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Editorials |

OPCAB vs CABG: Who, What, When, Where?

Herbert B. Ward; Rosemary F. Kelly
Author and Funding Information

Affiliations: Minneapolis, MN
 ,  Minneapolis, MN
 ,  Dr. Ward is Professor of Surgery and Dr. Kelly is Assistant Professor of Surgery, University of Minnesota.

Correspondence to: Herbert B. Ward, MD, PhD, Cardiothoracic Surgery (112), VA Medical Center, One Veterans Dr, Minneapolis, MN 55417; e-mail: wardx020@umn.edu



Chest. 2004;125(3):815-816. doi:10.1378/chest.125.3.815
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A surgeon’s decision to perform myocardial revascularization using conventional techniques (ie, coronary artery bypass grafting [CABG]) on cardiopulmonary bypass (CPB) or to use newer techniques without the aid of CPB (ie, off-pump coronary artery bypass [OPCAB]) has been influenced by many factors. CPB is known to cause a complex of systemic inflammatory responses and has been associated with several adverse postoperative outcomes, including renal, pulmonary, neurologic, and coagulopathic complications and even end organ dysfunction.1 Surgeons driven to reduce both the short-term and long-term morbidity associated with CPB find OPCAB to be an attractive alternative.

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