Left Main Coronary Artery Disease (LMCAD) and Triple Vessel Disease (TVD) are serious conditions characterized by extensive coronary artery disease. Both conditions are caused by atherosclerosis, a process where plaque builds up inside coronary arteries, narrowing them and reducing blood flow to the heart muscle. Causes for atherosclerosis include high cholesterol, high blood pressure, smoking, diabetes, family history of heart disease, obesity, sedentary lifestyle, and age. Symptoms of LMCAD and TVD include angina (chest pain), shortness of breath, fatigue, and palpitations. These symptoms may worsen with exertion as the narrowed arteries may not supply enough blood. Diagnosis typically involves a combination of medical history, physical examination, electrocardiogram (ECG), echocardiogram, stress test, and coronary angiography.
Left Main Coronary Artery Disease (LMCAD) and Triple Vessel Disease (TVD) are severe blockages affecting the heart’s major blood supply. Treatment options aim to restore adequate blood flow to the heart muscle and prevent complications like heart attack or heart failure. Medications, such as antiplatelet drugs, statins, beta-blockers, and nitrates, can help manage symptoms and slow the progression of atherosclerosis. Percutaneous coronary intervention (PCI) with stenting is a minimally invasive procedure that involves inserting a catheter with a balloon tip into the blocked artery. However, it may not be the optimal approach for complex or extensive blockages, particularly those involving the left main artery. Coronary Artery Bypass Grafting (CABG) surgery is often the preferred treatment for significant LMCAD and TVD. MICS CABG is a less invasive approach to traditional CABG, offering potential benefits such as reduced pain, shorter hospital stays, faster recovery, and lower infection risk.
Mr. Nasser Saukat from Assam successfully underwent Minimally Invasive Coronary Artery Bypass Grafting at Yashoda Hospitals, Hyderabad, under the supervision of Dr. Vishal Khante, Consultant Cardiothoracic – Minimal Invasive Surgeon