Cingoz Faruk, Tavlasoglu Murat, Kurkluoglu Mustafa, Sahin Mehmet Ali
Department of Cardiovascular Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
Interact Cardiovasc Thorac Surg. 2012 Nov;15(5):918-9. doi: 10.1093/icvts/ivs367. Epub 2012 Aug 16.
A case of the Guillain-Barré syndrome occurring after otherwise uneventful cardiac surgery using cardiopulmonary bypass is presented. Though the Guillain-Barré syndrome has been reported after surgical procedures, there are very few case reports after cardiopulmonary bypass surgery in the literature. The exact pathophysiological cause of the syndrome is still unknown. However, the most widely accepted hypothesis is that the syndrome is the result of an immune-mediated process. Cardiac surgery may be a trigger for immune-mediated response.
本文报告了一例在使用体外循环进行的心脏手术过程顺利后发生吉兰-巴雷综合征的病例。尽管吉兰-巴雷综合征在外科手术后已有报道，但文献中关于体外循环心脏手术后的病例报告非常少。该综合征的确切病理生理原因尚不清楚。然而，最被广泛接受的假说是该综合征是免疫介导过程的结果。心脏手术可能是免疫介导反应的触发因素。
