Heart Disease Community
second open heart surgery
About This Community:

Join others with Heart Disease and get guidance and support. Ask a question, join a conversation, share experiences.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

second open heart surgery

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
                                                                          SVG             D1

Coronary Angiography


LMCA: Free

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.

Conclusion :

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??

thank you
Related Discussions
3 Comments Post a Comment
Blank
367994 tn?1304957193
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)..

Blank
Post a Comment
To
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
tacolino
Ireland
Avatar m tn
Blank
Occupant
IL
144586 tn?1284669764
Blank
caregiver222
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
4522800 tn?1459192030
Blank
VICourageous Knock-Knock..Anybody Home?? Comment
9 hrs ago
4522800 tn?1459192030
Blank
VICourageous commented on stilltrying1965's status
9 hrs ago
1236893 tn?1408490528
Blank
50-Year Cover-Up
13 hrs ago by gymdandee
Heart Disease Community Resources
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
tacolino
Ireland
Avatar m tn
Blank
Occupant
IL
144586 tn?1284669764
Blank
caregiver222