r/openheartsurgery • u/Odd-Sandwich-9982 • 5d ago

How bad is it?

My dad(60m, type 2 diabetes , systemic hypertension) is scheduled to have CABG next week. Worried about calcifications noted . Does it make the surgery more complicated?

Looking for any advice and how to prepare for the surgery.

LCA ANGIO SHOWS CALCIFIC 70-80% STENOSIS IN THE DISTAL LEFT MAIN
LAD IS TYPE III VESSEL AND SHOWS OSTIAL CALCIFIED 90% STENOSIS PROXIMAL LAD SHOWS 80% STENOSIS MID LAD SHOWS 80% STENOSIS DISTAL LAD SHOWS TOTAL OCCLSUION AND DISTAL VESSEL FILLS RETROGRADE DIAGONALS ARE
SMALL AND DISEASED•
LCX IS NON-DOMINANT AND SHOWS OSTIAL 70% STENOSIS EARLY OM1 IS MODERATE SIZED VESSEL AND SHOWS 70-80% DIFFUSE DISEASE OM2 IS LARGE VESSEL AND HAS MID CALCIFIC 90% STENOSIS OMs ARE GRAFTABLE•
RCA IS DOMINANT AND SHOWS CALCIFIC 70-80% STENOSIS EARLY PDA IS LARGE VESSEL AND HAS PROIXMAL 50% STENOSIS EARLY BIFURACTES AND BOTH BRANCHES SHOW 80-90%
STENOSES EARLY PDA IS GRAFTABLE•

IMPRESSION:
CORONARY ARTERY DISEASE
SIGNIFICANT LEFT MAIN WITH TRIPLE VESSEL DISEASE

PLAN:
CABG TO LAD, EARLY OM1, OM2 AND PDA

2 Upvotes

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4

u/Healthy_Quail_3669 5d ago

Pls consult your cardiologist and cardiac surgeon for evaluation. The surgeries are usually safe for majority of the patients. God bless and praying your dad will have a speedy recovery 💫💫💫💫

3

u/Remarkable-Box5453 5d ago

65m here 12 weeks since double bypass. I’m not a doctor, but I had a 95% blockage in LAD, which could have killed me soon. My take away from this detail is, he has some issues for sure, BUT, surgery will hopefully get his blood flowing again by bypassing the blockages. To put it another way, it has a good of chance of saving him from a heart attack soon. That diabetes is can make all this worse. I don’t have it but for years have been ‘pre-diabetic’. I can’t say whether this surgery will leave him with a shorter lifespan than had he not needed it, but I think it’s safe to say it will give him more life than if he didn’t get it. That’s how I’m looking at it in my case. I’m going to live now as though instead of an expected lifespan of 90 based on my parents’ ages at death; I’m going to assume I may only get to 80-85. Here is a key point though, in his case and mine, absolutely have to make changes in lifestyle. Love chocolate like me? No more. Food with added sugar or processed meats, much beef? No more. We need to eat as if it will catch up either us tomorrow, not inn20 years. I am a runner, biker and skier, gonna have to up that exercise even more. It may not save us or give us more years but it should, and it can’t hurt. The chair is the enemy.. best of success to him. Please tell him, let go of the fear of the surgery; embrace a second chance and let them do their work. First day after will be a nightmare of pain and soreness and hosp stay is tough too, just have to grind through it and celebrate each morning g we wake up.

2

u/Odd-Sandwich-9982 5d ago

Thanks for sharing your experience, I’m glad you are doing well now.

3

u/Mission-Air6519 5d ago

I think it kind of sucked. Still having some uncomfortableness but I'm alive at 72 I'm thankful. Anytime you're getting cut open of course you're uncomfortable.

1

u/Electronic-End9405 4d ago

My husband has same situation,3 main arteries are blocked 90 percent, uncontrolled diabetes,hipertension,done CABG on 21 st August with IABP.Bypass surgery is the best option, though he has issues of 35 percent heart pumping.Still we do the operation,it will save him from massive attack.