Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
123 Doctors are Online

What do you suggest for left dominant circulation with hypoplastic RCA?

User rating for this question
Very Good
Answered by

Practicing since : 1998
Answered : 1257 Questions
I have got my CTscan done .The report is JPG file .Is it alarming.Left dominant circulation with hypoplastic RCA 2.Patent LAD stent with good distal flow 3.Soft palques in proximal D1 with 30-40% luminal narrowing 4.Soft calcified plaques in proximal and mid D2 with 30-40% luninal narrowing
Posted Sat, 1 Mar 2014 in Hypertension and Heart Disease
Answered by Dr. Sukhvinder Singh 21 hours later
Brief Answer: please see details. Detailed Answer: Dear Sir 1. No. It is not alarming on the face of it. Can you detail me; Why was this scan ordered ? What was the problem and clinical scenario? 2. The stent in mid LAD is patent with good distal flow. You have a left dominant circulation, so RCA is likely to be hypoplastic. Lesions of 30-40% severity are not clinically relevant and you are supposed to take all the preventive measures which are usually advised "post stenting" including use of statins and other relevant drugs and low fat diet. Hope this helps. Feel free to discuss further. Sincerely Sukhvinder
Above answer was peer-reviewed by
Follow-up: What do you suggest for left dominant circulation with hypoplastic RCA? 2 hours later
I got the ctscan done on my own , albeit expressed my wish to a doctor to write ctscan for me ,Inspite of no apprent problem on this field.I remain on tour so i wanted no surprises on heart front. The questions are 1.since softplaque breaks easily and causes heart attack , how can I prevent such possibility 2. If Rca is non functional along with others., does it not affect functioning of heart ? Thanks for answering XXXXXXX XXXXXXX
Answered by Dr. Sukhvinder Singh 19 hours later
Brief Answer: please see details Detailed Answer: Dear Sir 1. Yes, A plaque of 30-40% severity can break and invite clot formation , leading to heart attack. But there are no specific therapeutic options for this situation. You have stick to fundamental of coronary artery disease prevention. They are No smoking/ no worries/ Good control of diabetes and hypertension/ daily exercise/ optimal cholesterol and statin therapy/ aspirin, beta-blockers etc for secondary prevention/ optimal weight. I am afraid there is no sure-shot way of preventing an episode. 2. RCA is hypoplastic because left circulation is dominant and taking care for RCA's responsibilities by supplying PDA. Sincerely Sukhvinder
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor