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Ann Thorac Surg 2003;75:1068
© 2003 The Society of Thoracic Surgeons

Correspondence

Preoperative preparation of patients with myasthenia gravis forestalls postoperative respiratory complications after thymectomy

Alfred Jaretzki, III, MD, Johan A. Aarli, MD, Henry J. Kaminski, MD, Lawrence H. Phillips, II, MD, Donald B. Sanders, MD

Clinical Standards Research Committee, Medical/Scientific Advisory Board, Myasthenia Gravis Foundation of America, Inc, 5841 Cedar Lake Road (Suite 204), Minneapolis, MN 55461, USA

e-mail: myastheniagravis@msn.com

The first 20% of the full text of this article appears below.

To the Editor:

Kas and colleagues [1] reported a 10-year retrospective review of early complications after standard or extended transsternal thymectomies for myasthenia gravis (MG) in 324 patients. Fifty-eight percent of them had moderately severe or severe MG. All of the patients were treated preoperatively with an anticholinesterase; 35 also received plasmapheresis; 34, immunosuppression; and 13, irradiation. Preoperative pulmonary function status was not defined. Postoperatively, the cholinesterase inhibitor was withheld for 48 hours during which time the patients were mechanically ventilated. At that . . . [Full Text of this Article]






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