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A 26-year-old female asked about a 56-year-old female:

Dear dr want to ask if one is facing 3 heart veins closed one 90% and others 40% & 50% with high blood pressure.is open heart surgery only solution?

2 doctor answers3 doctors weighed in
Dr. Stephen Sisselman
Internal Medicine 26 years experience
Coronary artery dz: It sounds like you are saying that the 3 main heart arteries, Right coronary, left anterior descending and left circumflex, all have blockages. Some doctors - interventional cardiologists - may try to stent these vessels (perform angiolpasty with stent) if he or she thinks they are causing symptoms. Or, you may be referred for bypass (CABG) surgery. It depends on other factors.
Dr. Cesar Sturla
Internal Medicine 36 years experience
Definitely not: The only artery that needs Intervention is the the 90 % blocked. 40 % and 50 % can be manage medically. If the artery that is 90% blocked is the left main coronary artery then most likely CABG because of the risk of emergency CABG. If the 90 % blocked is a branch artery then PTCA and stent is the preferred choice.
Last updated Jul 11, 2015


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