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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Angiogram Report Indicate?

Hi, My father had a heart bypass surgery last year. He subjected to angiogeam following chest pain now. His results are as follows: LAD: 70% ostial lesion then diffuse mild mid vessel lesion with ectasia, discrete mid- distal lesion, good distal run off. Large DI occluded with ipsilateral collaterals RCA: CTO at mid segment. Collateral to PDA from LAD. Grafts: LIMA-LAD: occluded early atriatic SVG-RCA: occluded SVG-?: occluded He is under medical therapy only. I would like to know the conditions of each artery LAD and RCA and the condition of his heart and also the risks
Mon, 27 Apr 2020
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General Surgeon,  's  Response
Hello,

* As per my clinical experience, the angiogram report is showing up significant occlusive changes including left anterior descending and partial changes involving right coronary artery.

* There are many of the risk factors which pause one for such after bypass surgery as:

- significant atherosclerosis process ongoing affecting grafted vessels
- lack of life style modifications
- continuous smoking
- hypercholesterolemia
- uncontrolled diabetes, blood pressure

- inadequate dose of statin or other antiplatelet therapy
- loop hole in the consumption of medicines
- diet intake with high fat content

However, it is worth to know the current symptoms of your father for further guidelines and correspondence.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Does This Angiogram Report Indicate?

Hello, * As per my clinical experience, the angiogram report is showing up significant occlusive changes including left anterior descending and partial changes involving right coronary artery. * There are many of the risk factors which pause one for such after bypass surgery as: - significant atherosclerosis process ongoing affecting grafted vessels - lack of life style modifications - continuous smoking - hypercholesterolemia - uncontrolled diabetes, blood pressure - inadequate dose of statin or other antiplatelet therapy - loop hole in the consumption of medicines - diet intake with high fat content However, it is worth to know the current symptoms of your father for further guidelines and correspondence. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel