Successful Lung Transplantation in a Patient with Myasthenia Gravis.
10.5090/kjtcs.2017.50.5.382
- Author:
Kangmin KIM
1
;
Hyun Joo LEE
;
Samina PARK
;
Yoohwa HWANG
;
Young Whan KIM
;
Young Tae KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. hjleedr@gmail.com
- Publication Type:Case Report
- Keywords:
Bronchiolitis obliterans;
Lung transplantation;
Myasthenia gravis;
Plication;
Thymectomy
- MeSH:
Bronchiolitis Obliterans;
Hematopoietic Stem Cell Transplantation;
Humans;
Leukemia, Myeloid, Acute;
Lung Transplantation*;
Lung*;
Middle Aged;
Myasthenia Gravis*;
Patients' Rooms;
Respiratory Paralysis;
Stem Cell Transplantation;
Thymectomy;
Tracheostomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(5):382-385
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 47-year-old man with myasthenia gravis (MG) was admitted for a lung transplant. He had bronchiolitis obliterans after allogeneic hematopoietic stem cell transplantation due to acute myeloid leukemia. MG developed after stem cell transplantation. Bilateral sequential lung transplantations and a total thymectomy were performed. The patient underwent right diaphragmatic plication simultaneously due to preoperatively diagnosed right diaphragmatic paralysis. A tracheostomy was performed and bilevel positive airway pressure (BiPAP) was applied on postoperative days 8 and 9, respectively. The patient was transferred to the general ward on postoperative day 12, successfully weaned off BiPAP on postoperative day 18, and finally discharged on postoperative day 62.
