • Neurological risks: stroke or cognitive changes, though risk is potentially lower than with on-pump surgery.
  • Other risks: kidney dysfunction, lung complications, or deep vein thrombosis.

Recovery & hospital stay

  • Initial recovery in the ICU for 1-2 days for close monitoring of heart function and vital signs.
  • Pain management with medications; breathing exercises are crucial to prevent lung complications.
  • Gradual mobilization, starting with sitting and walking short distances with assistance.
  • Incision care instructions to prevent infection; sternal precautions (no heavy lifting, pushing, or pulling) for 6-8 weeks.
  • Comprehensive cardiac rehabilitation program involving supervised exercise, diet counseling, and stress management.
  • Regular follow-up appointments with the cardiologist and surgeon to monitor recovery and graft health.
  • checked Typical hospital stay: 7-10 days
  • checked Expected recovery time: 6-12 weeks

Frequently Asked Questions

If you are considering opcab in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for opcab compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 250 Thousand – 550 Thousand 7-10 days ~ 6-12 weeks Know More
Turkey TRY 875 Thousand – 1.93 Million 7-10 days ~ 6-12 weeks Know More

Top hospitals for OPCAB in India

These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing opcab.

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Kamineni Hospital, King Koti

  • IconHyderabad, India
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89+ Rating

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
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15+ Rating

Manipal Hospital Mukundapur

  • IconKolkata, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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534+ Rating

Manipal Hospital Yeshwanthpur

  • IconBangalore, India
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10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
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15+ Rating

SIMS Hospital Vadapalani

  • IconChennai, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
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Manipal Hospital Old Airport Road

  • IconBangalore, India
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PATIENT REVIEW

Aadya Patel, a 58-year-old primary school...

Aadya Patel, a 58-year-old primary school teacher and grandmother of three, had always been active and health-conscious. Over several months, she began experiencing crushing chest pain and profound shortness of breath while walking her grandchildren to the park, a task she once cherished. A cardiac catheterization revealed severe triple-vessel coronary artery disease, but her religious beliefs as a Jain strictly prohibited any procedure involving a heart-lung machine. Her cardiologist, understanding her dilemma, recommended Off-Pump Coronary Artery Bypass (OPCAB) surgery as a viable alternative that respected her faith by avoiding the use of the machine. Aadya was terrified but found solace in the plan. The surgery, while complex, was successful. Her recovery in the hospital was closely monitored, and she was diligent with her cardiac rehabilitation. Six months later, she is back to teaching part-time and can play with her grandchildren without pain. Emotionally, she moved from a state of fear and spiritual conflict to immense relief and gratitude, feeling that her beliefs were honored while her life was saved.

Cardiac surgeons for OPCAB

Explore experienced cardiac surgeons who regularly perform opcab and provide pre- and post-operative care in India.

Dr. Robert Coelho
  • 31 Years Experience
  • Pediatric Cardiac surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Richard Saldanha
  • 37 Years Experience
  • Cardiac surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Joseph Xavier
  • 30 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Rohit Ravindra Tanga
  • 21 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Arun V
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Vinod Subramanian
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Mukundan Seshadri
  • 31 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Arun Veeram Reddy
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Murali Krishna
  • 15 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. NS Devananda
  • 30 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Bhaskar B V
  • 16 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Upendra Shenoy
  • 23 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Srinivas Babu
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated
Dr. Umesh Nareppa
  • 23 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 650
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Bashi V Velayudhan
  • 37 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Rajkamal Vishnu
  • 8 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. A Mohammed Ibrahim
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Mohammed Idhrees
  • 17 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Ashwin Kumar H
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1090
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated
Dr. Murali Krishna
  • 15 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated