title: [A case of an impossible cannulation of the v. jugularis and v. subclavia in a female patient with longstanding myasthenia gravis and immunosuppressive therapy].
abstract: The report deals with a female patient presenting myasthenia gravis of 8-year duration, maintained on continuous APV, repeatedly cannulated central veins, and immunosuppressive therapy with corticosteroids--Imuran and Sandimmun. Repeated CT examination of the mediastinum fails to detect any process. The consecutive scanning is necessitated because of the impossibility to cannulate v. jugularis and v. subclavia at the last attempt. Cytological evidence of a thymosarcoma is established during examination.
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005260:Female; D005268:Femoral Vein; D006801:Humans; D007165:Immunosuppression Therapy / Q000379:methods*; D007601:Jugular Veins; D009157:Myasthenia Gravis / Q000150:complications / Q000628:therapy*; D013350:Subclavian Vein; D014139:Tracheostomy
vernacular_title: Sluchaĭ na nevŭzmozhno kaniulirane na v. jugularis i v. subclavia pri bolna s dŭlgogodishna myasthenia gravis i imunosupresivna terapiia.