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Suggest Treatment For Triple Vessel Disease And Left Main Coronary Artery Disease
Question: My uncle, who is 67 years old had Ac MI. He received treatments within 30 minutes of the pain and is stable now. I have attached here all his reports. What sort of further treatments does he require now ? CABG, Stent or conservative treatment ?
Brief Answer:
your uncle must undergo CABG
Detailed Answer:
Brief Answer:
your Uncle must undergo CABG.
Detailed Answer:
Hello XXXXXXX
I am Dr.Rajesh Teli,MD
I have gone through your query.Thanks for using HCM.
your Uncle has got left main with tripple vessel disease.Basically our heart is getting blood supply by 3 major arteries,2 on left side and one on right side,2 on left side I.e, LAD and LCX arise form left main artery(LMCA).when any artery is blocked more than 70% ,it carries high risk of total occlusion causing heart attack in near future.Block is LMCA is very dangerous, because whenever it gets totally occluded, it results into massive heart attack and may lead to instant death.
In case of your uncle, he has significant LMCA with bad blockages in remaining vessels.Stenting is not advisable because of 1.location and type of blocks are not suitable for plasty with stent.2.There is high chance of restenosis.
Is he diabetic or smoker?
I would strongly recommend him for early CABG.
My best wishes
Dr.Rajesh Teli,MD
your uncle must undergo CABG
Detailed Answer:
Brief Answer:
your Uncle must undergo CABG.
Detailed Answer:
Hello XXXXXXX
I am Dr.Rajesh Teli,MD
I have gone through your query.Thanks for using HCM.
your Uncle has got left main with tripple vessel disease.Basically our heart is getting blood supply by 3 major arteries,2 on left side and one on right side,2 on left side I.e, LAD and LCX arise form left main artery(LMCA).when any artery is blocked more than 70% ,it carries high risk of total occlusion causing heart attack in near future.Block is LMCA is very dangerous, because whenever it gets totally occluded, it results into massive heart attack and may lead to instant death.
In case of your uncle, he has significant LMCA with bad blockages in remaining vessels.Stenting is not advisable because of 1.location and type of blocks are not suitable for plasty with stent.2.There is high chance of restenosis.
Is he diabetic or smoker?
I would strongly recommend him for early CABG.
My best wishes
Dr.Rajesh Teli,MD
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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