Coronary Artery Bypass Surgery in a Patient with Myasthenia Gravis

NOBUHIKO HAYASHIDA; TAKEMI KAWARA; KOJI AKASU; EIZO KAI; TOMOKAZU KOSUGA; SHINGO CHIHARA; SHOGO YOKOSE; NAOFUMI ENOMOTO; SHIGEAKI AOYAGI

doi:10.2739/kurumemedj.47.173

NOBUHIKO HAYASHIDA, TAKEMI KAWARA, KOJI AKASU, EIZO KAI, TOMOKAZU KOSUGA, SHINGO CHIHARA, SHOGO YOKOSE, NAOFUMI ENOMOTO, SHIGEAKI AOYAGI

Author information

NOBUHIKO HAYASHIDA
Department of Surgery, Kurume University School of Medicine
TAKEMI KAWARA
Department of Surgery, Kurume University School of Medicine
KOJI AKASU
Department of Surgery, Kurume University School of Medicine
EIZO KAI
Department of Surgery, Kurume University School of Medicine
TOMOKAZU KOSUGA
Department of Surgery, Kurume University School of Medicine
SHINGO CHIHARA
Department of Surgery, Kurume University School of Medicine
SHOGO YOKOSE
Department of Surgery, Kurume University School of Medicine
NAOFUMI ENOMOTO
Department of Surgery, Kurume University School of Medicine
SHIGEAKI AOYAGI
Department of Surgery, Kurume University School of Medicine

Keywords: myasthenia gravis, coronary artery bypass grafting, perioperative management

JOURNAL FREE ACCESS

2000 Volume 47 Issue 2 Pages 173-175

DOI https://doi.org/10.2739/kurumemedj.47.173

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Abstract

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.

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