Heart Disease Community
bypass failure
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

bypass failure

My father had bypass recently.  After 3 months the pain reappeared and the angiogram test revealed that the newly grafted veins were occluded.  One of the doctor in the nearby hospital advised that they should have used IMA instead of SVG.  Can anybody give expertise advise on the pros and cons of both systems. ?
Related Discussions
2 Comments Post a Comment
Blank
Avatar_f_tn
This is an interesting exchange of views between doctors. Veins dont suffer atherosclerosis but can suffer thrombosis. When used as arteries in a bypass, I assume they can develop atherosclerosis and block up. This makes them no different to arteries in that respect and so I can't see there being a different outcome from using either veins or arteries.
In bypass surgery it has become much more common to use the mammary arteries which lie in the chest and are already attached to the aorta. Arteries are much stronger than veins and last longer in bypass situations. However, mammary arteries are checked during surgery to see if they are healthy enough to be used (i.e. have a good flow). If they have hardly any flow, then there is no benefit in using them on a patient for a bypass. The surgery notes would have to be accessed to see if this was the case with your Father. The surgeon usually makes his decision during the surgery and his decisions are noted down for records. Has your Father lowered his cholesterol to the required levels in a patient with CAD?
Blank
Avatar_f_tn
Actually after thinking more about this, I would ask the cardiologist to be more specific about his using the term 'occluded'. If the veins are blocked, it could be that the veins have 'collapsed' which is not uncommon, hence the reasons they use arteries more now.
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
Avatar_m_tn
Blank
Occupant
IL
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
3 hrs ago
1236893_tn?1408490528
Blank
gymdandee commented on New GMO
13 hrs ago
Avatar_n_tn
Blank
Healthtips commented on When Your Cold Is Not...
16 hrs ago
Heart Disease Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
10 hrs ago by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
Avatar_m_tn
Blank
Occupant
IL