Heart catheterization bypass
Common Questions and Answers about Heart catheterization bypass
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My husband had a stress test followed by a heart catheterization and was diagnosed with 2/3 blockage of his LAD artery and also blockage of the cirumflex artery. His doctor said he did not stent because of the size of the blockage and could not do CABG because of the location of the blockage (he said there is nothing to bypass to). His ejection fraction at time of catheterization was 35%. Was put on Coreg 3.125mg bid and lisinopril 2/5mg at night. My question is how should this be treated?
The harvested vessel for a bypass can devleop the same problems of the natural vessel, but there should not be any related heart problems for many subsequent years. There could be blockage of the bypass or another vessel and that would be the underlying cause for the angina. If the medication does not provide relief from angina, then a stent implant is the best option.
They gave me an Echo and Stress test. The doctor said the opening and closing of my heart was good, but the stress test indicated I might have clogged arteries and he wants to do a Cardiac Catheterization. I asked if there was another way to know if I had clogged arteries before he did the procedure, he said no. I checked and you can have a MRI or CT scan. Should I request these tests before they do the Catheterization?
i suffered severe heart attack 2 months ago and now doctors suggest. me bypass surgery.my main artery is working 30% and rest arteries are in gud condition.and i got natural bypass which is gud sign told me doctors butt still they suggest me surgery.is there any solution by medicines and changing lifestyle?
I had to go look and see what country you're from before I could answer your question.
When it came to any and all of my cardiac catheterizations (of which I've had 6 thus far through my life), there is already a cardiac surgery team waiting in a reserved surgery suite JUST IN CASE I NEEDED BYPASS SURGERY. My cardiologists have always told me that they have the surgery team and surgery suite reserved JUST in case I would need bypass surgery...
ED34
Thank you. Last year I saw an Echocardiogram report at a different facility which indicated some 'mild asymmetrical left ventricular hypertrophyatrophy" in a portion of one wall of my left ventricle. That report also said: 'The septum is dyskinetic'. 'The left atrium was mildly dilated'. I was told at that time back in June 2009 by another cardiologist the hyperatrophy was likely due to high blood pressure.
From what you describe, his doctors suggest coronary artery bypass grafting surgery rather than angioplasty or stents. Studies have shown that this bypass grafting is a better option for overall survival than stents when multiple coronary arteries are involved. Without known the full details of your father's coronary artery disease, it is difficult to say if there is a role for another non- surgical option such as management with medication or stenting.
Yes I would suggest a left heart catheterization to further evaluate you for the presence of severe obstructive atherosclerosis. Apart from this you should be on maximal medical therapy including beta blockers, ace inhibitors, aspirin and plavix as well as a statin. Is you heart function preserved after the heart attack? It is possible that your shortness of breath is secondary to systolic dysfunction and not only pneumonia.
In November 2009 I had a heart attack, catheterization, and received a Taxus drug-eluting stent. Within nine months, after "failing} a treadmill stress test suggested by my doctor (and my having had few to no symptoms), my cardiologist scheduled another catheterization. It was discovered that my Taxus stent had completely clogged with scar tissue, leaving that part of my heart dead with no remedy.
My Grandmother has been detected with a blockage in heart, and its not getting well by the use of medicines.
Her Doctor is suggesting Angiography now.
Her age is 81 by now. I wanted to take other Doctors opinion about this case.
My father aged 62 had to have his carotid artery cleaned and possibly a stint insterted (not sure) after the procedure he had a heart attack after the catheterization they found his right side to be 100% blocked. The doctors at the VA (veterans affairs) hospital are refusing to perform a bypass stating that he has already had a bypass i've read elsewhere of people having 2-3 bypasses why are they giving up on him and leaving him for dead.
done ekg ct scans lab work all come out okay. done a heart catheterization with coronary angiographic. they found anomalous coronary vasculature noted attached to the right coronary artery with appears to be collateralization of the right system with plv branch which appears to be feeding to right heart system noted. This was visualized through right coronary injection feeding to anomalous vasculatrue and artereis, feeding into the right system noted of unknown significance noted.
He should go on to have a catheterization to identify his anantomy and if there are good targets have a coronary artery bypass surgery. In the meantime, his heart failure should be optimized with medications if possible. He should not leave the hospital unless he's at least seen by a heart surgeon.
I had admited my father tothe Islamic Hospital for catheterization ,during the operation d.zaqaria qaqa said that there is stenosis 95%in the main left coronary and he tried to pass aballon of 2 mm but he cant ,then he tried to pass another ballon of 1.5mm but he cant,then he tried to pass aballon of 1.25mm but he also can not.then he stoped the procedure.and advice to refer the patient to open heart surgery.Ihad discharged my father from the hospital.what to do now?
Hi, I'm 57 yr old, male, I have bypass surgery scheduled for the next Friday. As it was shown in catheterization results, I have one artery fully blocked and the other one is 30-40% blocked, The heart is fed through three vessels from that other artery. My doctor told me that stent is impractical in my case and advised me for bypass surgery.
I am assuming he had a positive stress test ( with dye?) and not a catheterization. If so then he needs a left heart catheterization to further define the amount of blockages, and see what treatment needs to be initiated. Sure medical therapy can be started now and this should include a full dose aspirin, and a statin such as lipitor or crestor in addition to his metoprolol. His blood pressure should be well controlled with goal of systolic of less than 135 mm Hg.
There appears to be lesions or occlusion at the regions of the heart given that inhibits a good flow of blood. If you have symptoms of chest pain, that may be the source indicating reduced perfusion (blood flow) and the pain would be associated with the heart cells not receiving a good supply of blood. Therapy can be medciation to dilate vessels, stent to mechanically open the oclusion or a bypass.
TWO years ago the cardiologigt did a nuclear stress test on my heart,it showed very mild heart vessel ischemia,he told me nothing to worry about,since then i have also had a echo gram ekgs,blood work,holter moniter..alls beeen on.I wenr to him yesterday because i keep having pains in my shouklders and behind my breasts and tightness in my chest...i also have severe anxiety...i was put on adderall which is a stimulant on april 7th and of course it raises your heart rate...
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