Thoracoscopic thymectomy for myasthenia gravis and non-invasive thymoma after COVID-19 pneumonia

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Modern guidelines have identified thoracoscopic thymectomy as a preferable option for myasthenia gravis and non-invasive thymoma. In the era of the new coronavirus infection, it is relevant to develop protocols for anesthetic and perioperative support of patients undergoing thymectomy for myasthenia gravis after COVID-associated pneumonia (CAP). We present the results of thoracoscopic thymectomies in patients after CAP. Multidisciplinary team should determine therapeutic support, the need for plasmapheresis and thymectomy. Plasmapheresis and glucocorticosteroids are effective in addition to anticholinesterase therapy at the stages of perioperative support for correction of neurological status in patients with myasthenia combined with chronic obstructive pulmonary disease and pulmonary hypertension. Outpatient direct anticoagulants are advisable considering the need for prolonged postoperative prevention of thrombotic events.

Keywords:

COVID-19

SARS-CoV-2

pandemic

myasthenia gravis

thoracoscopic thymectomy

chronic obstructive pulmonary disease

Authors:

Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
Tomsk State University

SPIN RSCI: 6744-9541
Scopus AuthorID: 35197267200
ResearcherID: T-5818-2018
ORCID: 0000-0002-5674-0177

Gusakov V.V.

Siberian State Medical University;
Tomsk Regional Clinical Hospital

ORCID: 0000-0003-0604-228X

Received:

18.12.2023

Accepted:

11.01.2024

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