Dr. Isaac Gana
Cardiology
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Patient's Query
Hello doctor,
My angiography report shows LMCA 30% and 50% distal lesion. LAD proximal to mid portion multiple significant calcified lesions up to 90%. D1 80% ostial lesion. LCX 90% ostial to mid part lesion, OM 1 small patent. OM 2 patent. OM 3 25% proximal lesion. Ramus 90% ostial and proximal lesions up to 85%. RCA long proximal to mid part lesion up to 95%. RV branch diseased, PDA small, patent, PLB small, patent. Dominance LCX, Co-dominant. LVEF 60%. Impression: CAD left main/triple vessel disease. No chest pain or any other symptoms of a heart attack. I am diabetic for the last 20 years. Lipids are very much in control, and I am leading a normal life. My height is 5' 5", and my weight is 165 pounds. My query is whether MICS surgery can be done? Or I should opt for open heart surgery. How soon should I go for it?
Hello,
Welcome to icliniq.com.
I am sorry to hear about your health challenges. Please be positive you will be fine. The result indicates that three different vessels are affected or blocked with plaque. MICS (minimally invasive cardiac surgery) is a better option for one vessel blockage. If you opt for MICS, there is a high chance of recurrence of blockage after the procedure, unlike open heart surgery. A open heart surgery is better indicated for triple vessel blockage. The negative aspect is that recovery is longer, especially as you have diabetes. Wound healing can be longer in people with diabetes more than non-diabetics. You can go ahead with the open-heart surgery if your sugar level is well controlled and kidney and heart investigations are all normal.
Patient's Query
Thank you doctor,
I am highly obliged to have a very useful opinion. I will be sending my angiography CD tomorrow. Kindly advise. I met an experienced doctor in my city, and he confirmed that MICS would be better for me as he has done up to five vessels. Therefore, kindy study the CD and advise. I am very afraid of open heart surgery.
Hello,
Welcome back to icliniq.com.
I understand your worries. Having a blockage in the heart is not a death sentence. Yes, indeed, MICS will be better for you because you have diabetes, making wound healing difficult for you if you opt for open heart surgery. Most patients above the age of 60 do not do very well with open heart surgeries. You can attach the angiography CD.
Patient's Query
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Cardiology
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