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Doctor insights on: Thin Arteries Blocked Bypass

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Dr. Barbara Lavi
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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Will an artery that is 100% blocked be bypassed?

Will an artery that is 100% blocked be bypassed?

Not necessarily: Whether an artery needs to be bypassed or opened because it's 100% blocked depends on 1) your symptoms and 2) which artery, in particular, we are discussing. Discuss further with a board-certified vascular surgeon. ...Read more

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My elder brother has had a number of arteries blocked. Is bypass operation the best option?

My elder brother has had a number of arteries blocked. Is bypass operation the best option?

Check with your doc: Check with your/his doc. There are 3 options: medical therapy with drugs such as statins and others stents bypass it really depends the specifics of your brother. Ask for second, third and fourth opinions! ...Read more

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I've got one LAD artery 100% blocked but the other arteries are partially blocked/open should I try for a bypass?

I've got one LAD artery 100% blocked but the other arteries are partially blocked/open should I try for a bypass?

Bypass: The appropriate therapy for multi vessel coronary artery disease needs to be recommended by the drs. Who know your whole history and data set. Often bypass is appropriate for people with multi vessel disease but not always. There isn't enough data here to advise you appropriately. ...Read more

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What are the reasons a bypass could not be performed on a 36 y/o man with blocked arteries >90%? Not obese 6'1", about 230 lbs

What are the reasons a bypass could not be performed on a 36 y/o man with blocked arteries >90%? Not obese 6'1", about 230 lbs

Risk/benefit: The presence of a lesion depends on the artery and the reason for evaluating your heart not all blockages need or require therapy or intervention ask the heart surgeon or cardiologist. ...Read more

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What reasons would a person not be able to have bypass surgery perform on 3 arteries blocked over 90%? Patient is 36, 6'1", 200 lbs.

Usually can: Diffuse distal atherosclerosis and no place to do the hookup. Other would be some life risk or expected short life expectancy. Most can be bypassed. Seek thoracic surgical opinion if not done already. At 36 and not huge, would seem to be worth doing. ...Read more

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My friend had successful quad bypass 2y ago. Now 1 main artery 90% blocked with calcium. Has been on 3000 mg calcium sup /day. Could that caused it.

My friend had successful quad bypass 2y ago. Now 1 main artery 90% blocked with calcium. Has been on 3000 mg calcium sup /day. Could that caused it.

Nope: Calcification of plaques is a much more complicated issue than just increased intake. Discuss with your internist the cholesterol and lipid metabolism issues here. Is he on a low fat diet and excercises? ...Read more

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81 year grandpa having a triple bypass arteries are 85% blocked docs say success rate is 98% in his current health. Does this sound right at his age?

81 year grandpa having a triple bypass arteries are 85% blocked docs say success rate is 98% in his current health. Does this sound right at his age?

Yes: If your grandfather has good lungs, kidneys and no history of stroke, the surgical mortality risk is about 2%. There are other less serious risks such as bleeding, infection, arrhythmia, heart failure, prolonged convelscence that are more likely to occur but are treatable. The society of thoracic surgeons has a risk score that can accurately predict mortality by simply plugging in pt variables. ...Read more

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Had double bypass then 3 months later had 4 stents in one & 1 in the other. The centre artery is 95% blocked. Get chest pain & loose breath often. ?

Had double bypass then 3 months later had 4 stents in one & 1 in the other.  The centre artery is 95% blocked. Get chest pain & loose breath often.
 ?

Yes: This can happen although it is frustrating. Bypasses performed can close down due to quality and of target vessels, quality of conduit, technical reasons, medical reasons and progression of disease. Sorry. ...Read more

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My moms angiography show 3 arteries blocked! 99%, 80%, 79%. So shld we go for triple bypass surgery or any other substitute option? 63yrs old diabetic

My moms angiography show 3 arteries blocked! 99%, 80%, 79%. So shld we go for triple bypass surgery or any other substitute option? 63yrs old diabetic

Yes: Studies have shown that diabetics with triple vessel disease do better with bypass. Your mom would benefit most from a bypass. Best of luck ...Read more

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My father went stenting procedure last month.He has one more artery blocked with calcification.He is a diabetic.What will be best for him .Bypass or.

Need expert opinion: That question needs an expert opinion from cardiologist who knows him best. Sometimes with the co-morbidities (diabetes atherosclerosis) he has, a second opinion might be warranted. ...Read more

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Should I get a stent or have bypass surgery for a blocked coronary artery?

Should I get a stent or have bypass surgery for a blocked coronary artery?

Cardiologist?: This is a decision that needs to be made by you and your cardiologist based on the results of your exam and testing. The factors will include the degree of blockage and whether the blockage is in a place that can be easily stented. If it can't be stented then it must be bypassed. ...Read more

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After a bypass operation, what happens to the bypassed artery?

After a bypass operation, what happens to the bypassed artery?

Nothing: Generally the operation is done for a completely blocked artery secondary to atherosclerosis. The artery still stays in the patient and simply continues to "not function". ...Read more

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What's a coronary artery bypass?

What's a coronary artery bypass?

Surgical operation: This operation uses arteries and veins as bypass grafts to bring blood into the coronary arteries beyond blockages and keep the heart muscle well supplied with blood. ...Read more

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What is "endartenetomy" in coronary artery bypass?

What is "endartenetomy" in coronary artery bypass?

Endarterectomy : Endarterectomy refers to a procedure wherein a surgical plane of resection of the inner lining of a diffuse narrowed blood vessel is undertaken. This improves the blood flow. Because of the diffuse involvement however there is a greater risk of recurrent narrowings there. ...Read more

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For what artery does minimally invasive robotic bypass best used?

LAD: The most common robotic operation is a lima to lad bypass graft. This is done through small incisions in left chest on a beating heart. ...Read more

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Robotic assisted cornary artery bypass sugery?

Remote surgery: Bypass surgery done through tubes or scopes in which the surgery operates by sitting at a console and operates the scopes or tubes remotely. Much less invasive in that the cutting of the sternum or breastbone is not needed. The disadvantage is that it cannot reached all areas of blockage in some patients. ...Read more

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How effective is a robotic assisted cornary artery bypass sugery?

How effective is a robotic assisted cornary artery bypass sugery?

Depends: Both on the disease and on the surgeon -- trained surgeons have excellent result with bypass to the lad. ...Read more

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What's a traditional coronary artery bypass?

What's a traditional coronary artery bypass?

Tradional CABG: A traditional cabg, involves using the heart-lung machine to sustain circulation while the heart is stopped so it can be operated on. Saphenous vein and an artery from the inside of the chest wall (lima) are used to bypass the blocked part of the coronary arteries. When the bypass grafts are completed, the heart will naturally start beating again. ...Read more

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Coronary artery bypass or medical management risks, benefits?

Varies: This requires a detailed consultation with a cardiologist to adequately answer. ...Read more