Aa
A
A
Close
Blank
Avatar universal
SINGLE VESSEL DISEASE
I am 50 years male Non diabetic/ Nonalcoholic / No Smoking. My TGL were found on higher side for past 6 to 7 years and doctors recommended Rosuvas 10 mg for the same. Till date I am walking 6 to 7 Km.(Fast) and I can climb 4 story building without any break.  Till date I do not have any angina pain or any other chest pain. On 10.05.2012 I went for a full Cardiac check up.  During my tests my TMT was found Mild Positive and my TGL was 280 mg/d1.  There after Doctor recommended for CAG. My CAG was done on 16.06.2012 and on 30.06.2012 doctor recommended Coronary CTA.
My CAG Report is as under :-
Left Main Coronary Artery :- Short, Normal
Left Anterior Descending :- Proximal LAD - has critical eccentric lesion followed by total occlusion after - S 1 - retrograde filling on RC injection.
Left Circumflex :- ? Dominant , Normal including OM'S
Right Coronary Artery :- ? Non dominant, early bifurcation retrograde illing LAD, normal
LV Angio :- Not Done
Impression :- Single Vessel Disease
Management Option :- 1 PTCA to LAD  (2) CAGB
Medicines Recommended :- Nesicard 50mg & Atrovit

My Coronary CTA report :-

Opacification :- Satisfactory opacification with adequate timing
Cardiac chambers are normal in size . No obvious congenital anomalies.
Calcium Scoring (Agastson( 69.50
Dominance :- Right
LMCA :- Normal in caliber. No obvious intimal plaques.
LAD : mixed plaque. Severe disease with total occlision at proximal 1/3 proximal to D1.
D1 :- Mild to moderate disease to origin
D2 :- Mild to moderate disease at origin.
LCX :- Non dominant. Normal in calibre. No obvious intimal plaques.
M1 :- Large vessel Normal
M2 :- Large vessel Normal
RCA :- Normal in caliber. No obvious intimal plaques.
AM. Normal in caliber. No obvious intimal plaques.
PDA & PLVB :- Normal.
Myocardium & pericardium :- No obvious abnormality.
Extra / Non Cardiac findings :- Nil Significant.

My doctor ruled out the possibility STENT implant. and advised me not to go for any surgery. He advised me to take regular prescribed medicines.

On 23.08.2012 & 24.08.2012 I had an opinion of Two different  senior Doctors. As per their advices I am on high risk and asked me to go LAD grafting immediately.

Please advise.
Cancel
1 Answers
1 Answers
Page 1 of 1
976897 tn?1379171202
I agree totally with your cardiologist. I would forget the bypass surgery. The thing is, you have a good bypass already, one that nature has given you. Your right artery is feeding the left artery. Believe me, because you have no symptoms, I would leave it alone. If you have bypass surgery, those natural bypass vessels could close, and you could end up feeling worse. Bypass vessels done by surgery can fail, mine lasted 3 months. If the bypass fails, there is a chance that the natural ones will not re-open. I would listen to your cardiologist and use medication/healthy diet to keep going. Your blockage in the left artery has probably been there for many years, yet nature has done it's job perfectly and you was unaware. If something is working, leave it alone, you could make things much worse by interfering.
Comment
Cancel
976897 tn?1379171202
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar f tn
Blank
achillea
CA
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar m tn
Blank
tacolino
Ireland
Avatar m tn
Blank
Occupant
IL
144586 tn?1284669764
Blank
caregiver222
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
370181 tn?1428180348
Blank
RubyWitch I am no longer accepting HI... Comment
16 hrs ago
1236893 tn?1408490528
Blank
408795 tn?1324939275
Blank
fretboard uploaded new photos
May 04
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?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar f tn
Blank
achillea
CA
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar m tn
Blank
tacolino
Ireland
Avatar m tn
Blank
Occupant
IL
144586 tn?1284669764
Blank
caregiver222