家人心臟不適，需要進行CABG手術嗎？-心臟血管專科

家人心臟的檢查報告？

何醫師你好:家人心臟不舒服, 不久前再去檢查心臟，麻煩您幫我解讀以下報告：我們只懂被轉去做CABG手術.請幫忙看看，感謝!!1. IHD→ Echo: EF 45% , akinetic anteroseptal region from mid to apical level, no pericardial effusion valvular lesion→ CC 10/2016: normal LM, pLAD total, mLAD 70%, dLAD filled by collateral, disuse LCx 30%, pRCA 30%, mRCA 30%, dRCA 50% long→ PTCS to dLAD (Biomatrix 2.5 x 38), p-mLAD (Biomatrix 3.0 x 39)2. DM / HT /↑lipid3. Widen mediastinum FU Vascular Surg, defaulted CTDefaulted FU and med 2017-2020He c/o post PCI chest pain. There was occ vague chest discomfort but never try TNG beforeClinically remained NYHA class 1. lx results were as followed:Coro by RRA approach:dLMS 20%pLAD ISR 30% mLAD focal ISR 80-90%pLCx 80% with post stenotic aneurysm, dLCx diffuse 20% (big)pRCA CTO with bridging collateral, mRCA diffuse 80% dRCA 90% PL 90%Echo: Normal LV size, dilated LA. LVEF 53%, severe hypokinetic dIVS and apex, triial MR.Please kindly review this patient for consideration of CABG. Thank you so much.