I Would Like To Get Second Opinion My Father In-law Is In A Hospital In

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

I reviewed carefully your father's test reports and would explain that considering:

- your father's previous medical history (has been treated in all the three main coronary arteries by previous percutaneous angioplasty by stents implantation);

- and his actual clinical condition (suffering from additional calcified coronary stenoses);

- and the fact he is suffering from diabetes mellitus already a mildly reduced systolic cardiac function (with regional left ventricular contraction abnormalities)

it seems that aorto-coronary bypass surgery is the most rationale therapeutic strategy offering a more stable and safe solution.

Further percutaneous coronary angioplasty with stent implantation would result in a lower success rate and also more prone to complications as the actual coronary stenoses are calcified and interposed to previous implanted stents.

So, to conclude, I would agree and be in favor to what your father's doctor have advised: CABG surgery would be a reasonable therapeutic strategy.

Hope to have been helpful to you!

In case of any further questions, feel free to ask me again.

Kind regards,

Dr. Ilir Sharka
cardiologist

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