Certain cases of coronary artery disease can be treated
with coronary artery bypass using so called "off
pump" techniques. While the most important goal in
bypass surgery is to obtain the most perfect bypass attainable
by the safest possible method, this can be accomplished in
some cases without resorting to methods that involve extracorporeal
circulation of the blood ("on pump" bypass).
depending on the patient's individual anatomy and other factors,
off pump bypass may be inappropriate, counterproductive
or unsafe. Consultation with the most experienced surgeon
possible is mandatory when considering the options to insure
the safest, most effective and long lasting result from coronary
artery bypass surgery as results can vary considerably.
A surgeon experienced in the most difficult of surgical cases
can best advise the patient and make the most appropriate
decisions in the operating room to insure the patient's safety
and long term outcome.