Whether to go for Bypass for my mother or not?

[Sanju2907]

Please advise for my mother. She is 68 years old, short 147 cm height and heavy 77 kg. She has history of diabetes of 20 years with insulin from past 15 years. Single kidney for 12 years. Before angiography Creatinine value was 1.2. But generally her creatinine value remain below 1. Due to some Ayurveda medicines, it reached 1.2 recently.

She recently started feeling palpitation between lower chest and feel short breathlessness after 500mtr walk. We did Angiography.

Please suggest is there anything Serious?    

INDICATION : Stable Angina, DM, HTN

LMCA : Normal

LAD : Type III Vessel and Proximal 50-60% stenosis
Mid Segment has long diffuse disease with Maximum 70% stenosis. Distal Mild Plaquing

DIAGONALS : D1 diffuse Plaquing (Small Vessel). S- Mild Plaquing

LCX : Non Dominant vessel and mid segment 50% stenosis
Mid LCX subtotal occlusion with TIMI I flow

OMS : OM1 Diffusely diseased (Small Calibre)
OM2, OM3 – small vessel. OM4 Proximal 80% Stenosis

RAMUS : Mid Mild Plaquing, Distal 70% Stenosis

RCA : Dominant vessel and Proximal 60% stenosis
Mid 70% stenosis. Distal RCA has 90% stenosis
RV branch has tandem Lesion 80% each. PDA – Ostal occluded with Retrograde fill from LAD. PLV – Normal

IMPRESSION : Triple Vessel Disease

Advice : CABG

[purple1234567]

Is your mother's doctor recommending a bypass?  If you are not confident in this advice, I'd recommend taking her to another doctor for a second opinion- it couldn't hurt!