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Heart Disease (Expert Forum)
Risk of 2nd CABG surgery
Answered by
Cleveland - OH
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Risk of 2nd CABG surgery
by chrisr, Aug 12, 2005 12:00AM
Thanks for taking my question. I am a 62yr old male diabetic with hypertension and hperlipidemia and have just been given a risk of 3-5% for complications by CCF cardiologists to undergo a 2nd bypass. This is mainly to replace a thrombosed and apparently nonfunctional LIMA following a LAD stent implant with severe LIMA spasm. The RIMA is the proposed replacement. My last stress test showed a large area of ischemia both in the anterior and inferior areas served by the LAD. My 1st triple CABG 5 yrs ago involved simultaneously both AVR and aortic root repair and was quite a traumatic experience that took months to recover from and left me with arrythmias. Other Cardios are against taking the risk. Despite a full drug regimen including Nitropatch, Cardizem,Diovan,Plavix, Asp,Coumadin and Glucotrol I still get nausea and chest discomfort on even mild activity. I have a few weeks to make a decision. I would like to get your comments and those from anyone else in a similar predicament. As always I highly appreciate this opportunity to express my problem.
Doctor's Answer
by Cleveland Clinic, Aug 12, 2005 12:00AM
, Aug 12, 2005 12:00AM
chirs,
thanks for the post.
Sorry to hear everything you've gone through.
There is a large section of your heart not receving full blood supply. This would cause me significant concern.
You do have to weigh the risk and benefits, but generally someone with significant ischemia I usually propose revascularization. Unfortunately I cant comment too much on your case without knowing your coronary anatomy.
I woudl discuss your concerns with your CCF cardiolgist and maybe he/she can discuss the case with your local cardiologist who is expressing reservations.
good luck
thanks for the post.
Sorry to hear everything you've gone through.
There is a large section of your heart not receving full blood supply. This would cause me significant concern.
You do have to weigh the risk and benefits, but generally someone with significant ischemia I usually propose revascularization. Unfortunately I cant comment too much on your case without knowing your coronary anatomy.
I woudl discuss your concerns with your CCF cardiolgist and maybe he/she can discuss the case with your local cardiologist who is expressing reservations.
good luck
I just want say I have found Dr.bkj to be a no nonsense doctor and straight to the point, I like that kind of doctor, yet compassionate. Also Dr.mjm is great , they are to be commended for their advice here on the forum.
I hope everyone here joins me in wishing them the BEST and for their continued great advice and sincere replys on this great forum.