Coronary artery bypass surgery in Guillain Barre syndrome

Area of Science:

• Neurology
• Cardiology
• Anesthesiology

Background:

• Guillain Barre Syndrome (GBS) is a rare autoimmune disorder affecting peripheral nerves.
• Patients with GBS often face surgical hesitancy due to potential complications under general anesthesia.
• Established acute phase morbidity and mortality associated with GBS necessitate careful management.

Observation:

• This case report details a GBS patient requiring major cardiovascular intervention.
• The patient underwent complex coronary artery grafting surgery.
• Cardiopulmonary bypass and general anesthesia were successfully employed.

Findings:

• Successful major coronary artery grafting was performed in a patient with Guillain Barre Syndrome.
• The anesthetic and surgical management were well-tolerated.
• This demonstrates the feasibility of major surgical procedures in GBS patients.

Implications:

• This case challenges the traditional hesitance towards major surgery in GBS patients.
• It suggests that with careful planning, GBS patients can benefit from necessary surgical interventions.
• Further research into anesthetic protocols for GBS patients undergoing major surgery is warranted.