Hi,I am Dr. Prabhakar Koregol (Cardiologist). I will be looking into your question and guiding you through the process. Please write your question below.
Had CABG-5 Vessel After Heart Attack. Racing Heart, Dizziness, Breathlessness, Chest Pain. Done Stress Test. Failed Graft Or New Vein Occlusion?
My dad had CABG 5-vessel in Jan 2011 after a heart attack a few days prior. About 4 ms after surgery he began hvng syncopal episodes of heart racing, dizzy, short of breath & slight chest pain . This always occurred after he had been outside and doing work, even as light as painting. A stress test done today revealed he is not getting enough blood flow to part of heart (inferior wall I think). He will hve heart cath done tomorrow, but they think its a blockage. His EF was 63%. Does this sound like a failed graft or new vein occlusion? What are his options?
Dear Sir Thanks for your query to us. Both these possibilities can be there. It may be an occlusion of graft or it may be a new native artery occlusion. The options will depend upon the angiogram report. If it is a new lesion and vessel is angioplastable, angioplasty can be done but if it is a graft occlusion then angioplasty may not be that easy and that successful. All the best Sincerely sukhvinder
Graft had been likely only if he had developed symptoms within 1 month of CABG. But as you have mentioned that he developed symptoms 4 months after the surgery, therefore, thrombosis is more likely the answer. However, it could still be graft failure.
Hope that answers the question.
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Had CABG-5 Vessel After Heart Attack. Racing Heart, Dizziness, Breathlessness, Chest Pain. Done Stress Test. Failed Graft Or New Vein Occlusion?
Dear Sir Thanks for your query to us. Both these possibilities can be there. It may be an occlusion of graft or it may be a new native artery occlusion. The options will depend upon the angiogram report. If it is a new lesion and vessel is angioplastable, angioplasty can be done but if it is a graft occlusion then angioplasty may not be that easy and that successful. All the best Sincerely sukhvinder