Heart Disease Community
bypass failure
About This Community:

A community of people with Heart Disease to guide and support your heart-health journey. Ask a question, join a conversation, share experiences: symptoms, nutrition, and management.

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
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
11548417_tn?1431627317
Blank
Ger57
Netherlands
63984_tn?1385441539
Blank
Flycaster305
97303, OR
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_f_tn
Blank
skydnsr
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
Turbinate commented on The Turbinates: What ...
May 20
13941311_tn?1432162553
Blank
GregRoss commented on Attention All Mouth B...
May 20
1236893_tn?1408490528
Blank
6 Snacks You Can Make with Protein ...
May 20 by gymdandee
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?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Heart Disease Answerers
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
11548417_tn?1431627317
Blank
Ger57
Netherlands
63984_tn?1385441539
Blank
Flycaster305
97303, OR
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_f_tn
Blank
skydnsr