Mrudula Tatakuri*, Vikranth Mummaneni, Vijay Koduru, Rajesh Kota and Rajesh Mallik Gottipati
Combined Thymectomy and Thyroidectomy in Myasthenia Gravis patient remains a greater challenge to both surgeon and anesthesiologist due to complexity of surgery and risk associated during management of Myasthenia Gravis patient. Association of mass with major vessels, pleura and pericardium during surgical dissection followed by Myasthenic crisis and prolonged mechanical ventilation pose a greater challenge. Thoracoscopic extended Thymectomy has shown a superior short term outcome compared to transsternal technique. At our institute, a 65 year old female whos incidental finding was huge Thymic mass and who is not on any treatment for Myasthenia Gravis, underwent combined Transthoracic Thymectomy and Thyroidectomy under General anesthesia. In this article we would describe the management aspects, associated complications which we encountered during all the 3 stages of voyage. Along with case we combined the review of literature under 5 sub headings as Preoperative evaluation, Differential Diagnosis, Pathology and immunohistochemistry, anesthetic and surgical management and the prognosis.
