lad occlusion

I HAD AN MI SEVEN YEARS AGO.AN ANGIO WAS DONE AND I WAS TOLD THAT NOTHING WAS SERIOUS AND I WAS PUT ON MEDICATION .THERE WAS A LONG LESION IN ONE OF MY ARTERIES AND A STENT WAS NOT POSSIBLE.2 WEEKS AGO I HAD A CHEST PAIN WHICH WAS RESPONDING IN MY BACK.I WENT TO HOSPITAL AND KEPT UNDER OBSERVATION AND SEVERAL TESTS DONE.A TROP T TEST WAS POSITIVE AS IT INDICATED 0.16%.AN ANGIO WAS DONE AND SOME OF THE REPORT ARE AS FOLLOWS.
      
   LAD OCCLUDED     LCX LARGE VESSEL DEFINETELY CLEARED AFTER OMI

  RCA 70% LESION    GOOD LU FUNCTION   60%

  TO CONSIDER FOR CABG  PLEASE ADVISE

[ed34]

I'm not quite sure with some of the unique terminology, such as definitely cleared after OM1?
It could be that they are saying the LCX is heavily calcified before the OM1 but after this the vessel is clean, meaning a good choice for bypass. The LAD is blocked, but it would be interesting to know from the report if you are left/right or co-dominant. You have probably been so well up until now because of collateral development into the LAD area, but your LCX blockage will shut these down and make symptoms worse. If the LCX cannot be opened with stents, then bypass would be a good option, particularly if they can use your LIMA vessel.
Your RCA has a 70% blockage but again, the right side is usually good at developing collateral feeds and 70% is borderline for intervention anyway.