Demir Tolga, Ugurlucan Murat, Bahceci Fatma, Demir Hale Bolgi, Sezer Selma
Department of Cardiovascular Surgery, Beylikduzu Kolan Hospital.
Department of Anesthesiology, Beylikduzu Kolan Hospital.
Heart Surg Forum. 2014 Oct 1;17(5):E239-41. doi: 10.1532/HSF98.2014383.
A 70-year-old male patient with myasthenia gravis required coronary artery bypass grafting due to triple-vessel disease. The anesthetic management was performed with general anesthesia using reduced doses of muscle relaxants. He was extubated four hours after surgery and the postoperative course was uneventful. Coronary artery bypass surgery in myasthenic patients can be challenging to anesthesiologists and cardiac surgeons. In this rare condition, a meticulous assessment of the patient's neurologic and cardiac status, and careful perioperative anesthetic management were needed in order to avoid life-threatening complications in both intraoperative and postoperative periods.
一名70岁重症肌无力男性患者因三支血管病变需要进行冠状动脉搭桥术。麻醉管理采用全身麻醉并减少肌肉松弛剂剂量。术后4小时拔除气管插管，术后过程顺利。重症肌无力患者的冠状动脉搭桥手术对麻醉医生和心脏外科医生来说可能具有挑战性。在这种罕见情况下，需要对患者的神经和心脏状况进行细致评估，并进行仔细的围手术期麻醉管理，以避免术中及术后出现危及生命的并发症。
