Stenosis 90%,99%

[Appu88]

Hi there,

Recently my unclefriends father had a massive heartattack.He is in the hospital now and he went through radial angiogram and as the report says it is

LAD :-Ostio Proximal LAD shows 95% Stenosis,Mid Lad shows two tandem of 90% each with calcium

Diagonal:- DI shows Ostio Proximal 80-90% Stenosis

LCX:-Non-Dominant,Proximal LCx shows 80% Stenosis

OMS:-OMI shows Ostial 99% Stenosis,OM2 shows mild disease,OM3 shows segment 99% stenosis

Lv Angio:- Not Done

Cath Diagnosis:-Critical Triple Vessel Disease

What is the worst case scenario?Doctors said that they need to perform Bypass which is not a normal one but a critical which includes life risk and he will be put on ventilators after surgery and need to stay at hospital for a month or so and that he may need angioplasty along with Bypass or angioplasty after he recovers from Bypass.His LVEF is 35%

We do not know much about anything in cardiology like basic knowledge since I am an engineer and all I can do is google.But I would please request someone to give their honest opinion about this case and what are the chances of his survival if he goes for a Bypass.

His medical history,smoker,drinker and diabetes which is kind of high recently 270 post .

They need a honest advise and they wanted to take risk but can this be managed medically?

Thanks
Tapasya

[tacolino]

Hi there. Hope the surgery went ok. Its a big step to take, but with the test results above, there was no other option. Recovery may be slow, but people surprise you and bounce back fast enough post surgery. Keep us posted. Best wishes

[Appu88]

Hi Ger and Tacolino

Thanks for the best wishes and yeah the surgery went well.They performed Bypass without the need of Angioplasty like they initially said.Patient recovery is kind of slow.He panicked for having gas in the stomach and refusing to eat properly fearing his stomach might bloat with Gas and explode.Although I think he is referring to gas in Intestines.Now he got better from that but still hesitant on eating.He was out of ICU and tomorrow he will be discharged.His sodium levels are 127 and potassium 3.8.They gave some tonic for Potassium but they did not do anything to correct sodium.Can this be corrected at home or 127 is okay for heart patient?He is still not staning or moving on his own.

But yeah that critical period is over I guess.

Thanks again for the best wishes

Appu

[Ger57]

Great to hear that the surgery went well. Now lets hope for a speedy recovery and that he has, with the necessary life style changes, lots of healthy years ahead!

All the best,
Ger

[Appu88]

Hi

Thanks Ger for replying me on time.This is the 13th day he is in the hospital.His daughter and son confirmed to proceed with Surgery.Doctors said they will perform the surgery tomorrow which is 12th July Tuesday noon.Physically the patient is Ok and all, like stamina and no weakness.It took a lot of courage for the children and wife to agree for the surgery.I will post back to you tomorrow after Surgery.

Thanks Again !!
Tapasya