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Hi My Father In-law Is In A Hospital In XXXXXXX
Question: Hi my father in-law is in a hospital in XXXXXXX The doctors are saying they need to perform open heart surgery.I would like to get second opinion from another doctor .I have the medical report if you can review it to see our option .Thanks
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I reviewed carefully your father's test reports and would explain that considering:
- your father's previous medical history (has been treated in all the three main coronary arteries by previous percutaneous angioplasty by stents implantation);
- and his actual clinical condition (suffering from additional calcified coronary stenoses);
- and the fact he is suffering from diabetes mellitus already a mildly reduced systolic cardiac function (with regional left ventricular contraction abnormalities)
it seems that aorto-coronary bypass surgery is the most rationale therapeutic strategy offering a more stable and safe solution.
Further percutaneous coronary angioplasty with stent implantation would result in a lower success rate and also more prone to complications as the actual coronary stenoses are calcified and interposed to previous implanted stents.
So, to conclude, I would agree and be in favor to what your father's doctor have advised: CABG surgery would be a reasonable therapeutic strategy.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I reviewed carefully your father's test reports and would explain that considering:
- your father's previous medical history (has been treated in all the three main coronary arteries by previous percutaneous angioplasty by stents implantation);
- and his actual clinical condition (suffering from additional calcified coronary stenoses);
- and the fact he is suffering from diabetes mellitus already a mildly reduced systolic cardiac function (with regional left ventricular contraction abnormalities)
it seems that aorto-coronary bypass surgery is the most rationale therapeutic strategy offering a more stable and safe solution.
Further percutaneous coronary angioplasty with stent implantation would result in a lower success rate and also more prone to complications as the actual coronary stenoses are calcified and interposed to previous implanted stents.
So, to conclude, I would agree and be in favor to what your father's doctor have advised: CABG surgery would be a reasonable therapeutic strategy.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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