Coronary artery bypass surgery in a patient with myasthenia gravis.
A 73-year-old man with myasthenia gravis required quadruple coronary artery bypass grafting due to triple-vessel disease. Anesthetic management was performed with general anesthesia using a reduced dose of muscle relaxant with the aid of a neuromuscular transmission monitor. He was extubated 14 hrs after surgery without difficulty under this monitor. His postoperative course was uneventful. A patient with myasthenia gravis who required coronary artery bypass surgery was successfully performed by the deliberate preoperative evaluation of patient's myasthenic and cardiac status, and by the careful perioperative management.
Hayashida
N
N
Department of Surgery, Kurume University School of Medicine, Japan.
Kawara
T
T
Akasu
K
K
Kai
E
E
Kosuga
T
T
Chihara
S
S
Yokose
S
S
Enomoto
N
N
Aoyagi
S
S
D000368:Aged; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D009157:Myasthenia Gravis / Q000150:complications*