title: Off-pump coronary surgery in a patient with multiple sclerosis.
abstract: Surgery in patients with multiple sclerosis, the most common autoimmune demyelinating disorder of the central nervous system, represents a challenge for surgeons and anesthesiologists because of the reported risk of relapse of the neurologic symptoms in the perioperative period. In this report, we describe the management of a patient with relapsing-remitting multiple sclerosis and critical coronary artery disease, who underwent an uneventful off-pump coronary artery revascularization. The issues pertaining to the performance of coronary surgery revascularization on patients with multiple sclerosis are discussed.
authors.affiliation: Division of Cardiovascular Anesthesia and Intensive Care, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Casati
authors.affiliation: Division of Cardiac Surgery, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
authors.forename: U F
authors.initials: UF
authors.lastname: Tesler
authors.affiliation: Division of Cardiac Surgery, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Novelli
authors.affiliation: Coagulation Service and Thrombosis Research Unit, San Raffaele Scientific Institute, Milan, Italy.
authors.forename: A
authors.initials: A
authors.lastname: D'Angelo
authors.affiliation: Division of Cardiovascular Anesthesia and Intensive Care, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Romano
authors.affiliation: Division of Cardiovascular Anesthesia and Intensive Care, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Stelian
authors.affiliation: Division of Cardiovascular Anesthesia and Intensive Care, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Scandone
authors.affiliation: Division of Cardiac Surgery, Policlinico di Monza, Monza, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Guerra
keywords: anesthesia; body temperature; coronary artery revascularization; demyelinating syndrome; multiple sclerosis; off-pump coronary artery bypass; postoperative bleeding