Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2023; 11(36): 8589-8594
Published online Dec 26, 2023. doi: 10.12998/wjcc.v11.i36.8589
Intraoperative cardiogenic shock induced by refractory coronary artery spasm in a patient with myasthenia gravis: A case report
Cheng-Wei Hsu, Chuen-Chau Chang, Chao-Shun Lin
Cheng-Wei Hsu, Chuen-Chau Chang, Chao-Shun Lin, Department of Anesthesiology, Taipei Medical University Hospital, Taipei 110, Taiwan
Chao-Shun Lin, Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
Author contributions: Hus CW and Chang CC interpreted the patient data and wrote the draft of the manuscript; Lin CS wrote the manuscript as the corresponding author; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent for publication of the clinical details and images was obtained from the relative of the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chao-Shun Lin, MD, PhD, Associate Professor, Department of Anesthesiology, Taipei Medical University Hospital, No. 252 WuXing Street, Taipei 110, Taiwan. lin.soon@gmail.com
Received: October 26, 2023
Peer-review started: October 26, 2023
First decision: November 22, 2023
Revised: November 24, 2023
Accepted: December 7, 2023
Article in press: December 7, 2023
Published online: December 26, 2023
Processing time: 57 Days and 0.6 Hours
Core Tip

Core Tip: In previous literature reviews, it has been noted that a correlation exists between myasthenia gravis (MG) and cardiac complications, such as coronary artery spasm (CAS), which frequently manifests as chest pain in affected patients. Nevertheless, when MG coincides with thymoma, surgical intervention is often necessary. The diagnosis of CAS while the patient is under general anesthesia poses a considerable challenge. Our case report aims to underscore scenarios of this nature and suggests an optimal anesthesia strategy in such cases.