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Is it safe to undergo bypass surgery at 70 years of age?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My dad, who is 70 years old, recently experienced severe chest pain that started three weeks ago. Since it was recurring, we visited a hospital for a check-up. They initially conducted an ECG and then a 2D echocardiogram, after which they indicated there was a problem—albeit a minor one—and recommended a coronary angiography for a detailed assessment. After that procedure, they suggested a bypass. I am apprehensive about this recommendation, as minor problems typically do not require a bypass (CABG). I am attaching the reports.

Could you please review them and suggest the most suitable option?

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

I have reviewed all the test reports (attachment removed to protect patient identity). There is significant evidence of blockage in multiple vessels, with some having over 70 to 90 percent blockages. In cases of coronary artery disease involving multiple vessels with over 70 percent blockages, CABG (coronary artery bypass grafting) is indicated. I advise you to discuss this further with your cardiologist.

Wishing your dad a swift recovery.

Patient's Query

Hello doctor,

Thank you for the reply.

But is CABG safe considering his age? Also, will there be a complete recovery after the surgery? Will he return to normal afterward?

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Honestly, major surgeries always carry significant risks, especially in older patients. However, based on his reports, there are not many options available. His recovery will depend on his overall health and any other existing conditions.

Thanks and regards.

Answered by Dr. Isaac Gana
Medically reviewed by Dr. K. Shobana
Published At August 23, 2017
Reviewed At October 18, 2024

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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