Gullain-Barré syndrome following off-pump coronary artery bypass grafting

Kumar, Vikas; Puri, Deepak; Negi, Sunder; Rahi, Sushil K.; Goswami, Devant

doi:10.1111/jocs.13780

Cited by 4 publications

(2 citation statements)

References 6 publications

(8 reference statements)

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“…The association of GBS with coronary artery bypass grafting (CABG) is rare. To the best of our knowledge, only 12 cases have been reported in the literature [3][4][5][6][7][8][9][10][11][12][13]. Our case is 13th in number and the first one reported from Pakistan.…”

Section: Introductionmentioning

confidence: 74%

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Guillain-Barre syndrome after coronary artery bypass graft surgery: a case report and literature review

Hameed

Jafri

Kanwar

2021

Egypt J Neurol Psychiatry Neurosurg

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Background Guillain-Barre syndrome (GBS) is an acute polyradiculoneuropathy, often preceded by an infection. Rarely, it is preceded by a surgical procedure. Most of the postsurgical GBS cases are reported with the neurosurgical, gastrointestinal, orthopedic, and cardiac procedures. GBS is rarely reported after a coronary artery bypass grafting (CABG). To date, only 12 cases have been reported in the literature. Our case is 13th in number and the first case from Pakistan. Case presentation We report a case of a 54-year-old man presented with acute flaccid quadriparesis and areflexia after a CABG procedure. He was subsequently diagnosed with an acute inflammatory demyelinating polyneuropathy (AIDP) variant of GBS and underwent five sessions of plasmapheresis. His weakness improved and could ambulate unassisted on follow-up visits. Conclusion GBS is a potentially treatable condition if timely diagnosed and managed. It should be considered in every patient presenting with an acute-onset weakness after surgery.

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Section: Introductionmentioning

confidence: 74%

“…Interestingly, 12 patients out of 13 are male (92.3%). The onset of symptoms after a CABG surgery ranged from 1 day [5,12] to 12 months [10], with a median duration of 4.5 days. AIDP was the most common GBS variant present in six out of eight patients (75%).…”

Section: Discussionmentioning

confidence: 99%

Guillain-Barre syndrome after coronary artery bypass graft surgery: a case report and literature review

Hameed

Jafri

Kanwar

2021

Egypt J Neurol Psychiatry Neurosurg

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Síndrome de Guillain-Barré asociado a cirugía de revascularización coronaria. Reporte de caso

Patricia Ramos,

Chávez,

Gamero

et al. 2024

Acta Colombiana de Cuidado Intensivo

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Guillain–Barre syndrome after myocardial infarction: a case report and literature review

Wen

Chen

Zhang

et al. 2023

BMC Cardiovasc Disord

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Background Guillain–Barre syndrome after myocardial infarction occurs infrequently, and its occurrence following percutaneous coronary intervention is extremely rare. Due to the high mortality rate of myocardial infarction and the disability of Guillain–Barre syndrome, early identification of Guillain–Barre syndrome after myocardial infarction and early intervention can decrease the mortality rate, lead to early recovery, and provide a better outcome. Case presentation Herein, we reported a rare case of Guillain–Barre syndrome after myocardial infarction treated with percutaneous coronary intervention. The patient was a 75-year-old woman from China who was admitted to hospital due to sudden loss of consciousness. Electrocardiography showed acute myocardial infarction in the right ventricle and inferior and posterior walls. The patient underwent emergency percutaneous intervention of the posterior collateral artery of the right coronary artery. Soon after, her condition worsened resulting in limb weakness and numbness. Unfortunately, she continued to develop respiratory failure, and treated with intravenous immunoglobulin and ventilator-assisted breathing. A physical examination showed hypotonia of all four limbs, complete quadriplegia, bulbar palsy, dysarthria, and tendon areflexia. Serum immunoglobulin (Ig) G anti-ganglioside antibody analysis was positive with anti-GT1a antibodies (+ +), anti-GM1 antibodies ( +), anti-GM2 antibodies ( +), and anti-GM4 antibodies ( +), and he was diagnosed with Guillain–Barre syndrome after myocardial infarction. She was discharged due to poor response to treatment. The patient died two days after being discharged. Conclusions Myocardial infarction and/or percutaneous coronary intervention may activate immune-mediated response and cause severe complications. Clinician should be alert to Guillain–Barre syndrome after myocardial infarction and/or percutaneous coronary intervention.

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Gullain-Barré syndrome following off-pump coronary artery bypass grafting

Abstract: We report a case of Gullain-Barré syndrome after off-pump coronary artery bypass grafting surgery in a diabetic male with idiopathic thrombocytopenic purpura who recovered fully after treatment with intravenous immunoglobulin without any residual weakness.

Cited by 4 publications

References 6 publications

Guillain-Barre syndrome after coronary artery bypass graft surgery: a case report and literature review

Guillain-Barre syndrome after coronary artery bypass graft surgery: a case report and literature review

Síndrome de Guillain-Barré asociado a cirugía de revascularización coronaria. Reporte de caso

Guillain–Barre syndrome after myocardial infarction: a case report and literature review

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