REDO OR STENTING

Dear sir,
             I m sending you a angiography report of my father age 62years.angiography
             Report revealed native TVD with lima to lad 100%atrophy,SVG to D1&RCA 100%stenosis,SVG
             To OM1 patent.normal LV function.
             Earlier he underwent CABG on 10-01-07.he is dibetic and hypertensive from last 12 years.
             Cardiologist advised for PTCA+stent to LAD and D1or redo CABG.
             Please kindly advised for this situation.what would be better potion on this condition.
              .
                                                           Mansoor khan
                                                          

[Encephalomalcia]

I am not a doctor, but have seen many people family and friends go through both CABG and stenting.  A person with diabetes has higher risk for the CABG in that there is a possibility of not healing after surgery.  One of our friends had mild diabetes taking only pills and had a bypass operation.  The surgeons were not able to get this heart back into his chest because of all the swelling.  Three days later, no change and he was taken off of life support.  Diabetics have a high risk for any type of surgery and with open heart surgery there are complications from infections not only from the surgery but from the tubes used after surgery.  The stents would be safer to use in a person who is diabetic.