In my experience patients are often told that surgery is not an option. I would not say that surgery is not feasible without a proper evaluation. College of Cardiology guidelines still recommend that coronary artery bypass surgery be performed for patients with important left main coronary artery stenosis. We do left main coronary artery stenting however I still suggest you consult both a surgeon and an interventional cardiologist before deciding on which way to proceed. What does research or your personal experience tell you about new graft procedure on a patient whose former graft has failed (clogged up) In a recent study we performed at the Cleveland Clinic on coronary artery bypass surgery reoperations we found the risk for patients undergoing reoperations to be similar to those patients undergoing primary surgery. If your operation can be done as effectively and safely off pump as on pump then off pump surgery is an appropriate method of performing the operation. The angina symptoms have be getting worse and I was told to go to the ER if I think I am having a heart attack. It sounds like to me it would be appropriate for you to at least consult a surgeon who is experienced at reoperative coronary surgery. My grandmother had bypass surgery and they used the veins in her legs. The best thing we have to use to do bypass grafts is the arteries inside the chest wall called the internal mammary arteries.
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