Hi,
Most of the times, if LAD is blocked, with one or two other arteries blockage, then CABG is the best option, if no other contra-indication for surgery is there. CABG in LAD is done with left internal mammary
artery graft and this graft generally patent life long. Also, in patients with
heart failure, the
survival rate is much better with this type of graft. Therefore, CABG, seems the best option in your case.
Still, if you are not ready for a surgical procedure, then general measures with proper low fat diet, moderate amount of daily exercises, preventive lipolytics, blood thinners, coronary dilators as well as treatment of any co-morbidity like
hypertension,
diabetes or heart failure etc. may be needed. However, the ultimate treatment protocol is to be structured by your cardiologist, who will also like to evaluate your medical condition time to time and also, if there is any need to change the treatment protocol, which may suit you.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Satnarain Bansal, General & Family Physician