Coronary artery bypass surgery or CABG or bypass surgery as it is known more generally as the most performed heart operation in whole world with more than 10 million procedures performed annually. In the Starting or Initial phase (20th century) the CABG was used to perform on heart & lung. In the machine all the blood was drained into this machine and the heart was stopped before finally performing the surgery. This required a lot of manipulation of the heart & clamping of the Aorta which led to a disastrous complication known as CVA or stroke in which one side of the body was paralysed. The chances of stroke was in the range of 2-4% in On-pump CABG era. In the coming days with the new and advanced technology the cardiac surgeons started doing CABG without the help of Heart lung machine, generally known as beating heart bypass surgery This is a unique technique in which the heart kept on beating while the surgeon was performing the operation.The chances of large complications along with stroke was heavily reduced.However to perform the proximal anastomosis the surgeon must partially Clamp the Aorta, so the chances of stroke are still present of approx 1.5-2%. In the present time, We perform CABG in which there is no need to clamp the Aorta, both the  internal thoracic arteries from inside chest are used to bypass every major coronary arteries.

It is a technically challenging operation but this Operation has significant long term benefits for the patient which includes a dismal stroke rate (<0.5%) and a long term relief from coronary artery disease.  This medical procedure is known as An-aortic or “No touch aortic” total arterial bypass surgery.

Avoidance of aortic manipulation in An-OPCAB decrease the risk of postoperative stroke.More than that, the removal of cardiopulmonary bypass reduces the risk of short term mortality, renal failure, bleeding, atrial fibrillation and the length of ICU stay.

In the present time An - OPCAB is applicable and suited on every patient undergoing bypass surgery, but we can surely tell after examining the patient and reviewing his angiogram.

Is there a difference in package rate between An-OPCAB and routine bypass surgery? 

Yes, In the price An-OPCAB package is slightly expensive than CABG package, but looking at the significant long term benefits the cost becomes negligible.

Yes, the An-OPCAB package is slightly expensive than CABG package, however if we look at the huge long term benefits of An-OPCAB it is negligible.