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right radial artery
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right radial artery

Is CABG essential in following triple vessel disease?, How serious is this status?

coronary angiogram;

1. left main : normal
2. left anterior descending: Proximal LAD shows 90% stenosis, DI 100% blocked.
3. left circumflex: LCx shows 80-90% stenosis, Distal OM shows 99% stenosis.
4. Right coronary artery: Dominant, Proximal to Mid RCA shows 80-90% diffuse disease, Mid Distal RCA 100% blocked, PDA &PLV filling through collaterals

976897_tn?1379171202
Yes this is a serious situation and requires CABG. You must remember that we have 3 main arteries to feed our hearts, the LAD the LCx and the RCA. All 3 have serious blockages in them. In some people, tiny vessels open up called collaterals which are natural bypasses. However, you need a good supply in at least one vessel to open these up and put them into operation. The supplying vessel has to be within the vicinity of a blockage also. Your RCA has PDA and PLV are being filled via collaterals which will be from either your upper LCx or RCA.
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