Micas

MICAS (minimally invasive coronary artery surgery) is a newer technique used for heart bypass surgery. This surgery, unlike the open-heart surgery, is done without stopping the heart or putting the heart on a bypass machine. MICAS is performed for coronary heart disease.

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Is angioplasty or by-pass surgery advisable for my grandfather?

Query: Hi doctor, My grandfather is 82 years old. He has diabetes as well as Alzheimer's. He had a heart attack before 15 days. Doctors are confused whether to go in for angioplasty or bypass considering his age and diabetic history. He had congestion in the lungs and had breathlessness and sleeplessness...  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. I have gone through all your grandfather's details (attachment removed to protect patient identity). Angioplasty above the age of 80 is not a good option. The patient is a subject for CABG (coronary artery bypass graft). Ejection fraction of the patient is 35% only,...  Read Full »

My father was suggested surgery for heart blockage. Kindly give your opinion.

Query: Hello doctor, My father have been advised for a heart operation, as heart blockages found in the medical examination. I am attaching the report (scan copies). I need a second opinion from your side. Please help and advise further.  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. I have gone through all the reports of your father (attachment removed to protect patient identity). He has got a triple vessel disease and all the three major coronary arteries are critically blocked. The main problem before giving a suggestion is that you have not...  Read Full »

Should my friend opt for heart surgery?

Query: Hi doctor, My relative has got heart attack some days before. I have his reports. We need a second opinion about surgery whether he should go or not. His presenting complaint includes chest pain and high blood sugar. He is under diabetes medicine.  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. Kidney function tests of your relative are deranged (attachment removed to protect patient identity). His serum creatinine levels and potassium levels are high. What do you mean by surgery? Is that open heart surgery or stenting? However, the surgery c...  Read Full »

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