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

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G��s Kalp Damar Anestezi ve Yo�un Bak�m Derne�i Dergisi 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. 0; 0: 0-0

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
¹Department Of Anesthesiology And Reanimation, Katip Celebi University Ataturk Training And Research Hospital, �zmir, Turkey
²Tirebolu State Hospital, Giresun, Turkey
³Department Of Cardiovasculer Surgery, Katip Celebi University Ataturk Training And Research Hospital, �zmir, Turkey

Myastenia Gravis (MG) is an autoimmune disease which is characterized with the destruction of acetylcholine receptors in the neuromuscular junction. Myastenia is treated mainly with acetylcholinesterase inhibitors and other medications. Thymectomy has an important place in 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 Miyastenia Gravis'li Olguda Anestezi Y�netimi

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

Miyastenia Gravis (MG), sinir kas kav�a��nda asetilkolin 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: Miyastenia 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. 0; 0: 0-0

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

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