Dear sir,
my father, 73y.o., has suffered MPI suggestive of extensive ischemia in anterolateral and inferior wall, while fuctioning on a single kidney with mild chronic renal failure. The coronary angiography findings are the following:
- LAD: extensive diffuse disease from the proximal segment to mid/distal. Maximal luminal stenosis of about 70% proximally.
- LCx: large vessel with diffuse, tubular disease involving the mid segment at the bifurcation of a large OM2, which also has significant ostial stenosis, while OM1 has significant proximal stenosis.
- RCA: dominant moderate (<50%) lesion proximally. Minor atheroma of PDA.
Impression: Significant, diffuse LAD and LCx disease causing significant ischemia on MPI (SYNTAX score:21, Euroscore II:2,91%)
My question is:
What is 'full surgical revascularization' through CABG (bypass), is this the best way to treat this situation, what are the following steps fromnow and after the recommended surgery and what are the percentages of its success and possible consequences in way of life?
I thank you for your attention and help.