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<!doctype html> <html lang="hi"> <head> <title>midcab-facilitates-combined-curative-treatment-in-the-high-r | 27943</title> <meta name="keywords" content="Winkler Bernhard, Zappe Bjorn, Ludovic Melly, Bremerich Jens, Grapow Martin, Eckstein Friedrich and Reuthebuch Oliver , "/> <meta name="description" content="Objective: Report of a high risk patient undergoing combined treatment of orthopedic and cardiovascular operations enabling a succesful outcome through a m..27943"/> <meta name="citation_publisher" content="लॉन्गडम पब्लिशिंग एसएल" /> <meta name="citation_journal_title" content="आंतरिक चिकित्सा: खुली पहुंच"> <meta name="citation_title" content="midcab-facilitates-combined-curative-treatment-in-the-high-risk-patient.pdf"> <meta name="citation_author" content="Winkler Bernhard" /> <meta name="citation_author" content="Zappe Bjorn" /> <meta name="citation_author" content="Ludovic Melly" /> <meta name="citation_author" content="Bremerich Jens" /> <meta name="citation_author" content="Grapow Martin" /> <meta name="citation_author" content="Eckstein Friedrich" /> <meta name="citation_author" content="Reuthebuch Oliver" /> <meta name="citation_year" content=""> <meta name="citation_volume" content="0"> <meta name="citation_issue" content="0"> <meta name="citation_abstract" content="Objective: Report of a high risk patient undergoing combined treatment of orthopedic and cardiovascular operations enabling a succesful outcome through a minimally invasive approach.   Methods: We report the clinical presentation, medical record, strategies for decision finding and clinical images of a perioperative cardiac infarction during infectious complicated orthopedic re-do surgical treatment that was managed succesfully in a 72 –year –old female high risk patient via minimally invasive direct coronary artery bypass grafting   Results: Minimally invasive direct coronary artery bypass grafting represents an excellent revascularization option for patients who are at high risk for sternotomy and cardiopulmonary bypass related complications.This approach enabled the necessary following orthopedic operations and early mobilization of the obese patient resulting in weight loss, enchanced pulmonary function and cure of the infected focus. The minimal invasive coronary artery bypass grafting technique prevented sternal bone instability, infection and facilitated the use of physiotherapy and walking sticks after the orthopedic operation to replace an infected knee prosthesis.The patient could be discharged and presented during follow up in healthy condition with a decrease in body mass index and ability to be fully mobilized. Conclusions: Minimally invasive direct coronary artery bypass grafting represents an excellent revascularization option for patients who are at high risk for sternotomy and cardiopulmonary bypass related complications. Especially patients who suffer from perioperative cardiac infarction who need urgent treatment are suitable for this approach as the internal mamarian artery is used as a graft and no additional bypass graft material is needed. Most patients undergoing revascularization lack of suitable bypass material or require pre-operative evaluations of their vein material. Minimally invasive direct coronary artery bypass grafting shows superior results in the long time follow up when compared to angioplasty and stenting. 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class="">midcab-facilitates-combined-curative-treatment-in-the-high-risk-patient.pdf</h3> <p> <i class="fas fa-user"></i> Winkler Bernhard, Zappe Bjorn, Ludovic Melly, Bremerich Jens, Grapow Martin, Eckstein Friedrich and Reuthebuch Oliver </p> <p><strong>Objective:</strong> Report of a high risk patient undergoing combined treatment of orthopedic and cardiovascular operations enabling a succesful outcome through a minimally invasive approach.  <br /> <strong>Methods:</strong> We report the clinical presentation, medical record, strategies for decision finding and clinical images of a perioperative cardiac infarction during infectious complicated orthopedic re-do surgical treatment that was managed succesfully in a 72 –year –old female high risk patient via minimally invasive direct coronary artery bypass grafting  <br /> <strong>Results:</strong> Minimally invasive direct coronary artery bypass grafting represents an excellent revascularization option for patients who are at high risk for sternotomy and cardiopulmonary bypass related complications.This approach enabled the necessary following orthopedic operations and early mobilization of the obese patient resulting in weight loss, enchanced pulmonary function and cure of the infected focus. The minimal invasive coronary artery bypass grafting technique prevented sternal bone instability, infection and facilitated the use of physiotherapy and walking sticks after the orthopedic operation to replace an infected knee prosthesis.The patient could be discharged and presented during follow up in healthy condition with a decrease in body mass index and ability to be fully mobilized.<br /> <strong>Conclusions: </strong>Minimally invasive direct coronary artery bypass grafting represents an excellent revascularization option for patients who are at high risk for sternotomy and cardiopulmonary bypass related complications. Especially patients who suffer from perioperative cardiac infarction who need urgent treatment are suitable for this approach as the internal mamarian artery is used as a graft and no additional bypass graft material is needed. Most patients undergoing revascularization lack of suitable bypass material or require pre-operative evaluations of their vein material. Minimally invasive direct coronary artery bypass grafting shows superior results in the long time follow up when compared to angioplasty and stenting.</p> <div class="alert alert-info text-left"><b>अस्वीकरण:</b> इस सार का अनुवाद कृत्रिम बुद्धिमत्ता उपकरणों का उपयोग करके किया गया था और अभी तक इसकी समीक्षा या सत्यापन नहीं किया गया है।</div> <div class="nav social-icons"> <a class="nav-link w-auto">इस लेख का हिस्सा</a> <a title="यहाँ क्लिक करें" target="_blank" href="https://www.facebook.com/sharer.php?u=https://hindi.longdom.org/abstract/midcabfacilitatescombinedcurativetreatmentinthehighriskpatientpdf-27943.html" rel="noopener"><i class="fab fa-facebook-f"></i></a> <a class="nav-link" title="यहाँ क्लिक करें" target="_blank" href="https://twitter.com/share?url=https://hindi.longdom.org/abstract/midcabfacilitatescombinedcurativetreatmentinthehighriskpatientpdf-27943.html" rel="noopener"><i class="fab fa-twitter"></i></a> <a class="nav-link" title="यहाँ क्लिक करें" target="_blank" href="https://www.linkedin.com/shareArticle?mini=true&url=https://hindi.longdom.org/abstract/midcabfacilitatescombinedcurativetreatmentinthehighriskpatientpdf-27943.html" rel="noopener"><i class="fab fa-linkedin-in"></i></a> <a class="nav-link" title="यहाँ क्लिक करें" target="_blank" href="https://plus.google.com/share?url=https://hindi.longdom.org/abstract/midcabfacilitatescombinedcurativetreatmentinthehighriskpatientpdf-27943.html" rel="noopener"><i class="fab fa-google-plus-g"></i></a> </div> </div> </div> </div> </section> <footer class="bg-blue-grey-900 py-3"> <div class="container"> <div class="row"> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">सामग्री लिंक</h4> <ul class="list-unstyled footer-links font-size-3"> <li><a class="" href="https://hindi.longdom.org/privacy-policy.html" title="यहाँ क्लिक करें">गोपनीयता नीति</a></li> <li><a class="" href="https://hindi.longdom.org/terms-conditions.html" title="यहाँ क्लिक करें">नियम एवं शर्तें</a></li> <li><a class="" href="https://hindi.longdom.org/authors-reviewers-editors.html" title="यहाँ क्लिक करें">लेखक, समीक्षक और संपादक</a></li> </ul> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">लॉन्गडोम से संपर्क करें</h4> <p><strong>लॉन्गडम ग्रुप एसए</strong><br /> एवेन्यू रोजर वांडेन्ड्रिस्शे,<br /> 18, 1150 ब्रुसेल्स, बेल्जियम<br /> फ़ोन: +442038085340<br/> <strong>ईमेल:</strong> <a class='white' href='mailto:info@longdom.org' title='यहां क्लिक करें'>info@longdom.org</a></p> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">जोड़ना</h4> <nav class="nav nav-pills social-icons-footer flex-column a-pl-0"> <a href="https://www.facebook.com/longdompublisher" title="यहाँ क्लिक करें" target="_blank" class="nav-link bg-facebook-hover"><i class="fab fa-facebook-f bg-facebook"></i></a> <a href="https://www.linkedin.com/company/longdom-publishing-sl/" title="यहाँ क्लिक करें" target="_blank" class="nav-link bg-linkedin-hover"><i class="fab fa-linkedin-in bg-linkedin"></i></a> <a href="https://twitter.com/LongdomP" title="यहाँ क्लिक करें" target="_blank" class="nav-link bg-twitter-hover"><i class="fab fa-twitter bg-twitter"></i></a> <a href="https://www.instagram.com/longdom_publisher/" title="यहाँ क्लिक करें" target="_blank" class="nav-link bg-instagram-hover"><i class="fab fa-instagram bg-instagram"></i></a> </nav> </div> </div> <div class="row text-center"> <div class="col"> <p>कॉपीराइट © 2024 <a href="https://hindi.longdom.org/" title="यहाँ क्लिक करें" class="white">लॉन्गडम पब्लिशिंग एसएल</a>.</p> </div> </div> </div> </footer>  <a href="#0" class="cd-top js-cd-top">Top</a>   <script src="https://code.jquery.com/jquery-3.3.1.min.js"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"></script> <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"></script>  <script> jQuery(function($) { $(window).scroll(function fix_element() { $('#target').css( $(window).scrollTop() > 100 ? 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