Vol. 1 No. 1 (2019): Current Issue
Case Report

A Rare Presentation of Thymoma with Myasthenia Gravis in an off Pump Coronary Artery Bypass Grafting Surgery

Raman RK
Department of Cardiac surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
palanisamy VA
Department of Cardiac surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
Jamesraj J
Department of Cardiac surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
Rajan S
Department of Cardiac surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
Koshy PJ
Department of pathology, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
Published April 28, 2019

Abstract

The role of thymus in the pathogenesis of myasthenia gravis is not entirely clear, but most patients with myasthenia gravis are found to have some degree of thymus abnormality. The thymus is hypothesized to be the site of autoantibody formation and therefore thymectomy has been proposed as a first line therapy. This is especially true if a thymoma is present, as thymectomy has been reported to significantly improve the clinical condition. Here we report a case of off pump coronary artery bypass grafting surgery who underwent thymectomy at the same sitting.