Hello
Thanks for posting at HCM.
As per your description, he has got blockages in all the three arteries of the heart. In this case a
bypass surgery is adviced. But as he is 84, the risks and benefits of the surgery must be weighed. Also other things that matter are associated health issues like
diabetes, blood pressure,
kidney issues etc.
The decision for bypass surgery also depends on where exactly the arteries are blocked i.e. very close from yheir origin or distal from their origin. Another important factor is his expectations and his desire. I dont know him personally, but you must ask him what he wants to pursue, what type of activities he expects himself to do.
I would not advice a bypass surgery for him at this age. It is putting him at more trauma and discomfort. One approach can be
angioplasty to
stent only those arteries which are more critically blocked and can cause a life threat. Rest can be left upon medical management. Second approach will be a trial of medicla management. He may remain asymptomatic with medications and can go around with his daily activities.
I need to watch his
angiography pictures to comment more. Information can be availed all over the internet with a simple search, but those searches do not take into account his age, his personal preference and many other factors.
wishing him good health
Regards