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Is CABG the best treatment for coronary heart disease?

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Posted on Fri, 12 Dec 2014
Question: This is with regards to Medical Condition of My Uncle, 61 Years Old, who has been suggested CABG. I want to know whether the same is very much required and within what time frame it has to be done. I have attached relevant medical reports and awaiting your feedback.
doctor
Answered by Dr. Lilit Baghdasaryan (7 hours later)
Brief Answer:
CABG is the best solution in this case

Detailed Answer:
Dear XXXX,

Your uncle suffers coronary heart disease and has blockage and narrowing in almost every vessel supplying the heart.
Here we could have 2 cases:
1. continue with conventional therapy. In this case he will continue to take his treatment, but there is danger of another myocardial infarction which can be fatal for him
2. CABG. In this case he will undergo surgery, during which they will put grafts from the aorta, which is the largest artery, to the heart vessels(coronary arteries) skipping the narrowed and blocked parts. So his heart will get better blood supply, possibility of another myocardial infarction will be very little.

If he would my patient I would advise him to undergo CABG as soon as possible to be in safer side.

Hope I could help you.

In case of further questions don't hesitate to ask.

Regards,
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Lilit Baghdasaryan (11 hours later)
Dear Doctor,

Can you advice me within what time frame (in Days/weeks) we have to perform CABG to be risk free and what is usually the success rate of this procedure. It would be highly appreciable if you could guide me on the below questions also.

(1) After CABG, how long it will take to fully recover from any pain
(2) After CABG, is it possible for the patient to do any kind of strenuous/hard work
(3) After CABG, what is the followup duration and do these grafts has to be repaired after some time.

Thanks and Best Regards,
Sethu XXXXXXX
doctor
Answered by Dr. Lilit Baghdasaryan (3 hours later)
Brief Answer:
Usually CABG outcomes are good

Detailed Answer:
Dear XXXX,

Concerning the time frame if the patient is stable it can be performed during one month.
1. as you know every surgery can has complications. If there will be no complication he will recover from pains during 2-4 weeks.
2. physical activity after surgery will depend on his heart failure , he will start to do physical activity after some time and if he will be doing fine he can increase physical activity gradually.
3. if patient follows healthy lifestyle and take medication grafts can be patent for years, it also depends from individual organism

You should not worry, try to follow your doctor's instructions.

Wish good health to your uncle.

Regards,
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Lilit Baghdasaryan (20 hours later)
Dear Doctor,

Many Many thanks for your reply.

I just want to know one more thing that whether his reports is showing any VALVE LEAKAGE (REGURGITATION), if yes, then what is the treatment applicable for the same.

(1) Whether it will be treated on the operation table during bypass.
(2) If it can be recovered by medicines.
(3) What can be a later complication due to the same.
doctor
Answered by Dr. Lilit Baghdasaryan (25 hours later)
Brief Answer:
Mild regurgitation and medical management

Detailed Answer:
Hello,
Yes, your reports show mild regurgitation of Mitral, Pulmonary and Tricuspid valve). Usually this mild regurgitating does not require any treatment unless they cause significant symptoms. These can be managed by medical treatment for long term until it may cause any significant symptoms.
If doctor want to do surgery then they will do valve repair and replacement in emergency situations like heart failure.
If it is managed with medical management, most of the time it will not cause any complication.
In your case follow ups with doctor is important.

Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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Is CABG the best treatment for coronary heart disease?

Brief Answer: CABG is the best solution in this case Detailed Answer: Dear XXXX, Your uncle suffers coronary heart disease and has blockage and narrowing in almost every vessel supplying the heart. Here we could have 2 cases: 1. continue with conventional therapy. In this case he will continue to take his treatment, but there is danger of another myocardial infarction which can be fatal for him 2. CABG. In this case he will undergo surgery, during which they will put grafts from the aorta, which is the largest artery, to the heart vessels(coronary arteries) skipping the narrowed and blocked parts. So his heart will get better blood supply, possibility of another myocardial infarction will be very little. If he would my patient I would advise him to undergo CABG as soon as possible to be in safer side. Hope I could help you. In case of further questions don't hesitate to ask. Regards,