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bypass or stent

cathereterization showed 100% blockage in proximal LAD. No symtoms.
If LAD is not getting blood below blockage, wouldn't that artery be dead and scarred?
What can you bypass to?


This discussion is related to LAD blockage.
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976897 tn?1379167602
No, there is the possibility of stenting if the blockage is not too difficult to get through. If the blockage is 100%, then he must have had a heart attack?
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Avatar universal
my son has 100% lad blockage from post radiation therapy for cancer is open heart the only answer he is just about 30yrs old
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Avatar universal
The helmets were the same. Memory is the first thing to go.
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976897 tn?1379167602
15mm is a long blockage, probably too long for the average cardiologist.
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Avatar universal
For the record: Klinger did not say this, it was Arte Johnson in "Laugh in" and you are old enough, you should know.
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Avatar universal
AS Klinger would say "VERY INTERESTING"
The info on the lesion was 100% stenosis,15mm length,high risk,no
branch point. Does that mean it might not be idea to try to open it?
Could a Midcab procedure be performd?
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976897 tn?1379167602
Yes, very often collaterals will feed the heart a good enough flow of blood for rest, but not quite enough for exertion. Some people can take a squirt of nitro and exercise normally.
You would normally see the blockage as a large vessel suddenly turning into a narrower one. If the blockage is 100%, then you should see the blood flowing retrograde, ie going UP the LAD instead of DOWN. This is because it is being fed from lower down the vessel, instead of through the top.
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Avatar universal
Thanks.That's what I though. Could that be why my nuclear scan showed
my heart at rest was normal but abnormal under stress.Not getting enough blood? It bothered me that I could not find any blockage on my
cath vedio.
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976897 tn?1379167602
No the artery wouldn't be dead. If the artery was 100% blocked in the proximal section and there were no collateral vessels feeding the lower half, I really don't think you would be here to type your post. Natural vessels will have opened to feed into the lower part of your LAD, giving a retrograde fill.
The vessel is probably much thinner than it usually would be, but have enough flow to keep the heart muscle alive. You bypass to this narrower vessel but usually in 2 places. One at the top, just below the blockage, and another one distal. Usually involving an internal mammary artery and a Vein.
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