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This is Dr. David
you need the angiogram to have the mitral valve surgery repair.
getting the mitral valve repaired is worth that 1 in 1000 risk
your doctors don't want to be surprised by any blocked arteries in your carotid arteries.
the only way to be sure they are open and flowing properly is with an angiogram procedure.
if i am a generally fit 54 year old then would the risks from an angiogram be lower as i have no history or heart disease?
yes, those risks would be lower.
and the risks are lower in the hands of an experienced cardiologist
so are you saying that i can not have the mitral valve repair without the angiogram? I also need what is called a TOE test as well
your surgeons are saying you can't have the mitral valve repair without the angiogram.
I agree with your surgeons.
toe is transesophageal echocardiogram.
if i dont have the mitral valve repaired is that ultimately a life threatening condition?
well the mitral valve will be weak and your heart efficiency will continue to decline.
and your heart will work harder and harder to pump the same amount of blood your body needs.
why do the surgeons need to know about my coronary blood supply through the angiogram ahead of mitral valve surgery?
they need to know the heart will not loose blood supply during the stress of surgery.
is there any way you can do a non invasive angiogram - i see online that you can do a CT angiogram? But is that widely available and is it as good as regular angiogram?
no, it is not as good as a regular angiogram.
ok so what you are saying is that the risk (which seems quite high to me of serous complications) is worth it to enable the mitral valve surgery to go ahead
those risks are an over-estimation of the risks
the actual risks from an angiogram procedure are lower than 1 in 1000
ok many thanks Dr. David i found your responses extremely helpul - and i wish you a good night
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