heart disease

[sathya946]

thanks for the answer. This is regarding the answer i received for my father who is 78 yrs old with LMCA 70% stenosis

It is LMCA 70% stenosis at ostium extending upto the ostia of LAD and LCX
OM1 85% stenosis at the mid segment.

So i would like to know if Angioplasty is an option . thanks

sathya

[ed34]

I'm not a Doctor if that's what you are asking, I'm just someone who spent two years in hospital more than home, having 10 stents and a triple bypass. Learning by my mistakes and the mistakes of others.

[sathya946]

thanks for all the information and support ED. can you tell me your profession?

[ed34]

Sorry, I live in the UK so I don't have any idea how health insurances work in the USA. With regards to the treatment of the OM1, I would go for the stent (which is angioplasty). The blockage is in the middle section and shouldn't prove much of a problem. Even if on a bend now it isn't a problem, there are new flexible stents which handle curved vessel blockages much better.

[sathya946]

Hi ed
thanks. i would like to know what's your title? Also my dad is in India. I live in Michigan. if i have to bring  himto US , what are my options getting him a health insurance to get this procedure done?

Also I want to know do you recommend what is the  best option for Obtuse Marginal 1  angioplasty or stent?

thanks again.

looking forward to receive your response

[ed34]

I can really understand why you are asking questions, especially with your Fathers age. You have to remember that we are not Cardiologists, but we can offer options based on our perspective, what we would do in your shoes.

Personally if this was my Father, I would leave the LMCA. It is borderline for intervention. It's definitely too risky for stenting and I doubt if stents would last very long in this case, they would likely re-block quickly. I would have the Obtuse Marginal 1 stented and see how his symptoms are. He obviously won't be running any marathons, but if he feels any benefits, then I would stick to good medication and a healthy diet. If he develops more symptoms later, then I would have no option but to consider bypass for the LMCA, using his LIMA vessel. This too will be difficult, unless they perform an arterectomy on the lower end of the LMCA to clean it of disease, and THEN attach the graft. The LIMA needs to feed both the LAD and the LCx.
I think he will feel less symptoms if his OM1 is opened up. Twice I've had mine stented and the symptoms were quite bad. I felt the benefits immediately after both interventions.
Perhaps run this by the Cardiologist and see what he thinks.