Stent after cabg

[imbill]

I am a 49 year old male that had a heart attack in 3/06. In Dec.08 I had quadruple bypass. I never felt as if I was 100% better. June 1st I had another cath done and my left main artery had 90-95% occlusion. They stented that and I do feel better. My question is does this sound as if they should have bypassed the LM when the cabg was done? I also have found very little information on someone that had cabg than received a stent. I know this is not real normal but any idea of what I can expect?
Thanks for the help.

[kenkeith]

Just a thought.  I don't know of any evidence to support.

[ed34]

I don't personally believe so. I think if arterial damage occurs due to raised pressure (which is required for disease), then we would witness quick disease growth in all bypass patients. I would have thought if the pressure decreased, then it would be less likely damage would occur. There is obviously a risk with scar tissue forming around the graft and encouraging disease, but again I don't think this is sufficient to cause problems in most cabg patients. I know a number of people who had bypass surgery 10+ years ago and have had no problems at all. So I think the majority of patients gain huge benefits.

I will be asking my cardiologist next week about my LAD. I have a Lima feeding into the proximal and normal flow is now entering through the left main stem. I will be asking how 2 feeds could be affecting flow through the LAD and whether the Lima should indeed be blocked off.

[kenkeith]

Do you think that possibly having a cabg can redirect blood supply and increase or decrease arterial pressures to the extent that a new vessel blockage is seen or developed?

[ed34]

Stenting is sometimes done after bypass surgery, to reopen occluded bypass conduits or reopen coronary artery blockages that have formed since surgery. Bypass surgery will not stop the disease developing, that is down to lifestyle changes including avoiding as much stress as possible. You need to just take notice of your body, as you knew this time when something wasn't quite right.

[ChatterAlly]

What area was bypassed in '08?  The occlusion of the LMA  may not have been detected at the time of the bypass, or wasn't even occluded at that time. You say you feel better now and with lifestyle changes, meds and diet you should feel great.