[Case report of simultaneous coronary artery bypass grafting with cardiopulmonary bypass and total thymectomy in patient with myasthenia gravis].

In this article we want to describe the successful simultaneous operation of coronary artery bypass grafting with cardiopulmonary bypass and thymectomy in patient with ischemic heart disease and myasthenia gravis. Myasthenia gravis complicates the course of anesthesia and operation, because of the inadequate restoration of muscle function, especially of respiratory and swallowing muscles, inducing the prolonged mechanical ventilation, gastrooesophageal reflux and pulmonary infection. There are lot of different techniques of the anesthesia during myasthenia gravis - no use of any myorelaxantes, restriction of opioids, use an inhalation anaesthetics and propofol, and continuous monitoring of neuromuscular junction function.

[On-pump versus off-pump coronary revascularization: early postoperative outcomes].

Postoperative results of CABG operations, performed with CPB or on beating heart (OPCAB) has been summarized. 200 cases have been reviewed. The patients were divided into two groups, depending on the type of the procedure.

[Case of simultaneous operations of aortocoronary shunt and panhysterectomy].

Simultaneous operations on different organs and cavities, including urgent and scheduled operations, always are associated with high risk of operative and postoperative periods. The case of simultaneous operation of aortocoronary shunt and panhysterectomy is presented in the paper. In the case of our patient despite the severe condition: occlusion of left anterior descending coronary artery (rest and effort angina) and endometrium malignant tumor worsened by concomitant pathologies including bronchial asthma, hypothyreosis, pyelonephritis and obesity, the surgical intervention was completed successfully without complications at operational and postoperational periods.

Surgery for ischemic mitral regurgitation: the impact of residual IMR on late survival.

One hundred and twenty two patients with mitral regurgitation grade 3-4 underwent surgery for mitral valve repair with annuloplasty ring. Patient age was 65+/-10 and 89 (73%) were male. Eighty-six (70%) were in NYHA class III-IV, 77 (63%) had reduced LV function, and mean MR grade (+/-SD) was 3,8+/-0,4.