GB syndrome after major cardiovascular surgery

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Guillain- Barre syndrome (GBS) is a rare disorder of rapid onset muscle weakness caused by the immune system damaging the peripheral nervous system. GBS is reported to have the incidence of 1 to 2 per 100,000 per year. This disease is usually preceded by respiratory or gastrointestinal viral infection e. g. cytomegalovirus, mycoplasma pneumonia, epstein-Barr virus, and influenza virus. This is particularly observed in 66% of patients with GBS before the onset of the symptoms. It can also be triggered by surgery, pregnancy or vaccination . Evidence of GBS after major surgery is very rare and observed only in 5% of the GBS cases. The suggested mechanism in such cases is the systemic immune response to the surgical stress targeting peripheral nerves. GBS after cardiac surgery is reported in a very few anecdotal case reports. This disease can potentially increase the morbidity of the postoperative patients and generally can not be explained by the cardiac disease or interventions.

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Abnormal CVP waveform. Raut MS, Maheshwari A. Saudi J Anaesth. 2013 Oct;7(4):482. doi: 10.4103/1658-354X.121060. No abstract available. PMID: 24348310 [PubMed] Free PMC Article Similar articles 82. Unusual bifid "V" wave in central venous pressure. Raut MS, Maheshwari A. Saudi J Anaesth. 2013 Apr;7(2):218-9. doi: 10.4103/1658-354X.114064. No abstract available. PMID: 23956732 [PubMed] Free PMC Article Similar articles 83. Anterior tracheal injury during sternotomy. Raut M, Maheshwari A, Shivnani G, Daniel E, Sharma S, Rohra G. J Cardiothorac Vasc Anesth. 2013 Oct;27(5):e60-1. doi: 10.1053/j.jvca.2013.03.038. Epub 2013 Aug 3. No abstract available. PMID: 23921292 [PubMed - indexed for MEDLINE] Similar articles 84. Submitral aneurysm - echocardiographic images. Raut MS, Maheshwari A, Dube S, Nautiyal P. Echocardiography. 2013 Oct;30(9):E302-3. doi: 10.1111/echo.12320. Epub 2013 Jul 27. No abstract available. PMID: 23889538 [PubMed - indexed for MEDLINE] Similar articles 85. 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A Sudden Change in Arterial Waveform Raut MS, et al. J Cardiothorac Vasc Anesth 2019. PMID 30928288 90. New onset aortic regurgitation Raut MS and Maheshwari A. J Anaesthesiol Clin Pharmacol 2018. PMID 30774247 91. Massive subcutaneous emphysema after off-pump coronary bypass surgery Raut MS, et al. Ann Card Anaesth 2019. PMID 30648690 92. Missing swan ganz catheter Raut MS and Maheshwari A. Ann Card Anaesth 2018. PMID 30333352 93. Aortic regurgitation after chemoport catheter insertion: Diagnostic dilemma Hanjoora VM, et al. Ann Card Anaesth 2018. Among authors: Raut MS. PMID 30333345. 94. Guillain-Barré syndrome after cardiac surgery: diagnostic dilemma Raut MS, et al. Gen Thorac Cardiovasc Surg 2018. PMID 30171505

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