my father is 65 years old
he made an open heart surgey 10 years ago
last week he was kept in the hospital for a week for a chest pain
doctors says he need a second open heart surgery
this is the report the doctor give us:
Diagnosis: Recent Lateral CABG (10 Years) MI LIMA LAD
LAD: Totally Occluded after S1 and a small D1
Cx : Mid Total Occlusion
RCA: Large Dominant with proximal total occlusion & bridge collaterals showing very good caliber of distal RCA
LIMA to LAD: totally occluded at proximal LIMA
SVG to D1: Patent with good anastomosis to a sizable D1 that gives collaterals to the LAD via D2 and also gives collaterals to the distal RCA.
o Occluded LIMA
o MOST of coronary segments are supplied by collaterals via the well patent SVG to D1 .
Recommended for Redo –CABG .
is it safe for him to go throught a second open heart surgery??
is there anyother treatment??
The LIMA is blocked. LIMA (left internal mammerian artery ) was used for the orginal graft. It is convenient to harvest, seldom present complications and it has excellent long-term benefit. Unforutnately, a peripheral vessel harvest may be the only opttion and isn't as good due to possible wide spread artherosclerosis (hardening) and stenosis (narrowing). That would be the main concrern as there are a limited supply of grafts available.
I know a few people that have had to have a second by pass at the age of your father. Brother-in-law has had three and was told there were no other grafts available. A doctor would know whether current physical condition is adequate to have another surgical operation, and age wouldn't be a factor to not have another by-pass.
Your father is receiving good blood flow from collateral vessels. Collateral vessels are nature's way of providing a growth of vessels to by-pass occlusions and supply blood to areas that are deficit of good supply (anatomosis)..
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.