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Off-Pump Coronary Artery Bypass (OPCAB) There are advantages of not using a heart/lung machine or using one for only a limited period of time. The risks of infection or stroke (a rare complication) are reduced, and there is a decreased chance of needing a blood transfusion. This operative procedure includes a midline chest incision and the use of a device to hold the heart steady while the bypass grafting of the coronary arteries is completed. Key benefits of CABG and OPCAB surgeries include:
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