A second opinion on complex coronary disease

If you have been told your coronary arteries are too blocked, too calcified or too complex for a stent, or that bypass surgery is your only option, a second opinion can help you understand all your choices before you decide.

By Dr Primero Ng, MBBS (Hons), FRACP, FACC, FSCAIReviewed October 2026

Chest pain now? If chest discomfort is severe, getting worse, or has lasted 10 minutes, call 000 immediately.

When people ask for a second opinion

  • A chronic total occlusion (a completely blocked artery) was left alone at angiogram
  • You were advised to have bypass surgery and want to know whether PCI is reasonable, or the other way round
  • Heavily calcified arteries, or disease in the left main or several arteries
  • A stent that has narrowed again, or symptoms that continue after a procedure
  • Age or other health conditions make surgery higher risk

What a review involves

  1. Dr Ng reviews your angiogram images and reports. Please arrange for the images to be sent, not just the report.
  2. A consultation about your symptoms, goals and other health conditions.
  3. A clear explanation of your options (medication alone, PCI or bypass surgery), including the realistic benefits and risks of each.
  4. Where appropriate, your case is discussed with a cardiac surgeon (Heart Team).
  5. A written summary is sent to you, your GP and your cardiologist.

A second opinion doesn't mean changing cardiologist. Many patients continue their care with their usual specialist.

Related reading

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