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What Do These Following Lab Reports Indicate?
Question: Respected sir,
• My cousin brother age 52 years had a heart attack. He underwent through angiography and angioplasty in first week of February 2017.
• Dr. XXXXXXX XXXXXXX XXXXXXX Cardiologist has done the angioplasty process in KIMS Hospital XXXXXXX (Chhattisgarh).
• During the angiography Dr. XXXXXXX said that the one No. main Artery of patient is escaped and second artery is blocked , third and very thin artery is only working so the angioplasty of blocked artery is must and the patient underwent through the angioplasty.
• As the Doctor diagnosed, One number main artery is escaped and they unable to say that from how long this artery is escaped by birth or from how long.
• Patient is diabetic also at present his fasting blood sugar is 140 and he is taking only medicines not insulin .
• Before few year the patient was very fit. He used to play hockey football and Gym.
My Questions are:-
1. As at present the patient is not having one number main blood vessel in working condition so is it possible to restart the same if yes then how can or if not then what will be the option.
2. According to Dr. XXXXXXX in XXXXXXX after angioplasty the patient is depend upon only two blood vessel one of them is very thin and second which has been done angioplasty. Is it sufficient to a healthy male person to be alive comfortably? How much precautions he has to take. Whether he can do hard physical work or not.
3. The discharge summary, angiography report along with copy of DICOM file of CD is attached here.
4. kindly advise any further treatment if we have to take and also advice that the best doctor or hospital in XXXXXXX
Thanks and Regards
XXXX XXXXXXX
• My cousin brother age 52 years had a heart attack. He underwent through angiography and angioplasty in first week of February 2017.
• Dr. XXXXXXX XXXXXXX XXXXXXX Cardiologist has done the angioplasty process in KIMS Hospital XXXXXXX (Chhattisgarh).
• During the angiography Dr. XXXXXXX said that the one No. main Artery of patient is escaped and second artery is blocked , third and very thin artery is only working so the angioplasty of blocked artery is must and the patient underwent through the angioplasty.
• As the Doctor diagnosed, One number main artery is escaped and they unable to say that from how long this artery is escaped by birth or from how long.
• Patient is diabetic also at present his fasting blood sugar is 140 and he is taking only medicines not insulin .
• Before few year the patient was very fit. He used to play hockey football and Gym.
My Questions are:-
1. As at present the patient is not having one number main blood vessel in working condition so is it possible to restart the same if yes then how can or if not then what will be the option.
2. According to Dr. XXXXXXX in XXXXXXX after angioplasty the patient is depend upon only two blood vessel one of them is very thin and second which has been done angioplasty. Is it sufficient to a healthy male person to be alive comfortably? How much precautions he has to take. Whether he can do hard physical work or not.
3. The discharge summary, angiography report along with copy of DICOM file of CD is attached here.
4. kindly advise any further treatment if we have to take and also advice that the best doctor or hospital in XXXXXXX
Thanks and Regards
XXXX XXXXXXX
Brief Answer:
minimally invasive by pass surgery.
Detailed Answer:
Hi Mr XXXXXXX
Thanks for choosing HealthcareMagic for your query,
Have seen all reports and angiogram films of patient.
As per your question answers are-
1)Yes Left anterior descending artery refered to as LAD is critcally thin and need revascularisation.LAD is the major artery of heart as almost all walls of left ventricle(major pumping chamber of heart) are supplied by it,But as the lesion is on the proximal part and artery is very thin;Its better to go for MICAS. MICAS stands for minimally invasive coronary artery surgery.This is a technique of coronary artery bypass or CABG wherein the entire operation is performed from the side of the chest (on the left) through an incision that is about 2 inches.
2,3)No left anterior descending is the most major artery supplying heart,Its not a good idea to leave it untouched,As a problem with LAD can cause massive anterior wall myocardial infarction.
4)MICS CABG or MICAS stands for minimally invasive coronary artery surgery. It is a relatively new and advanced technique of performing coronary bypass for coronary artery disease. In this technique the heart is approached through the side of the left chest via a small 4cm incision. This cut is placed just under the nipple. The chest is entered between the ribs without cutting any bones and by splitting the muscle.
MICS CABG has several advantages over the traditional Bypass CABG technique:
First and foremost is that no bones are cut. This has several advantages in reducing pain, retaining function and having a positive effect on breathing. Unlike traditional heart surgery return to normal life including driving or other activities is not disrupted and can be started almost immediately.
Second, blood loss is almost negligible eliminating blood transfusion in most and eliminating blood borne infection.
Third, all infections are reduced whether it be wound infections or post surgical lung infection. This makes the procedure ideal in diabetics and older patients who have poor resistance to infection.
Fourth , the procedure lasts only 4 days unlike the conventional heart surgery that takes 9 days.
Doctor-Dr XXXXXXX kumar(Cardiologist)
Dr Rajnnesh Malhotra (CTVS surgeon) XXXXXXX hospital XXXXXXX New XXXXXXX
In case you need any other help feel free to ask.
Thanks
minimally invasive by pass surgery.
Detailed Answer:
Hi Mr XXXXXXX
Thanks for choosing HealthcareMagic for your query,
Have seen all reports and angiogram films of patient.
As per your question answers are-
1)Yes Left anterior descending artery refered to as LAD is critcally thin and need revascularisation.LAD is the major artery of heart as almost all walls of left ventricle(major pumping chamber of heart) are supplied by it,But as the lesion is on the proximal part and artery is very thin;Its better to go for MICAS. MICAS stands for minimally invasive coronary artery surgery.This is a technique of coronary artery bypass or CABG wherein the entire operation is performed from the side of the chest (on the left) through an incision that is about 2 inches.
2,3)No left anterior descending is the most major artery supplying heart,Its not a good idea to leave it untouched,As a problem with LAD can cause massive anterior wall myocardial infarction.
4)MICS CABG or MICAS stands for minimally invasive coronary artery surgery. It is a relatively new and advanced technique of performing coronary bypass for coronary artery disease. In this technique the heart is approached through the side of the left chest via a small 4cm incision. This cut is placed just under the nipple. The chest is entered between the ribs without cutting any bones and by splitting the muscle.
MICS CABG has several advantages over the traditional Bypass CABG technique:
First and foremost is that no bones are cut. This has several advantages in reducing pain, retaining function and having a positive effect on breathing. Unlike traditional heart surgery return to normal life including driving or other activities is not disrupted and can be started almost immediately.
Second, blood loss is almost negligible eliminating blood transfusion in most and eliminating blood borne infection.
Third, all infections are reduced whether it be wound infections or post surgical lung infection. This makes the procedure ideal in diabetics and older patients who have poor resistance to infection.
Fourth , the procedure lasts only 4 days unlike the conventional heart surgery that takes 9 days.
Doctor-Dr XXXXXXX kumar(Cardiologist)
Dr Rajnnesh Malhotra (CTVS surgeon) XXXXXXX hospital XXXXXXX New XXXXXXX
In case you need any other help feel free to ask.
Thanks
Above answer was peer-reviewed by :
Dr. Prasad
Respected Doctor,
Thanks for your quick reply.
As you advised that left anterior descending (LAD) is the most major artery supplying heart, Its not a good idea to leave it untouched, As a problem with LAD can cause massive anterior wall myocardial infarction.
My Question is that: the patient had heart attack on 7’th February 2017. till this date patient was physically very comfortable. Patient is already underwent angioplasty.
Is it possible that the patient doesn’t have the main artery by birth because during angiography cardiologist of KIMS Hospital XXXXXXX are unable to say that how long main artery is not supplying it may be by birth. If since long time the patient doesn’t face any trouble physically and angioplasty has been also done is it still needed to go for MICS CABG or traditional Bypass CABG technique.
Thanks and Regards
XXXX XXXXXXX
Thanks for your quick reply.
As you advised that left anterior descending (LAD) is the most major artery supplying heart, Its not a good idea to leave it untouched, As a problem with LAD can cause massive anterior wall myocardial infarction.
My Question is that: the patient had heart attack on 7’th February 2017. till this date patient was physically very comfortable. Patient is already underwent angioplasty.
Is it possible that the patient doesn’t have the main artery by birth because during angiography cardiologist of KIMS Hospital XXXXXXX are unable to say that how long main artery is not supplying it may be by birth. If since long time the patient doesn’t face any trouble physically and angioplasty has been also done is it still needed to go for MICS CABG or traditional Bypass CABG technique.
Thanks and Regards
XXXX XXXXXXX
Brief Answer:
Follow up advice.
Detailed Answer:
Hi again,
As per your query,Patient has a artery but the diameter of artery is less then normal(That what we mean by saying artery is thin),Apart from that due to blockage the full course of the artery can not be visualised.As the course of the artery can not be visualised properly on angiogram stent could not be deployed,Thats why MICAS is the best option available.
Yes MICS can be done after angioplasty.
In case you need any other information feel free to ask.
Thanks.
Follow up advice.
Detailed Answer:
Hi again,
As per your query,Patient has a artery but the diameter of artery is less then normal(That what we mean by saying artery is thin),Apart from that due to blockage the full course of the artery can not be visualised.As the course of the artery can not be visualised properly on angiogram stent could not be deployed,Thats why MICAS is the best option available.
Yes MICS can be done after angioplasty.
In case you need any other information feel free to ask.
Thanks.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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