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Korean J Thorac Cardiovasc Surg. 2017 Oct;50(5):382-385. doi: 10.5090/kjtcs.2017.50.5.382. Epub 2017 Oct 5.

Successful Lung Transplantation in a Patient with Myasthenia Gravis.

Author information

1
Department of Thoracic and Cardiovascular Surgery, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine.
2
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine.

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.

KEYWORDS:

Bronchiolitis obliterans; Lung transplantation; Myasthenia gravis; Plication; Thymectomy

Conflict of interest statement

Conflict of interest No potential conflict of interest relevant to this article was reported.

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