I am scheduled for stenting of the "very proximal Lad", 70% occluded, this Thursday. I have a "very short L main". This is in my patient notes below under the old thread.
I am having really bad chest pain and should have been hospitalized this past Thursday, after the angiogram. I have increased my Imdur and use of fast nitro, in an attempt to limit damage to my heart muscle, while I look at my options. I could go to the Cleveland Clinic for the new "keyhole bypass surgery". I just read where attaching the mammary gland artery to the proximal Lad is one of the CAD conditions, best suited for this surgery.
I also have this info:
-----------------------------------------------------------
The present study suggests that patients with multiple vessel disease and severe stenosis of the proximal LAD can be effectively treated with either PCI with liberal use of stents or CABG. Although the number of patients in this subset analysis of the ERACI II trial is small, at long term follow up both revascularisation strategies had similar survival, survival with freedom from non-fatal myocardial infarction, and completeness of revascularisation. Thus, both strategies seem equally safe and effective in improving the clinical status of these patients.
---------------------------------------------------------
This article does not discuss having a very short left main and it's outcome on stenting.
I believe they are going to do CABG Thursday, instead of stenting. The doctor said "he was agreeable to try" stenting. I am obsessing on this, no I have passed that point...., and it has a snowball affect on the chest pain. I am very desperate at this time. I would very much appreciate any insight you could give. Thanks so much in advance,
RJ