Doctor insights on:
Intra Aortic Balloon Pump
Intra-aortic pump: during diastole ( when the heart relaxes), the pump is inflated forcing blood to the coronary arteries, and during systole ( when the heart contract), the balloon pump deflates allowing blood to past through the aorta, the pump is used to facilitate myocardium ( heart muscle) oxygenation after severe myocardial infarction ( heart attack) ...Read more
Is mod to sever aorta stenosis with peak/mean pressure gradient of 57.06mmhg/37.30mmh requiring aorta valve replacement stat?
It could be: It depends upon whether symptoms are present. If the aortic stenosis is causing chest pain, congestive heart failure, shortness of breath or blackouts then this is usually regarded as a reason for prompt treatment. If there are no symptoms then watchful waiting is sometimes appropriate. BTW some patients in this age group qualify to have the valve implanted through a catheter via the groin. ...Read moreSee 1 more doctor answer
Yes and No: Coronary artery bypass requires some form of conduit for bypass. Superficial veins from the lower limbs have been used for bypass. Smaller arteries from the underside of the chest wall have been used in favor of veins for the left side of the heart. Early enlarged varicose veins can still be used for bypass; however more advanced wall bulges and wall aneurysms Prohibit use of the varicosed veins. ...Read moreSee 3 more doctor answers
Depends: When blood flow is sufficiently reduced by a greater than 70% blockage of an artery or arteries, to the point of permanent damage or weaknening of the heart muscle, or when a plaque ruptures and a blood clot repeatedly forms with resulting blockage of blood flow, then an artery needs to be stented, or bypassed. ...Read more
Based on size: The risk of rupture of an aortic aneurysm increases with its size (diameter). When the size reaches a certain threshold, the risk of rupture becomes substantial. At this point, a repair is justified either with surgery or a percutaneous stent graft. ...Read moreSee 1 more doctor answer
Not necessarily: A CABG if done without cardiopulmonary bypass (cpb) does not require the heart to be opened, however most cabgs are done with cpb requires cannula placement in the heart. However, most people consider any surgery on the heart where the chest is opened open heart surgery. ...Read moreSee 2 more doctor answers
Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?
If accurate, only: mildly ?ed. RA ~10 mmHg, RV systolic ~25 mmg Hg generally ~optimally healthy; similar to the values stated. Thus RA enlargement likely: mismeasurement (common, not rare; study image data yourself), marked tricuspid regurgitation, congenital variant, atrial muscle problem [eg advanced arterial disease in RA arteries; (lumens too small to see by angiography) producing RA ischemia/fibrosis], etc. ...Read more
Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?
Depends: If you're diabetic, CABG has better outcomes. If your LEFT MAIN coronary artery has >50% blockage, CABG has better outcomes. Aside from those 2 points, it depends on the skill of the team you have. If they do a lot of angioplasty, that would be preferred. If they don't but their surgical team is first rate, then that would be preferred. ...Read more
Depends: Depending on the arterial access , a single IV like catheter is placed called an arterial sheath. All catheters are fed thru the sheath using a j-shaped guide wire. Most sheaths are placed in the femoral artery others in the radial arteries. All arteries lead back to the heart in a retrograde fashion and the catheter is manipulated into the artery of intrest for repair with angioplaty and stent. ...Read more
My cardiac MRI showed persistent left sided superior vena cava drains into a dilated coronary sinus w/ mild dilation of the main pulmonary artery?
Mostly a normal: Variant. Every fetus has one, but in most it involutes before birth. 0.3% of the general population has one. It is the most common variation of the thoracic venous system. Left svc draining into coronary sinus is expected 90% of the time. Discuss with your doctor the significance in your case of the mild dilation of the pulmonary artery. ...Read moreSee 1 more doctor answer
Av fistula, av graft, subclavian or femoral catheter, av shunt permanent or temporary, which is better?
Is there an effective way to mitigate mild aortic valve sclerotic and aortic valve regurgitation?
Aortic valve: We have no specific steps other than good medical care. If hypertensive it needs treatment, anti atherosclerotic therapy is also appropriate. ...Read more