Autoimmune myasthenia gravis after coronary artery bypass surgery

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Resatoglu A., Tok M., Yemisci M., Yener N., Yener A.

ANNALS OF THORACIC SURGERY, cilt.81, sa.2, ss.725-726, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 81 Sayı: 2
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1016/j.athoracsur.2004.10.027
  • Dergi Adı: ANNALS OF THORACIC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.725-726
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Myasthenia gravis is the most common disorder of neuromuscular transmission and is a heterogeneous disorder that is generally autoimmune, which is caused by an auto-antibody to the nicotinic acetylcholine receptor. We present a rare case of myasthenia gravis that occurred 8 weeks after a coronary artery bypass grafting operation. A 64-year-old man with multivessel coronary artery disease underwent myocardial revascularization. Severe myasthenic symptoms began 8 weeks after the operation and emergent mechanical ventilation was needed because of myasthenic crises. The serum anti-acetylcholine receptor antibody level was high. The details of this unusual patient are discussed.