Aa
A
A
Close
Avatar_universal
Stents vs Open heart surgery in 88 yo woman
My mother is 88 years old.  We just found out last week that she has 4 totally blocked arteries.  Her internist is saying the should have open heart surgery, but the heart surg. is saying that stents would be better because of her age.  She does have high blood pressure and low hemogo. but otherwise the internist says she is in great health.  I would like to hear from some doctors in this issue.  I realize that you can't give me specifics, but maybe give me some questions to ask the surgeon before we decide.  Thanks for your help.

Sara Green
Cancel
3 Answers
Page 1 of 1
367994_tn?1304957193
I have one totally blocked artery. There are other vessels that have taken on the burden to supply blood to the deficit blood supply from the blocked artery.  I haven't ever heard of someone having 4 totally blocked arteries.  But if that is true there obviously has to be other vessels that have developed to circumvent the total blockages.

It is possible to open totally blocked vessels and stent.  Some of the vessel blockage may not need any treatment, etc.  Open heart surgery for an individual over 80 is very risky, and usually only done when there is a life or death situation.

What you should ask is if there is ischemia (lack of blood flow) to critical areas of the heart, and if so how serious?  Is angioplasty to remove the plaque from the totally blocked vessel and stent the option suggested?
Comment
Cancel
367994_tn?1304957193
Comment
Comment
Submit Comment
976897_tn?1379171202
Takeing age into account, I would definitely opt for the stents. They are not painful and recovery is very quick. The only thing which can be a problem, is if the blockages are too calcified for the catheter to be pushed through them. There is a risk it can take a wrong turn and puncture the artery. I would just make sure the cardiologist has plenty of experience in such procedures because they are more tricky than none complete blockages.
Comment
Cancel
976897_tn?1379171202
Comment
Comment
Submit Comment
1346447_tn?1327866172
I am passing through same dilema. Doctor ruled out stents because of multiple vessles involved at both ends.Best option acoording to dostor is CAGB. My health is fine now and I am even thinking not to go for . Because of collateral circulation I do not have any pain even during exercise.

In your case I think both alternatives are equally good or bad. Third alternative what I am thinking will depend on your thinking of life. No guarantee you go this way or that way.Then why?
Comment
Cancel
1346447_tn?1327866172
Comment
Comment
Submit Comment
Your Answer
Avatar_universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Stents vs Open heart surgery in 88 yo woman
Submit Answer
A
A
Top Heart Disease Answerers
976897_tn?1379171202
Blank
watford, United Kingdom
11548417_tn?1440481484
Blank
Netherlands
159619_tn?1318997813
Blank
Salt Lake City, UT
Avatar_universal
Blank
Avatar_universal
Blank
Avatar_universal
Blank
Ireland
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar_f_tn
Blank
remar commented on dominosarah's status
23 hrs ago
Avatar_n_tn
Blank
ljhomes is ... Comment
Feb 04
Avatar_m_tn
Blank
Paxiled commented on Worst Foods For An Er...
Feb 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
976897_tn?1379171202
Blank
watford, United Kingdom
11548417_tn?1440481484
Blank
Netherlands
159619_tn?1318997813
Blank
Salt Lake City, UT
Avatar_universal
Blank
Avatar_universal
Blank
Avatar_universal
Blank
Ireland