Yasir Javed, Muhammad Afsheen Iqbal, Asif Mehmood Janjua, Rashad Siddiqi, Syed Muzaffar Hasan Kirmani, Atta Mohsin, Muhammad Imran, Rehana Javaid.
Coronary artery bypass grafting in post thymectomy thymomatous myasthenia gravis patient; a case report.
Pak Armed Forces Med J Jan ;71(Sup-2):S420-21.

Coronary artery bypass grafting (CABG) in post thymectomy patients of thymomatous myasthenia gravis (MG-T) is a rare procedure. A 42 years old patient with previous thymectomy and chest radiotherapy was in disease remission on pyridostigmine, oral steroids and azathioprine for seventeen years until developed critical diffuse left main stem (LMS) disease. He underwent coronary artery bypass grafting, early extubation, smooth post operative course and was discharged home on 4th post operative day. Optimization for surgery, intraoperative revascularization technique and post operative intensive care management of these patients can be really challenging and require multidisciplinary team effort. Moreover, treatment therapy should be tailored according to severity of symptoms and disease stratification of each individual.

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