Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest

Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest

The anesthetic management of myasthenia gravis patients undergoing cardiac or aortic surgery under cardiopulmonary bypass, especially with deep hypothermic circulatory arrest, is challenging. We describe a case of successful anesthetic management of a myasthenia gravis patient undergoing total arch...

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Main Authors: Mamiko Kondo, Yusuke Yoshikawa, Hirofumi Terada, Michiaki Yamakage
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2019/3278147
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spelling doaj-96784102b3d54d95a731eef05885918b2020-11-24T20:50:00ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902019-01-01201910.1155/2019/32781473278147Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory ArrestMamiko Kondo0Yusuke Yoshikawa1Hirofumi Terada2Michiaki Yamakage3Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, JapanDepartment of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, JapanDepartment of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, JapanDepartment of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, JapanThe anesthetic management of myasthenia gravis patients undergoing cardiac or aortic surgery under cardiopulmonary bypass, especially with deep hypothermic circulatory arrest, is challenging. We describe a case of successful anesthetic management of a myasthenia gravis patient undergoing total arch replacement with deep hypothermic circulatory arrest under neuromuscular monitoring and complete reversal of the action of neuromuscular blocking drugs by sugammadex. The present case suggests that patients with well-controlled myasthenia gravis might be safely managed in cardiac or aortic surgery under cardiopulmonary bypass with deep hypothermic circulatory arrest.http://dx.doi.org/10.1155/2019/3278147
collection DOAJ
language English
format Article
sources DOAJ
author Mamiko Kondo
Yusuke Yoshikawa
Hirofumi Terada
Michiaki Yamakage
spellingShingle Mamiko Kondo
Yusuke Yoshikawa
Hirofumi Terada
Michiaki Yamakage
Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest
Case Reports in Anesthesiology
author_facet Mamiko Kondo
Yusuke Yoshikawa
Hirofumi Terada
Michiaki Yamakage
author_sort Mamiko Kondo
title Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest
title_short Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest
title_full Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest
title_fullStr Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest
title_full_unstemmed Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest
title_sort anesthetic management of total aortic arch replacement in a myasthenia gravis patient under deep hypothermic circulatory arrest
publisher Hindawi Limited
series Case Reports in Anesthesiology
issn 2090-6382
2090-6390
publishDate 2019-01-01
description The anesthetic management of myasthenia gravis patients undergoing cardiac or aortic surgery under cardiopulmonary bypass, especially with deep hypothermic circulatory arrest, is challenging. We describe a case of successful anesthetic management of a myasthenia gravis patient undergoing total arch replacement with deep hypothermic circulatory arrest under neuromuscular monitoring and complete reversal of the action of neuromuscular blocking drugs by sugammadex. The present case suggests that patients with well-controlled myasthenia gravis might be safely managed in cardiac or aortic surgery under cardiopulmonary bypass with deep hypothermic circulatory arrest.
url http://dx.doi.org/10.1155/2019/3278147
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AT yusukeyoshikawa anestheticmanagementoftotalaorticarchreplacementinamyastheniagravispatientunderdeephypothermiccirculatoryarrest
AT hirofumiterada anestheticmanagementoftotalaorticarchreplacementinamyastheniagravispatientunderdeephypothermiccirculatoryarrest
AT michiakiyamakage anestheticmanagementoftotalaorticarchreplacementinamyastheniagravispatientunderdeephypothermiccirculatoryarrest
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