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KMID : 0364020170500050382
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Korean Journal of Thoracic and Cardiovascular Surgery
2017 Volume.50 No. 5 p.382 ~ p.385
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Successful Lung Transplantation in a Patient with Myasthenia Gravis
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Kim Kang-Min
Lee Hyun-Joo
Park Samina
Hwang Yoo-Hwa
Kim Young-Whan
Kim Young-Tae
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Abstract
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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.
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KEYWORD
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Bronchiolitis obliterans, Lung transplantation, Myasthenia gravis, Plication, Thymectomy
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