65 yr. old Patient has CAD, Hypertension, BPH, mild CRF,  CAG shows Tripple vessel disease (80% block of  3 vessels), EF 45%, TMT inconclusive has  Lt. Inguinal Hernia. cardiologist adv. medical management with Clopitagril etc., cleared for Surgery under moderate cardiac risk. and come for PTCA + Stenting after ernia Surgery. What is the risk in anaesthesia? Do PTCA + Stenting first or Hernia Surgery first. Is it worth taking risk for elective Hernia Surgery before Stenting?
Hello, hernia is nowadays done in local anesthetic or at most regional anesthesia, so it doesn't put much strain on the heart. If you undergo a PTC first stopping blood thinners in next six months even for 2 days for surgery has a risk of the scent closing down abruptly putting you at more risk. So a hernia first followed by planned PTC would be a wiser choice.