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What Does My Coronary Angiogram Test Report Indicate?

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Posted on Thu, 23 Jul 2015
Question: One of my uncle has gone for coronary angiogram
the report is like this
age 45 M
Diagnosis CAD: Inferior wall MI

contrast Contrapaque 50ml
Approach Right Radial Artery 6F
Catheters Tig
Left main Normal
LAD Type III vessel , ostial 70% , proximal 90% Stenosis
Diagonasis Diffuse plaquing
OMs large branch OM 80 % stenosis
Right coronary Co-dominant, proximal-mid long 80 % stenosis
Impression CAD-TVD
advice CABG

kindly advice me what to do ?

doctor
Answered by Dr. Rajesh Teli (29 minutes later)
Brief Answer:
Free CABG is possible

Detailed Answer:
hello, XXXX,
I have gone through your query.Thanks for using HCM.

First of all Angio report definitely suggests need for bypass surgery. And it is very much needed . So there is no second thought about that.
In XXXXXXX there is XXXXXXX XXXXXXX heart hospital at XXXXXXX where this surgery is done free of cost. Similarly at XXXXXXX XXXXXXX heart hospital, Banglore and puttaparthi it is done free.
you may contact any of these hospitals.

I would be glad to guide you further if you need guidance .
my best wishes
Dr.Rajesh Teli,MD
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Rajesh Teli (1 hour later)
Please find my uncle's Angiogram CD in the following link:-
https://drive.google.com/open?id=0B-RMpb-BfztpbmhXb3VPaU5pdXc
doctor
Answered by Dr. Rajesh Teli (4 hours later)
Brief Answer:
reviewed the reports

Detailed Answer:
hello,i have opened link and viewed the reports of echo and angiography.Basically our heart receives blood supply from 3 coronaries arteries 2 on left and one on right side along with its branches..whenever there is blockage beyond 70% in any of the arteries,there is risk of heart attack.In case of your uncle one attack has already affected the heart(Inferior MI).luckily his report of LVEF 49% suggests negligible damage to heart by that attack.so now our sole goal is to avoid another attack.here we have more than 70% blocks in all three vessels hence we must tackle them either by angioplasty or by bypass.
Here there 2 blocks in same LAD artery ,along with blokcs in another 2 vessels.going for angioplasty with stent becomes too expensive(almost 3 to 4 times the cost of BYpass).over and above this there is risk of restenosis by 1 to 2% in first 6 months.so he is clearly candidate for CABG.
i have suggested the centres which offers free and good quality services
,You may please proceed and do the needful
My best wishes
Dr.Teli,MD
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Rajesh Teli

Cardiologist

Practicing since :1983

Answered : 663 Questions

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What Does My Coronary Angiogram Test Report Indicate?

Brief Answer: Free CABG is possible Detailed Answer: hello, XXXX, I have gone through your query.Thanks for using HCM. First of all Angio report definitely suggests need for bypass surgery. And it is very much needed . So there is no second thought about that. In XXXXXXX there is XXXXXXX XXXXXXX heart hospital at XXXXXXX where this surgery is done free of cost. Similarly at XXXXXXX XXXXXXX heart hospital, Banglore and puttaparthi it is done free. you may contact any of these hospitals. I would be glad to guide you further if you need guidance . my best wishes Dr.Rajesh Teli,MD