Anesthetic Management in a Case with Myastenia Gravis Who Underwent Simultaneously Coronary Artery Bypass Graft (CABG) Surgery and Thymectomy

Aksun, Murat; Girgin, Senem; Yetkin, Ufuk; Kuru, Volkan; G�lboyu, Birzat Emre; G�rb�z, Ali; Karahan, Nagihan

Volume : 30 Issue : 1 Year : 2024

30/1Current Issue Ahead of Print Archive Previus Issues Most Accessed Articles

ICMJE COI Form

Author Contribution Form

Index

Membership

Applications

Anesthetic Management in a Case with Myastenia Gravis Who Underwent Simultaneously Coronary Artery Bypass Graft (CABG) Surgery and Thymectomy [GKD Anest Yo� Bak Dern Derg]

GKD Anest Yo� Bak Dern Derg. 2014; 20(1): 45-48 | DOI: 10.5222/GKDAD.2014.045

Anesthetic Management in a Case with Myastenia Gravis Who Underwent Simultaneously Coronary Artery Bypass Graft (CABG) Surgery and Thymectomy

Murat Aksun¹, Senem Girgin², Ufuk Yetkin³, Volkan Kuru¹, Birzat Emre G�lboyu¹, Ali G�rb�z³, Nagihan Karahan¹
¹Katip �elebi University training and research hospital, Department of Anesthesiology and reanimation, �zmir, Turkey
²New Jersey State Hospital, Giresun, Turkey
³Katip �elebi University training and research hospital, cardiac and vascular Surgery Department, �zmir, Turkey

Myastenia Gravis (MG) is an autoimmune disease which is characterized with the destruction of acetylcholine (ACH) receptors in the neuromuscular junction. Myastenia is treated mainly with acetylcholinesterase inhibitors and many other medications. Thymectomy has an important place in the treatment. Unexpected response to succinylcholine, overreaction to nondepolarizing neuromuscular blocking agents and the risk of postoperative respiratory failure complicates the anesthetic management. In this article, we aimed to present our anesthetic management in a case with MG who underwent simultaneously CABG surgery and thymectomy.

Keywords: myastenia gravis, coronary artery bypass graft surgery, thymectomy, neuromuscular monitorization, TOF

E�zamanl� Timektomi ve Koroner Arter Baypas Greft (KABG) Cerrahisi Uygulanan Miyastenya Gravisli Olguda Anestezi Y�netimi

Murat Aksun¹, Senem Girgin², Ufuk Yetkin³, Volkan Kuru¹, Birzat Emre G�lboyu¹, Ali G�rb�z³, Nagihan Karahan¹
¹K�tip �elebi �niversitesi Atat�rk E�itim ve Ara�t�rma Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dal�, �zmir
²Tirebolu Devlet Hastanesi, Giresun
³K�tip �elebi �niversitesi Atat�rk E�itim ve Ara�t�rma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dal�, �zmir

Miyastenya Gravis (MG), sinir kas kav�a��nda asetilkolin (ACH) resept�rlerinin y�k�m� ile karekterize, otoimmun bir hastal�kt�r. Tedavisinde ba�ta anti kolinesterazlar olmak �zere, pek �ok medikal ila� grubu uygulanmas� yan� s�ra timektomi �nemli bir yer tutmaktad�r. S�ksinilkoline beklenmeyen yan�t, non depolarizan kas gev�eticilere a��r� duyarl�l�k ve postoperatif solunum yetmezli�i riski nedeniyle anestezi y�netimi �zellik g�stermektedir. Biz, timektomi ile e�zamanl� KABG cerrahisi yap�lan MG�li bir olguda uygulad��m�z anestezi y�netimini sunmay� hedefledik.

Anahtar Kelimeler: miyastenya gravis, koroner arter baypas cerrahisi, timektomi, n�romusk�ler monitorizasyon, TOF

Murat Aksun, Senem Girgin, Ufuk Yetkin, Volkan Kuru, Birzat Emre G�lboyu, Ali G�rb�z, Nagihan Karahan. Anesthetic Management in a Case with Myastenia Gravis Who Underwent Simultaneously Coronary Artery Bypass Graft (CABG) Surgery and Thymectomy. GKD Anest Yo� Bak Dern Derg. 2014; 20(1): 45-48

Corresponding Author: Murat Aksun, T�rkiye
Manuscript Language: Turkish

TOOLS Full Text PDF Print Download citation RIS EndNote BibTex Medlars Procite Reference Manager Share with email Share Send email to author Similar articles PubMed Google Scholar

(1 accesses)
(887 downloaded)