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Widow maker stent risks
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ShamanPepper posted:
I am a 38 yo female who had bypass surgery in Sept 2010 at age 36. Am now having my 4th cardic cath procedure to follow up on recent chest pain and shortness of breath. Was told that my orig bypass surgery was not sufficient in providing good blood flow to my heart so they put a stent where the blockage was-in the widow maker -to compensate for lack of blood flow. What are the possibilities that I will need to have a second bypass surgery to correct this problem if stent is compromised? Being my age and already having these types of issues what can I expect going forward?
Reply
 
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cardiostarusa1 responded:
Hi:

"What are the possibilities that I will need to have a second bypass surgery to correct this problem if stent is compromised?"

"Being my age and already having these types of issues what can I expect going forward?"

The bottom line

Coronary stents (bare-metal or drug-eluting) are only a Band-aid or spot-treatment, and bypass surgery is only a clever way of temporarily circumventing the problem (atherosclerosis), as these procedures do not address the disease process and what drives the progression.

Coronary artery disease (CAD) is a lifelong unpredictable (may/can exhibit periods of stabilization, acceleration and even some regression) condition requiring a continuum of care.

Best of luck down the road of life.

Take care,

Cardiostar*

WebMD member (since 8/99)

-

-

Be well-informed

The "widowmaker" gets its name due to its prognostic implications, where the left main splits into the LAD and LCX. This is a narrowing of the proximal (closest to the point of origin) portion of the left anterior descending (LAD) coronary artery.

If/when
a complete blockage (100% total occlusion) in this specific area in the LAD occurs, it is nicknamed "Widowmaker" because it is often lethal (fatal).

The most truest form of the "Widowmaker" or "Widowermaker", and absolute worst case scenario, is a total (100%) occlusion in the left main (LM) coronary artery (feeds massive left ventricular area), which is extremely rare and almost always invariably fatal.

-

WebMD

Living with Heart Disease

Coronary artery disease (CAD)

CAD is chronic disease with no cure. When you have CAD, it is important to take care of your......

This is especially true if you have had an interventional procedure or...

Recognize the symptoms......

Reduce your risk factors......

Take your medications......

See your doctor for regular check-ups......


http://www.webmd.com/heart-disease/guide/living-with-heart-disease

- -

The coronary arteries are classified as so-called 'end circulation' since they represent the only source of blood supply to the heart muscle.

Coronary artery anatomy

Starting with the left anterior descending (LAD), the most critical, next to the ultra-critical left main (LM).

http://www.heartsite.com/html/lad.html

_ . _

Heart-Healthy Foods

Nothing complicated, just plain and simple

AVOID
foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter

-

Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).

-

Quote!

"Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

.


It's your future......be there.

. .

WebMD/WebMD forums does not provide medical advice, diagnosis or treatment.
 
avatar
cardiostarusa1 responded:
Hi:

"What are the possibilities that I will need to have a second bypass surgery to correct this problem if stent is compromised?"

"Being my age and already having these types of issues what can I expect going forward?"

The bottom line

Coronary stents (bare-metal or drug-eluting) are only a Band-aid or spot-treatment, and bypass surgery is only a clever way of temporarily circumventing the problem (atherosclerosis), as these procedures do not address the disease process and what drives the progression.

Coronary artery disease (CAD) is a lifelong unpredictable (may/can exhibit periods of stabilization, acceleration and even some regression) condition requiring a continuum of care.

Best of luck down the road of life.

Take care,

Cardiostar*

WebMD member (since 8/99)

-

-

Be well-informed

The "widowmaker" gets its name due to its prognostic implications, where the left main splits into the LAD and LCX. This is a narrowing of the proximal (closest to the point of origin) portion of the left anterior descending (LAD) coronary artery.

If/when
a complete blockage (100% total occlusion) in this specific area in the LAD occurs, it is nicknamed "Widowmaker" because it is often lethal (fatal).

The most truest form of the "Widowmaker" or "Widowermaker", and absolute worst case scenario, is a total (100%) occlusion in the left main (LM) coronary artery (feeds massive left ventricular area), which is extremely rare and almost always invariably fatal.

-

WebMD

Living with Heart Disease

Coronary artery disease (CAD)

CAD is chronic disease with no cure. When you have CAD, it is important to take care of your......

This is especially true if you have had an interventional procedure or...

Recognize the symptoms......

Reduce your risk factors......

Take your medications......

See your doctor for regular check-ups......


http://www.webmd.com/heart-disease/guide/living-with-heart-disease

- -

The coronary arteries are classified as so-called 'end circulation' since they represent the only source of blood supply to the heart muscle.

Coronary artery anatomy

Starting with the left anterior descending (LAD), the most critical, next to the ultra-critical left main (LM).

http://www.heartsite.com/html/lad.html

_ . _

Heart-Healthy Foods

Nothing complicated, just plain and simple

AVOID
foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter

-

Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).

-

Quote!

"Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

.


It's your future......be there.

. .

WebMD/WebMD forums does not provide medical advice, diagnosis or treatment.
 
avatar
deadmanwalking57 responded:
Have you altered your diet, stress and lifestyle appropriate for heart disease ? If you do, in time, you may have no more chest pain, and be able to be as active as you wish.

More chest pain means worsening blockages. Its all in your own hands, and fork.


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