About OPCAB
Key Highlights
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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.
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Typical hospital stay: 7-10 days
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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.
Popular choices for opcab in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform opcab. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
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.
Top hospitals for OPCAB in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing opcab.
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.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore