OFF-PUMP CORONARY ARTERY BYPASS
GRAFT (OPCABG) SURGERY IN PATIENTS
WITH LEFT MAIN CORONARY ARTERY
STENOSIS: ANALYSIS OF EXPERIENCE
IN 145 PATIENTS

Mohammad Fazle Maruf1, Suman Nazmul Hosain2, Md
Kamrul Hassan1, Zahangir Haider Khan3, Asif Ahsan
Chowdhury4, Tahmina Akter4, Rezaul Karim4, NA Kamrul
Ahsan5


Bangladesh Medical Journal, Vol. 37, No. 2 July 2008


Abstract:
The presence of significant left main arterial stenosis has been
considered a relative contraindication to OPCAB surgery. The
development of newer techniques and an increasing
understanding of the hemodynamic changes make the
surgeons confident to perform OPCAB in patients with
significant left main artery stenosis. Between January 2004 to
March 2008, 145 patients with left main artery stenosis
underwent OPCAB surgery at NICVD. Gradual adoption and
integration of maturing heart surgery in fast years led to a
trend towards overall improvement in CABG outcomes. Offpump
coronary artery surgery appears to be a safe and effective
technique in patients with significant Left Main coronary artery
disease. The postoperative morbidity and length of ICU and
hospital stay are shorter. OPCAB could be an effective
alternative to the conventional method CABG with same or
better early results and is cheap and cost effective. The longterm
results are to be evaluated.