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Heart Disease (Expert Forum)
hearth cath
Answered by
Cleveland - OH
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
hearth cath
by msjazz, Aug 10, 2003 12:00AM
my mother is 76 yrs old 5'2" 140lbs.t 50 she had mild stroke and recoverd.At 66 she had triple bypass and recovered. now she is on blood pressure medication, plavix, and zocar. she started having chest pain last week and her dr. is sending her to specialist tues. for possible heart cath. she was told at bypass surgery that both carotids were 100% blocked and blood had rerouted, reconfirmed last yr with followup dye test. i wonder if she does have blockage if she could withstand bypass again or there was mention of the new stents. just wondered what you thought. thanks
Doctor's Answer
by Cleveland Clinic, Aug 10, 2003 12:00AM
, Aug 10, 2003 12:00AM
msjazz thanks for the post.
This is a difficult situation. Atherosclerosis, the same process that causes the blockages in the arteries of the heart often causes blockages in other major arteries, as the carotid arteries in your mother.
People with significant stenosis of one or both carotid arteries are at higher risk of stroke with open heart surgery. Often an endarterectomy is performed in these situations. More recently percutaneous revascularization of carotid stenosis has been performed.
If your mother truly has both arteries competley occluded, it will make any procedure she would need extremely high risk. Alot of what happens will depend on exactly where the blockages in the carotids and coronnary arteries are and and where the blood flow goes.
A redo bypass operation is difficult enough. You should be seen for this procedure at a large center where they do alot of complex procedures. She may have options to temporize her pain percutaneously, and if not then the complexity of her case can be evaluated by someone who probably has seen or done something similar.
hope this helps.
This is a difficult situation. Atherosclerosis, the same process that causes the blockages in the arteries of the heart often causes blockages in other major arteries, as the carotid arteries in your mother.
People with significant stenosis of one or both carotid arteries are at higher risk of stroke with open heart surgery. Often an endarterectomy is performed in these situations. More recently percutaneous revascularization of carotid stenosis has been performed.
If your mother truly has both arteries competley occluded, it will make any procedure she would need extremely high risk. Alot of what happens will depend on exactly where the blockages in the carotids and coronnary arteries are and and where the blood flow goes.
A redo bypass operation is difficult enough. You should be seen for this procedure at a large center where they do alot of complex procedures. She may have options to temporize her pain percutaneously, and if not then the complexity of her case can be evaluated by someone who probably has seen or done something similar.
hope this helps.
