{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:18:43Z","timestamp":1758475123377},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2009,10,7]],"date-time":"2009-10-07T00:00:00Z","timestamp":1254873600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Myasthenia gravis, an uncommon autoimmune syndrome, is commonly associated with thymus abnormalities. Thymomatous myasthenia gravis is considered to have worst prognosis and thymectomy can reverse symptoms if precociously performed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case report<\/jats:title>\n            <jats:p>We describe a case of a patient who underwent mitral valve repair and was found to have an occasional thymomatous mass during the surgery. A total thymectomy was performed concomitantly to the mitral valve repair.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The diagnosis of thymomatous myasthenia gravis was confirmed postoperatively. Following the surgery this patient was strictly monitored and at 1-year follow-up a complete stable remission had been successfully achieved.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1749-8090-4-55","type":"journal-article","created":{"date-parts":[[2009,10,7]],"date-time":"2009-10-07T18:15:30Z","timestamp":1254939330000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["An occasional diagnosis of myasthenia gravis - a focus on thymus during cardiac surgery: a case report"],"prefix":"10.1186","volume":"4","author":[{"given":"Marco","family":"Agrifoglio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Barili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Dainese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antioco","family":"Cappai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faisal H","family":"Cheema","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Biglioli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2009,10,7]]},"reference":[{"issue":"2","key":"219_CR1","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1001\/jama.298.2.163","volume":"298","author":"T Hampton","year":"2007","unstructured":"Hampton T: Novel therapies target myasthenia gravis. JAMA. 2007, 298 (2): 163-4. 10.1001\/jama.298.2.163.","journal-title":"JAMA"},{"issue":"1","key":"219_CR2","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1055\/s-2004-829596","volume":"24","author":"A Jaretzki","year":"2004","unstructured":"Jaretzki A, Steinglass KM, Sonett JR: Thymectomy in the management of myasthenia gravis. Semin Neurol. 2004, 24 (1): 49-62. 10.1055\/s-2004-829596.","journal-title":"Semin Neurol"},{"issue":"1","key":"219_CR3","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1212\/WNL.55.1.16","volume":"55","author":"A Jaretzki 3rd","year":"2000","unstructured":"Jaretzki A, Barohn RJ, Ernstoff RM, Kaminski HJ, Keesey JC, Penn AS, Sanders DB: Myasthenia gravis: recommendations for clinical research standards. Task Force of the Medical Scientific Advisory Board of the Myasthenia Gravis Foundation of America. Neurology. 2000, 55 (1): 16-23.","journal-title":"Neurology"},{"issue":"11","key":"219_CR4","doi-asserted-by":"publisher","first-page":"2485","DOI":"10.1002\/1097-0142(19811201)48:11<2485::AID-CNCR2820481123>3.0.CO;2-R","volume":"48","author":"A Masaoka","year":"1981","unstructured":"Masaoka A, Monden Y, Nakahara K, Tanioka T: Follow-up study of thymomas with special reference to their clinical stages. Cancer. 1981, 48 (11): 2485-92. 10.1002\/1097-0142(19811201)48:11<2485::AID-CNCR2820481123>3.0.CO;2-R.","journal-title":"Cancer"},{"issue":"3","key":"219_CR5","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1016\/j.jtcvs.2007.05.015","volume":"134","author":"HK Kim","year":"2007","unstructured":"Kim HK, Park MS, Choi YS, Kim K, Shim YM, Han J, Kim BJ, Kim J: Neurologic outcomes of thymectomy in myasthenia gravis: comparative analysis of the effect of thymoma. J Thorac Cardiovasc Surg. 2007, 134 (3): 601-7. 10.1016\/j.jtcvs.2007.05.015.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"219_CR6","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1111\/j.1540-8191.2005.200455.x","volume":"20","author":"S Mirsadraee","year":"2005","unstructured":"Mirsadraee S, Shah SS, Kumar B, Kaul P: Incidental locally infiltrating malignant thymoma and coronary artery bypass surgery-excision should always be considered. J Card Surg. 2005, 20 (3): 291-2. 10.1111\/j.1540-8191.2005.200455.x.","journal-title":"J Card Surg"},{"issue":"4","key":"219_CR7","first-page":"E35","volume":"5","author":"F Abdullah","year":"2002","unstructured":"Abdullah F, Loon LG: An incidental finding of thymic carcinoid during urgent CABG operation. Heart Surg Forum. 2002, 5 (4): E35-6.","journal-title":"Heart Surg Forum"},{"issue":"6","key":"219_CR8","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/S0022-5223(19)35673-9","volume":"95","author":"K Nakahara","year":"1988","unstructured":"Nakahara K, Ohno K, Hashimoto J, Maeda H, Miyoshi S, Sakurai M, Monden Y, Kawashima Y: Thymoma: results with complete resection and adjuvant postoperative irradiation in 141 consecutive patients. 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