Can small arteries be opened with medication

[heartpatient47]

Dear Sir, I am 47 years old. Three months ago, 03 stents were placed in my RCA. In my angiography, following was revealed:-
LMS Normal
LAD Minor disease in proximal course, followed by moderate (50 to 60 %) diffuse disease from mid to distal course. D-1 and D-2 has critical ostial disease.
LCx         Non dominant. Moderate (50 to 60 %) diffuse disease from origin to 1st OM to proximal course.
RCA Dominant. Critical disease mid course. Critical disease in PDA.
Diagnosis TVCAD
Advice PCI to RCA (Proceede with 3 * DES)
The following procedure was adopted to place the stents:-
(a) RCA PDA 3.0 * 33 mm Xience Xpedition
(b) Mid to distal 3.0 * 48 mm Xience Xpedition
(c) Overlapping mid stent 3.5 * 33 mm Xience Xpedition

Now a days I am taking the following medicines:-
Loprin 150 mg         1-0-0
Clopidogrel (Lowplate) 75 mg 1-0-1
Famotidine 40 mg         0-0-1
Atorvastatin (Lipiget) 20 mg 0-0-1
Bisoprolol (Concor) 2.5 mg 1-0-0
Nitroglycerine (Nitromint)2.6 mg 1-0-1
Is there still any chance of heart attack to me and with the medication, can my D-1, D-2, LAD and Lcx be cleared/opened? With regards.

[2210485]

I almost forgot to clarify the double or triple bypass estimate applies if theyre big diags (d1 d2 usually are).. If yours are just naturally really small they may just have to stay occluded.

Again difficult to estimate without seeing it.

[heartpatient47]

Sir, thanks for your detailed valuable opinion.  

[2210485]

No, doubt your diag can be opened with medicine. Youre well beyond that.. You need surgery.

I agree with the stent placements, full metal jacket the right bascially... Looking at double or triple bypass easily from here.

With the jacket in the right.. Your bigger worry is probably the integrity of your circumflex (LCx).. Would really have to see angiograms to make a prediction, but any time you have diffuse disease you run into a real headache going in to surgery. When you bypass a blockage you basically tie an artery such as the aorta or mammary artery in somewhere behind the blocked region.. This allows the area thats not getting blood to fill up backwards.. Well when you have profuse disease you dont necessarily have 1 blockage in particular.. Rather the whole thing is getting smaller.

The question then becomes "where exactly am i supposed to land this bypass? What am i going to accomplish with this surgery?" Sometimes those questions get answered, other times they don't and some alternative (usually stenting in excess of what one would consider safe or prudent.. Or medical management to treat symptoms and just wait for the day it closes up completely.)

As for medicine i doubt theyll do you any good..

Medications can break down blood clots, which makes them viable in an acute myocardial infarction..

However your issue is likely due to a buildup of atherosclerotic plaque and calcium.. No blood involved..

Medicines you can be given.. In fact the medicines youve already been given.. Are literally ALL there just to slow the progression of your disease, treat symptoms, and protect the patency of the stents that were placed. Nothing exists to reverse it.