Angiogram of lima
Common Questions and Answers about Angiogram of lima
angiogram
i had my bypass surgery done in1995 becuse of 3VD at that time. I was advised a Coronary Angiogram, after I complained about my chest pain after breakfast. Angiogram report came thus:
LMCA :Normal
LAD: total (100%) occlusion at mid segment ; LIMA to LAD patent
LCX: total occlusion at mid segment ; SVG to OM - total occlusion at origin.
RCA: Dominant ; total occlusion mid segment ;retrograde filling via bridging collaterals ; SVG to RCA - totally occluded at orogin
Impression: Severe 3VD.
Your husband is in the exact same situation that I was in. I have a LIMA and two veins grafted. My Lima was/is fully open, but both veins closed up. However, the surgeon grafted my LIMA right over the blockage making it useless. So, when the veins closed my LAD was blocked at the top by a 2.5cm lump of plaque which was also on a curve. I was told by cardiologists from three hospitals that this was impossible to treat. Even a redo-CABG would likely not work.
There is also a covering of disease over significant distances of the arteries. I believe that bypass is the best solution here. Your LIMA vessel is clear which means it can be used in the bypass. Perhaps the RIMA could be used for the right coronary artery too. Medication or exercise will not help with disease, the blockages are actually severe. Exercise could cause damage rather than make improvements. You definitely require revascularisation.
- Three-vessel coronary artery disease of the native arteries with good functioning left ventricle. LIMA to LAD and saphenous vein graft to diagonal patent, presumed blockage of the radial artery graft to distal circumflex.
Recommendation given to me are to continue with medical management with intensification of anti anginal treatment.
In my ordinary way it feels to me that I am heading towards a slippery slope.
TVCAD
I underwent this test after I had some pain in the left region of chest above heart. After this test, I started to have lots of medicines including the medicines for BPH & HBP also. But the occassional pain on exercise or exertion was there as usual. Then I stopped all medicines except medicines for BPH & HBP since last 10-11 months. Still the condition is same.
Hi my father had a bypass surgery on 2007 and he is well now his age 68 one month he had chest pain during night after taking food during sleep his angiogram report and digonsis says coronary artery disease ,triple vessel disease, s/p cabg -Lima to lad,svg to d1,d2 and pda-2006,good lv function, type2 diabetese mellitus systematic hypertension now effort angina class2 cag: native triple vessel disease, Lima to lad present, svgmild plaquing proximally, svg to d1 ,pda totally occluded contast incl
He has been doing very well the last 14 years until the summer of 2007 when he started having problems breathing on minimal exertion accompanied by chest pain and not helped with Nitroglycerin. My Dad's cardiologist did a angiogram in Nov. 2007 and found his EF to be 0.25%. Last week my Dad went to the cardiologist for a follow-up visit and the cardiologist looked at my Dad's chart on his computer and printed out a picture of my Dad's (heart) during his angiogram last Nov.
Have they done a CT or angiogram to make sure the grafts are working? I had shortness of breath and dizziness 3 months after my triple bypass and the surgeon refused to believe anything was wrong. He used his magic stethascope which obviously did an ECG, echo, angiogram and nuclear perfusion scan all in one. His stethascope said everything is doing great. I went to a different hospital and they did an angiogram. It revealed that the Lima was open, but the 2 veins were totally collapsed.
If he had a triple bypass as you say, then the usual procedure is to put the LIMA (left internal mammary artery) to the bottom of the LAD, and a Vein further up the same vessel. The third vein would have been for a different vessel, probably a Diagonal or maybe the left circumflex. If the LIMA is still open, then a good feed will still be getting into the LAD.
When my veins collapsed, it was a sudden thing, not gradual, and I remember when it was.
I am suffering from heart disease since I am 27 years. At the age of 37 I have done CABG 3 i.e Lima to LAD, SVG to D1 and OM1. At the age of 46 I did my second angiogram and found SVG to D1 100% blocked and SVG to OM1 80-90% stenosis. So at the age of 47 I put two stents on OM1. but at that time also my doctor try to put 3rd stent on SVG to OM1 on tissue side but due to high risk they did not put that 3rd stent.
I had quadruple bypass surgery 13 years ago( using the left internal mammary artery grafting to the left anterior descending coronary) and recently had been having increasing jaw pains and upper back pains ( no dizziness or fainting). I had all sorts of cardiac tests (short of angiogram) that showed within normal limits Ejection fraction was normal but still I had these increasing symptoms of jaw pain relieved by rest.
Erijon, while you started out strong in saying that most of what I said was wrong, your ultimate conclusion was identical to mine, namely, that about 1 out of every 30 people who are told that their coronary arteries are uniformly normal actually have coronary arteries that are uniformly diseased in the worst possible way.
I would also ask him for a copy of the diagram that doctors make following an angiogram, showing which arteries are blocked and by how much. That will give you the answers to ed34's questions, and he is one of the best people in the world to help you understand coronary artery issues. But I think that maybe some more discussion with your father's doctor would clear a lot of things up.
I had the surgery as a result of angiogram results - not an M.I. The surgeon also performed a Maize (sp?) procedure in an attempt to alleviate my a-fib. I am not taking any prescription meds at this point in time, and have been walking about 3 miles per day until the second week of Dec. Last week, after resuming walking, I experienced an irregular heart rate (about 12 hours post-execise) and went to the ER to be checked. It turned out to be PACs.
I would also ask the surgeon to ensure that he grafts those arteries well away from the blockages, giving plenty of room. My stupid surgeon used two veins and my Lima, BUT he grafted the Lima right onto the blockage which means it couldn't feed into my coronary artery. So I strongly suggest you get involved and make sure what happens is what's best for you long term.Nobody cares about your body as much as you do and when you speak to surgeons it's worth keeping that in mind.
based on my angiogram, there is a big possibility of a quadruple by-pass. In this case I can't expect to have them all on mammary arteries since they can only accommodate 2. I am still 44 years ol, never smoked and exercise every day. I don't also have a very fatty diet being a Filipino I was told my genes just got the best of me. Heart decease is very prevalent on my mother's side of the family.
dominant vessel and shows 75% stenosis immediately after RV branch and 40% stenosis before bifurcation of PDA and PLV.
renals: normal
LIMA/RIMA: normal.
LV angio: good LV function LVEF 55%
comments: double vessel CAD with good LV function
Is angioplasty necessary in my case or i can be okay with medications.
But when he went to colombia (this doctor was the originator of the stent) said he should do the angiogram to see what is going on. Its very confusing as there is no black and white answer. Which is frustrating. I am so sorry to hear about your experience. It gets very very scary. which hospital did you go to?
Recommended
