Is bypass surgery my best opinion at 42 yrs of age?

I think the cardiologist is the best person to ask.

Welcome to Connect, @woods99. You are processing a lot of information right now that must be overwhelming, both physically and emotionally. I am glad to see you create this discussion to connect with others and see already receiving good above from @riflemanz64 to have a conversation a cardiologist.

If you are willing to share more it may help others know how to comment to know a bit more your overall health andi what your next step is.

Do you plan to see a cardiologist? Do you have other health challenges? What does your lifestyle look like as far as staying as healthy as you can and dealing with this stress?

I am far from being charitably called an expert in this, but yeah, seems to me that a failed stent might mean a 'go around', and that would be a bypass....so open chest. Stents only by some time. They require taking up some space themselves in order to be in place doing their job of providing a nice 'n smooth open passageway. If they become compromised themselves, then only another stent, slid still further in side that even narrower opening, is all that's left. At least, in my limited imagination. Maybe there actually is a way to slide an existing stent back out and to insert a new one. Dunno. As rifleman says, the person to ask is really the person evaluating you who has all the requisite history with you and about you.

I sincerely hope you find some answers to your health issue! You are way to young for this though it happens all the time. My husband had a heart attack at 43 with an angioplasty for clearing out the artery which was fortunately low in the apex of the heart; he had another angioplasty (no stents) about 4 years later but with no heart damage. He is now 80! I have no idea what your life is like but certainly I hope that you are 1) in the hands of a good cardiologist who will listen to you and answer your questions 2)have been taking appropriate meds for b/p and cholesterol 3) don't smoke (my husband quit cold turkey after the first episode--said he didn't want to die for a smoke or a steak) 4) exercise and have weight control 5) have a good coach (wife or friend) who will keep you moving and postive 6) have made dietary changes that will promote better physical health. Then there are the hereditary issues that we can't change but we can "fight" to control with all of the above. Stress is of course the thing that all docs tell you to avoid but that is pretty hard when you are facing these critical health issues, so find ways to relax and find joy. Just don't give up. Ask lots of questions, do some research online, find out how your doctor ranks in patient satisfaction, listen to your body to learn what "works" for you and what meds are helpful and which ones don't work for you. Talk to your insurance customer service people; surprisingly, they can often be very helpful and supportive in making meaningful decisions. I wish you the best of luck and hope you get the treatment you deserve.

If your doctor is recommending it, I'd proceed with the surgery. My mom hade a quadruple bypass that saved her life. If you have that much blockage in your arteries I don't see any other options.