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Bypass surgery, 4 blockage, lung damage - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   My father is 66 years of age and admitted in a good renowed hospital. From angiogrpahy it is diogonized that he as four blocakges (90% and other three 80%). His lungs are also damaged. Please advise which is better keeping in mind the other problem of lungs - is it bypass surgery Or Angioplasty. Its very urgent. would be thankful for an early response.
Doctor :   hI
User :   hi
User :   my father is admitted is hospital since last 10 days and today we have to take decision.
Doctor :   Pls. give ne few seconds to go through your quesry.
Doctor :   Ok.
Doctor :   I would suggest that he undergo a bypass surgery.
Doctor :   What has the interventinal cardiologists have to say at that hospital wheer you are in.
User :   doctor said there would be high risk. what is meant by high risk? what % are for successful surgery
Doctor :   The risk percentage depends on a no. of factors.
Doctor :   Where the block is?
User :   both doctors are giving their own opinion, cardiologist is advising for angioplasy and surgeon is advising for bypass as this would be a better option keeping in mind the lungs problem so that atleast one part would be ok
Doctor :   How long is the atheerosclersis ?
Doctor :   3.How are the lipid levels ?
Doctor :   4. Does he have nay comorbid factors like diabetes or renal failure.
User :   right now i m not having the reports with me. i m in office and repors are at hospital
Doctor :   5. How is his venous retun ?
User :   no he is not diabetic the main other prolem is lungs
User :   which as per doctor are damaged
Doctor :   6.His lung perfusion and oxygen saturation ?
User :   just a moment
Doctor :   All thsese and many more factors are taken into account.
Doctor :   Ok.
User :   well on reports parts i m helpless at this moment. surgeon told thate there would not be problm in bypass the problem ould be after bypass
User :   like infection in lungs, some problem during ventilation which may take more time than normal but these are only chances not necessary
Doctor :   Yes after every surgery there are several complications that are possible.
Doctor :   More so in Bypass , especially at 68.
User :   we are just worried about these complications only but want treatment for longtivity
User :   yh. so what would be ur opnion.
Doctor :   But I feel that is the only protocol as if left untreated he may land up in MI or Heart attack.
User :   then should we go for bypas
Doctor :   Usually in older patients there is a further chance of blockage of coronary arteries, but the survival rates are better after surgery rather than without one.
Doctor :   So , I would suggest to go ahead.
Doctor :   May I know at which cardiology center you are in .
Doctor :   ?
User :   thanks Doctor for your valuable advise. we are
Doctor :   May I know at which cardiology center you are in ?
Doctor :   I would is better .
User :   s but that is too far away and there is no other person to take care
Doctor :   You have the best team which previously worked at Escorts.
User :   s u r right but v to consider other factors also
Doctor :   There is who is second best after
Doctor :   who can be the best.
User :   ok.
Doctor :   Just give it a thought,You might be in safe hands.
User :   sure.
User :   thanks again.
Doctor :   Thank you for consulting me,Take care, Bye for now.
User :   bye have a good day.
Doctor :   All the best for your dad.
Doctor :   take care.
User :   thanks for your blessings.
Doctor :   hope he gets well.
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