Coronary Arteriography

Left Coronary artery: (TF?NI), (JL4.0& JR4.0 6F)
Left Main Stem:         Short,normal bifurcating vessel.

Left Anterior Descending Artery:
Mild proximal disease and subtotal mid occlusion. Distal LAD fills antegradely with TIM II flow. Fair sized second diagonal branch shows sever proximal disease.


Left Circumflex Artery:
Continues  as obtuse marginal branch which shows mild diffuse disease in mid and distal parts.

Right Coronary Artery:
Dominant vessel with total mid occlusion. Distal RCA fills late retrogradely via collaterals from left system.

LV Angiogram:
Good LV systollic funcation

Ejection Fraction=60%



Please looking at all above details, can you please advise me that what should we do in terms of treatment, should we continue medication or we should go for surgery, what exactly this report says that how good or bad is the heart condition. Age of my father is around 60 years. He had a hear attach about one and half year ago. Since then we came to know that he is having heart problem. He is not having diabtese, no blood pressure, no cholestrol nothing at all, he doesn't even smoke

[ed34]

I assume that he had an angiogram from one and a half years ago. Do you have the results from that procedure?