triple bypass at 33

hi ,
my husband had a triple bypass surgery in jan 2008 at the age of 33.most of the answers on the website say that most patients live a healthy life betwen 5-10 years, which is hardly enough for my husband. after 5 years he will be 38.i want to know what can we do to ensure a long and healthy life for him? also recently he went for a TMT.After 4 mins his pressure had gone up to 190/100. so he had to stop. IS it normal after bypass surgery or we should have expected better results?
thanks

[kenkeith]

I don't believe the  answers you refer to are not statistics related to life span or a person's longivity.
However, there is a time line for the longevity of bypass grafts and that procedure can vary significantly from patient to patient. In general, approximately 1/3 of bypass grafts done with veins are expected to be closed at approximately 10 years, 1/3 will have significant disease within them by 10 years and 1/3 will remain widely open at 10 years.

The harvested grafts can have some occlusion prior to bypass and bypass grafts utilizing arteries such as the internal mammary artery (the best available site) have a 95% chance of remaining open at 10 years.

If you google for COURAGE study, you can read the conclusion of the trial study that compared medication, stents and bypass longivity for the treatment of coronary blockage.  The intervention procedures (bypass and stent implants) do not increase an individual's longivity when compared to medication (all 3 treatments are about the same for longivity).

I have one stent, 100% blockage (natrural bypass, collaterals) of LAD and 72% blockage of the ICX, and my medication opens (dilates) vessels...no pain, no shortness of breath and no outstanding fatgue that limits everyday's activities and exercise tolerance that is medically considered good considering a prior heart attack 4 years ago.

Your question refers to factors that may improve the longevity of bypass grafts and that is not fully understood, but aggressive management of all risk factors is strongly recommended. Most importantly, a healthy lifestyle which includes complete discontinuation of smoking is necessary. In addition, the patient’s physician may prescribe medication including aspirin.

If the bypass blocks after ten year or so, that is not life threatening per se as there are options to reopen vessels or another by-pass,.however there is a limited supply of grafts available to be harvested...then a transplant?!  Treatment is evolving and I'm sure there will be more options and more advanced treatment that is patient friendly.

[ujjaini]

Hi
thank you so much for your reply.the information you provided has been very very helpful. I had been scared to death since my husband's unexpected surgery and your answer has answered a lot of my questions.thanks again.

[bert37]

i am 37 just had a quadruple bp   how long will my leg bother me