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Suggest Treatment For Blockage In Left Main Heart Artery
Question: My uncle, who is 67 years old had Ac MI. He received treatments within 30 minutes of the pain and is stable now. I have attached here all his reports. What sort of further treatments does he require now ? CABG, Stent or conservative treatment ?
Brief Answer:
your Uncle must undergo CABG.
Detailed Answer:
Hello XXXXXXX
I am Dr.Rajesh Teli,MD
I have gone through your query.Thanks for using HCM.
your Uncle has got left main with tripple vessel disease.Basically our heart is getting blood supply by 3 major arteries,2 on left side and one on right side,2 on left side I.e, LAD and LCX arise form left main artery(LMCA).when any artery is blocked more than 70% ,it carries high risk of total occlusion causing heart attack in near future.Block is LMCA is very dangerous, because whenever it gets totally occluded, it results into massive heart attack and may lead to instant death.
In case of your uncle, he has significant LMCA with bad blockages in remaining vessels.Stenting is not advisable because of 1.location and type of blocks are not suitable for plasty with stent.2.There is high chance of restenosis.
Is he diabetic or smoker?
I would strongly recommend him for early CABG.
My best wishes
Dr.Rajesh Teli,MD
your Uncle must undergo CABG.
Detailed Answer:
Hello XXXXXXX
I am Dr.Rajesh Teli,MD
I have gone through your query.Thanks for using HCM.
your Uncle has got left main with tripple vessel disease.Basically our heart is getting blood supply by 3 major arteries,2 on left side and one on right side,2 on left side I.e, LAD and LCX arise form left main artery(LMCA).when any artery is blocked more than 70% ,it carries high risk of total occlusion causing heart attack in near future.Block is LMCA is very dangerous, because whenever it gets totally occluded, it results into massive heart attack and may lead to instant death.
In case of your uncle, he has significant LMCA with bad blockages in remaining vessels.Stenting is not advisable because of 1.location and type of blocks are not suitable for plasty with stent.2.There is high chance of restenosis.
Is he diabetic or smoker?
I would strongly recommend him for early CABG.
My best wishes
Dr.Rajesh Teli,MD
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thanks a lot doctor for your quick & timely response.
No, my uncle is neither diabetic nor a smoker.
And he is planning to go for CABG in XXXXXXX city which is closer to our home town. I would be grateful if you can suggest any good cardiologist there. We have heard about Dr. XXXXXXX XXXXXXX & Dr. XXXXXXX Shah in XXXXXXX
I am not sure if you would have heard about any of them.
Your any other suggestion regarding this surgery would be of great help.
Many Thanks,
XXXX
No, my uncle is neither diabetic nor a smoker.
And he is planning to go for CABG in XXXXXXX city which is closer to our home town. I would be grateful if you can suggest any good cardiologist there. We have heard about Dr. XXXXXXX XXXXXXX & Dr. XXXXXXX Shah in XXXXXXX
I am not sure if you would have heard about any of them.
Your any other suggestion regarding this surgery would be of great help.
Many Thanks,
XXXX
Brief Answer:
yes you are in right direction
Detailed Answer:
hello XXXXXXX
I m happy that you have made right decision for early CABG.since it is scientific forum I can't suggest you names of doctors ,But the name you mentioned is quite well known and competent heart surgeon and knows me personally.
My best wishes
Dr.Rajesh Teli,MD
yes you are in right direction
Detailed Answer:
hello XXXXXXX
I m happy that you have made right decision for early CABG.since it is scientific forum I can't suggest you names of doctors ,But the name you mentioned is quite well known and competent heart surgeon and knows me personally.
My best wishes
Dr.Rajesh Teli,MD
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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