Heart Disease Community
Angioplasty or Bypass Surgery
About This Community:

A community of people with Heart Disease to guide and support your heart-health journey. Ask a question, join a conversation, share experiences: symptoms, nutrition, and management.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Angioplasty or Bypass Surgery

Dear Doctors,
My uncle was put on angiography and it revealed as under:

Cinical Diagnosis:

Diabetic Mllitus Type-II
Chest pain
Acute inferior Wall MI (Failed Thrombolysis)
Hypotension

Indication for Catheterisation:
Evaluation of Coronary Artery Disease.

Pressure:
AO: 90/70 mm of Hg.


1)  RCA : is anatomically dominant vessel and has 30-40% narrowing soon after origin with suggestion of thrombus and 100% occlusion with thrombus just after RV branch. Distal branches of RV branch are faitally seen during LCA injection.
2)  LCX : is anatomically non-dominnt vessel and has 80% mid segment stenosistrying to 100% occlusion last OM are filling antygradely. Last OM beyond A-V groom is thin.
3)  RI :  is a large vessel and has 80% occlusion in proximal segment at bifurcation. The upper branch is diffusely desease lower branch is a large branch and has 80% long segment proximal stenosis. Distally is graftable.
4) LAD :  is a type III vessel and has 70% long segment stenosis in proximal segment. Diagonals and septals are normal.
5) LMCA  : Long and normal.

Final Diagnosis:
Right dominant system.
Diffused Triple Vessel Coronary Artery Disease with Thrombolytic Occlusion of RCA.

please help me, as i am in a dilemma that should  we opt for angioplasty or bypass surgery.
Related Discussions
3 Comments Post a Comment
Blank
367994_tn?1304957193
Sorry to hear about your uncle's medical problem. The guidelines by AHA/AAC: recommend treating 70% or greater with medication if there is associated chest pain and relief, if pain is not relieved with mediction (medication) then a stent.  Sometimes a stent can not be successfully implanted due to location, size, configuration or an emergency heart attack.

It is difficult to assess your uncle's strengths and weaknesses in regard to the appropriate procedure based on the report posted.  For consideration, what is your uncle's general health?  Has medication failed to relieve symptoms?  Sometimes a thrombus can be dissolved with treatment, etc.
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1236893_tn?1408490528
Blank
Health Insurance Companies Seek Big...
10 hrs ago by gymdandee
1236893_tn?1408490528
Blank
Keep Your Liver Healthy
13 hrs ago by gymdandee
Avatar_m_tn
Blank
Paxiled commented on Individuals with soci...
18 hrs ago
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway