Regarding Heart : Diagnosis : moderate to severe AS 3 vessel CAD?

Findings : Left main stem - posible distal LMS involvement in ostial LAD disease , which does not appear to be significant in the LAO Caudal view , but significant enough in the RAO caudial view.
Left anterior desending ; Ostial disease and further widespread disease and at least moderate to severe mid vessel lesions .
circumflex artery :dorminant vessel .moderate ostial disease with further mild disease in the main CX vessel and further severe disease ostially in OM branch
right coronary artery; appeared to be occluded at its origin with little in the way of contralateral collateral filling. Calcified vessel.
Aortogram : mildly calcified AV with mild AR.Degree of aortic dilatation
PLAN : Referral For AVR + CABG.

I'm not sure what your specific question is, but based on the above, I'd say this would be appropriate for bypass surgery (CABG). There is not enough information on the valve, however. Usually a transesophageal echocardiogram is performed to determine if valve replacement is needed, but not always. What is your specific question?

Do not quite understand what your question is. Mild occlusion of the Left anterior descending (LAD) artery and partial occlusion of circumflex artery suggests that you may need two vessel bypass surgery depending on your age and your symptoms/clinical signs. Do you get angina? What medication are you on? I assume these changes were found during coronary arteriography? Have you had an exercise ECG? What were the findings?

A lot more needs to be known and WHAT ARE YOU ASKING?