Advice on a Angiography Report

Below the details of Report of Coronary Arteriography  of my uncle (37 years)
Would like to know what is the right choice and advice based on the report.

Left Coronary Artery:

Left Main Stem

Normal Trifurcating Vessel.

Left Anterior Descending Artery:
Mid generalized diffuse disease and tight mid stenosis. Small first diagonal branch shows tight ostial stenosis.

Intermediate Artery:
Good sized vellel with long segment of severe disease in proximal - mid vessel

Left Circumflex Artery:
Tight distal stenosis involving the origin of obtuse marginal branch.


Right Coronary Artery:
Dominant vessel with total proximal occlustion. Distal vessel fills through left system.

LV ANGIOGRAM:

Good LV systolic function.
Ejection Fraction= 60%

Management Decision:
Coronary Artery Bypass Grafting


Thank You

[ed34]

I would have to agree with the decision of bypass grafting. I would also suggest some big lifestyle changes because this is a young age to have so much disease.

[Flycaster305]

I'm not a health professional but I've learned a bit while trying to understand my many procedures.  A few of the terms aren't familiar to me, such as the word 'tight'.  I assume that means that there is severe blockage in England (am I right, Ed?).  
The word 'Diffuse' refers to widespread damage or blockage.

The word 'Ostial' refers to a blockage and the juncture where a main artery branches off.  These can be dangerous areas for blockage and what led to my bypass surgery.

'Diffuse' generally refers to widespread arterial damage.  

The good news is the Ejection Fraction is good, meaning that the heart is still healthy and can probably recover with surgery,  good medications, diet change and exercise.  Is he diabetic?  I certainly agree with Ed, lifestyle changes need to be made.  

[Avery618]

If that were my cath report I would also have to seriously consider bypass surgery due to the locations of the blockages.

[ed34]

yes 'tight' usually refers to > 70%