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Minimally Invasive Thymectomy and Lung Volume Reduction in a Patient With Myasthenia Gravis
Michael Salna1, Sumanth Kidambi1, Jacinda Sampson2
1Department of Cardiothoracic Surgery, Stanford University Hospital and Clinics, Stanford, California.
Abstract:
We describe the case of a patient with myasthenia gravis and severe pulmonary emphysema who underwent concomitant bilateral video/robotic-assisted thymectomy with unilateral lung volume reduction surgery. We review the important pathophysiologic considerations that must be appreciated to ensure safe surgery in this unusual situation with two diseases that independently affect the respiratory system-each of which requires preoperative optimization.
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