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Is Surgery Advisable When Having 100% Blockage On Right Side?

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Posted on Tue, 7 Jul 2015
Question: I RECENTLUY HAD A STROKE Hve been informed that I have 100% blockage on the right side and 80% on thr leftsidewould it be best hAVE SUGERY ?
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Answered by Dr. Sandip Kabra (34 minutes later)
Brief Answer:
It depends on the site of blockage and medical condition of the patient.

Detailed Answer:
Hi,
Welcome to health care magic,
I have read the query and understand the concern.

It depends on the site of blockage and medical condition of the patient whether to go with coronary angioplasty or bypass grafting in case coronary artery blockage.

Generally,cardiologist reviews patient's angiogram report earlier to surgery and decide about the site,size and type of blockage and then finally make a decision whether to go with stenting (angioplasty) or bypass.

As you have asked about surgery then i will explain the possibility of bypass here.

Coronary bypass is mostly possible in major arteries like left anterior descending,right coronary artery,left circumflex artery etc.

Bypass surgery is not suitable for smaller arteries blockage (less than 1 to 1.5 mm diameter of artery) like acute marginal artery,posterior descending or diagonal branches and also when the artery is calcified or located inside the heart musculature rather than on the surface.

Still,if you could provide me whole angiogram report then i can guide exactly.

Regards,

Dr.SandipKabra
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Is Surgery Advisable When Having 100% Blockage On Right Side?

Brief Answer: It depends on the site of blockage and medical condition of the patient. Detailed Answer: Hi, Welcome to health care magic, I have read the query and understand the concern. It depends on the site of blockage and medical condition of the patient whether to go with coronary angioplasty or bypass grafting in case coronary artery blockage. Generally,cardiologist reviews patient's angiogram report earlier to surgery and decide about the site,size and type of blockage and then finally make a decision whether to go with stenting (angioplasty) or bypass. As you have asked about surgery then i will explain the possibility of bypass here. Coronary bypass is mostly possible in major arteries like left anterior descending,right coronary artery,left circumflex artery etc. Bypass surgery is not suitable for smaller arteries blockage (less than 1 to 1.5 mm diameter of artery) like acute marginal artery,posterior descending or diagonal branches and also when the artery is calcified or located inside the heart musculature rather than on the surface. Still,if you could provide me whole angiogram report then i can guide exactly. Regards, Dr.SandipKabra