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100% Blockage LAD, 2-3 cm

My husband was diagnosed with a 2-3 cm blockage of the LAD. Physician says a bypass won't help him and no stent can be placed. 2 recurrent veins are supplying blood to that area. We need to know his future prognosis. He found out he had a heart attack when testing for high blood pressure. He didn't have any symptoms which the cardiologists doesn't understand. He is otherwise fit. His ejection factor is around 35%. He was told to go out and enjoy life. What can he expect for the next years of his life?
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11548417 tn?1506080564
There is no way of telling.

Often, especially when blockages over time slowly increase in severity, the heart adapts to the situation by forming other paths for the supply of blood (oxygen).
Although these new paths normally do not have the flow capacity of the original paths, they often are large enough to keep you going.

Your husband's heart seems to have nicely adapted to the progressing stenosis of the LAD. Now that the LAD is completely blocked, two other arteries can (at least partially) take over the task of the LAD.
The EF of 35% (normal is 55-70%) could be an indication that blood supply is not fully restored by those two arteries and that his heart suffers when he is very active.

It is important to stay as active as possible. Physical activity  may cause a little ischemia, but this "encourages" the heart to further develop the arteries that take over the function of the LAD.

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