title: Cardiac surgery in a patient with pemphigus vulgaris: anesthetic and surgical considerations.
abstract: Pemphigus vulgaris is an autoimmune disorder that causes blistering of the skin and mucous membranes. We present a patient with pemphigus vulgaris who required combined coronary artery bypass grafting and mitral valve repair. The challenges that we faced and modifications to the technique required in this situation are described and reviewed.
authors.affiliation: 1Mount Sinai Medical Center, New York, NY, USA.
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Takahashi
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Rhee
authors.forename: Raghuveer R
authors.initials: RR
authors.lastname: Rakasi
authors.forename: Asu
authors.initials: A
authors.lastname: Yildirim
authors.forename: George
authors.initials: G
authors.lastname: Silvay
authors.forename: Ramachandra C
authors.initials: RC
authors.lastname: Reddy
mesh_terms: D000777:Anesthetics / Q000008:administration & dosage; D006348:Cardiac Surgical Procedures / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D010392:Pemphigus / Q000150:complications* / Q000473:pathology
chemical_list: D000777:Anesthetics
keywords: Koebner phenomenon; Nikolsky sign; blisters; cardiac surgery; pemphigus vulgaris