The recent revival of the coronary artery bypass technique without extracorporeal assistance constitutes one of the major revolutions in the cardiovascular community in the last decade. Criticized by some1 and praised by others, off-pump surgery has left nobody indifferent. By simply typing “off-pump surgery” on a current electronic research database, close to 1,000 manuscripts can be captured indicating the gigantic infatuation with this procedure. From the
first aorto-to-coronary bypass performed on a dog by Alexis Carrel in 1910 to the current technique of coronary revascularization.