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ANGIOGRAPHY REPORTS

Dear all,
My mother's Angiography report is given below. She is 48 years old & non-diabetic. Your expert opinion is required:

Angiography Report:


LEFT MAIN CA : NORMAL
LAD : 90% Stenosis in mid segment
LEFT CX : 30%-40%  Stenosis in mid segment
CA : Dominant. Multiple lesion in proximal and mid segment with 60%-70% stenosis .Total distal occlusion. PDA is filling through collaterals from left side.

FINAL DIAGNOSIS :
* Three vessel disease.
* Normal LV function.

RECOMMENDATION :
CABG.
dated : 16 May 2014


your opinion and suggestion is required do we have to go towards CABG /ANGIOPLASTY or do you think medicines can unchoke the blocked vessels...

your early response is required
1 Responses
976897 tn?1379167602
Well from looking at the report, and taking into account your Mothers quite young age, this is a difficult one. The Cardiologist may be looking more long term, but for now there is really only one section that requires immediate attention, the mid LAD of 90%. I know Cardiologists can sell an opinion very well, but there are no guarantees with any procedure for the long term. I had a triple bypass which only lasted 3 months and I've had 10 stents too. Some stents have blocked but some have remained very healthy indeed, around 50-50. Bypass surgery is traumatic without a doubt and the anxiety before surgery is terrible. So, down to my opinion. If this was my Mother, I would be suggesting Angioplasty (stenting) to the Mid LAD and leave the other vessels alone. I would get her vitamin B12 and Omega-3 supplements and ensure she doesn't smoke and eats healthy. If the Doctors recommend any medications, particularly anticoagulants such as Aspirin, I would ensure my Mother takes them. With such lifestyle changes there is a high chance existing disease will not get any worse. This is just what I would do and is my opinion.
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