A 65-year-old male asked:
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i've af & cad 70% at lm. my ef is 68%, which one better, do the cabg alone or do the cabg with the maze procedure??

4 doctor answers
Dr. Anita Prakash
29 years experience Cardiology
CABG + MAZE +: LAA ligation ideally. In case MAZE doesn't succeed, then atleast your thromboembolic risk can be reducd by ligation of the LAA. Although decision to give anticoag is based on CHADS score, it helps to still have the LAA sealed off so to speak further reducing your risk of stroke even it MAZE fails down the road.
Answered on Feb 23, 2015
Dr. Tamanna Nahar
Specializes in Cardiology
Left Main AF: Depends on the type of leasion and exact location in the LM along with disease in the other arteries, size of your left atrium and duration of AF. RF ablation is very successful as well as PCI of the LM depending on the Center and above variables.
Answered on Feb 23, 2015
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Dr. Anita Prakash
29 years experience Cardiology
Diabetics do better with CABG
Nov 9, 2014
Dr. Jerome Zacks
51 years experience Cardiology
It depends.: It depends upon the echocardiographic data and the experience of the cardiac surgery team. One would want the surgery to be done by a team with experience doing a very large number of each procedure planned. The echo data can determine how large the atria are as well as the function of the heart; this will give a hint as to the likelihood for permanency of maze achievement of a normal rhythm.
Answered on May 14, 2016
Dr. RENATA FORD
27 years experience Thoracic Surgery
Maze, Cabg atriclip: If you have Afib and need heart surgery for something, you have a chance to get rid of the Afib if the maze procedure is done. If your Afib is paroxysmal, that is you are not on Afib all the time, isolation of the pulmonary veins can be effective and it can be done without opening the heart. Doing the maze it increases the time of the surgery. You should definetelly have Atriclip to the LAA
Answered on Feb 23, 2015
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A 65-year-old male asked:
Dr. Mathew Chengot
43 years experience Cardiology
CABG with maze: CABG with maze and clipping the appantage would be the most ideal procedure for you
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A 65-year-old male asked:
Dr. Calvin Weisberger
51 years experience Cardiology
CABG: the two procedures are not mutually exclusive but need to have clear indications for both and team skilled in the procedures. Should discuss with your ... Read More
A 65-year-old male asked:
Dr. Dan Fisher
27 years experience Internal Medicine
Not unusual.: Frequently done. Your diabetes will not interfere with the wound. You will probably be managed with insulin.
A 65-year-old male asked:
Dr. Linda Tao
Dr. Linda Tao answered
35 years experience Cardiology
AF is Ok for CABG: Many older people needing CABG also have atrial fibrillation. This itself is not a particularly alarming risk for the procedure. More important risk f ... Read More
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