{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:24:22Z","timestamp":1731043462942,"version":"3.28.0"},"reference-count":17,"publisher":"Texas Heart Institute Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>Guillain-Barr\u00e9 syndrome, a rare peripheral neuropathy, appears to occur more often in patients who have recently undergone surgery than in the general population. However, the pathophysiologic relationship between surgery and Guillain-Barr\u00e9 syndrome is elusive. Few cases of Guillain-Barr\u00e9 syndrome after cardiac surgery have been reported. Autonomic dysfunction, a serious complication of Guillain-Barr\u00e9 syndrome, has not been previously reported after cardiac surgery.<\/jats:p>\n        <jats:p>We describe the case of a 71-year-old woman in whom the acute motor axonal neuropathic subtype of Guillain-Barr\u00e9 syndrome developed after mitral valve replacement. Despite plasmapheresis and intravenous immunoglobulin therapy, she died of complications from severe autonomic dysfunction 25 days postoperatively. Recognizing the potential cardiovascular involvement of Guillain-Barr\u00e9 syndrome is important, because patients who undergo cardiac surgery can be vulnerable to autonomic dysfunction in the early postoperative period.<\/jats:p>","DOI":"10.14503\/thij-20-7439","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T14:06:58Z","timestamp":1656425218000},"source":"Crossref","is-referenced-by-count":2,"title":["Fatal Autonomic Dysfunction Due to Guillain-Barr\u00e9 Syndrome After Cardiac Surgery"],"prefix":"10.14503","volume":"49","author":[{"given":"Emre","family":"Selcuk","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Bezmialem Vakif University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cengiz","family":"Koksal","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Bezmialem Vakif University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"10045","key":"i1526-6702-49-3-e207439-b1","series-title":"Lancet","first-page":"717","article-title":"Guillain-Barr\u00e9 syndrome","volume":"388","year":"2016","unstructured":"Willison\n              HJ,\n            \n            \n              Jacobs\n              BC,\n            \n            \n              van Doorn\n              PA.\n            \n          \n          Guillain-Barr\u00e9 syndrome.\n\t\t\t\t\tLancet2016;388(10045):717\u201327."},{"issue":"11","key":"i1526-6702-49-3-e207439-b2","series-title":"Nat Rev Neurol","first-page":"671","article-title":"Diagnosis and management of Guillain-Barr\u00e9 syndrome in ten steps","volume":"15","year":"2019","unstructured":"Leonhard\n              SE,\n            \n            \n              Mandarakas\n              MR,\n            \n            \n              Gondim\n              FAA,\n            \n            \n              Bateman\n              K,\n            \n            \n              Ferreira\n              MLB,\n            \n            \n              Cornblath\n              DR,\n            \n          \n          .\n\t\t\t\t\tDiagnosis and management of Guillain-Barr\u00e9 syndrome in ten steps.\n\t\t\t\t\tNat Rev Neurol2019;15(11):671\u201383."},{"issue":"9","key":"i1526-6702-49-3-e207439-b3","series-title":"Eur J Neurol","first-page":"1239","article-title":"Increased incidence of Guillain-Barr\u00e9 syndrome after surgery","volume":"19","year":"2012","unstructured":"Gensicke\n              H,\n            \n            \n              Datta\n              AN,\n            \n            \n              Dill\n              P,\n            \n            \n              Schindler\n              C,\n            \n            \n              Fischer\n              D.\n            \n          \n          Increased incidence of Guillain-Barr\u00e9 syndrome after surgery.\n\t\t\t\t\tEur J Neurol2012;19(9):1239\u201344."},{"issue":"3","key":"i1526-6702-49-3-e207439-b4","series-title":"Am Heart J","first-page":"844","article-title":"Guillain-Barr\u00e9 syndrome following coronary artery bypass surgery","volume":"113","year":"1987","unstructured":"Renlund\n              DG,\n            \n            \n              Hanley\n              DF,\n            \n            \n              Traill\n              TA.\n            \n          \n          Guillain-Barr\u00e9 syndrome following coronary artery bypass surgery.\n\t\t\t\t\tAm Heart J1987;113(3):844\u20135."},{"issue":"3","key":"i1526-6702-49-3-e207439-b5","series-title":"Int J Cardiol","first-page":"427","article-title":"Guillain-Barr\u00e9 syndrome following cardiopulmonary bypass","volume":"35","year":"1992","unstructured":"Hogan\n              JC,\n            \n            \n              Briggs\n              TP,\n            \n            \n              Oldershaw\n              PJ.\n            \n          \n          Guillain-Barr\u00e9 syndrome following cardiopulmonary bypass.\n\t\t\t\t\tInt J Cardiol1992;35(3):427\u20138."},{"issue":"2","key":"i1526-6702-49-3-e207439-b6","series-title":"Indian J Med Spec","first-page":"157","article-title":"Guillain-Barr\u00e9 syndrome following coronary artery bypass surgery","volume":"2","year":"2011","unstructured":"Punith\n              K,\n            \n            \n              Sudhir\n              U,\n            \n            \n              Rudresh\n              K,\n            \n            \n              Kumar\n              TA.\n            \n          \n          Guillain-Barr\u00e9 syndrome following coronary artery bypass surgery.\n\t\t\t\t\tIndian J Med Spec2011;2(2):157\u20139."},{"issue":"5","key":"i1526-6702-49-3-e207439-b7","series-title":"Interact Cardiovasc Thorac Surg","first-page":"918","article-title":"Guillain-Barr\u00e9 syndrome after coronary artery bypass surgery","volume":"15","year":"2012","unstructured":"Cingoz\n              F,\n            \n            \n              Tavlasoglu\n              M,\n            \n            \n              Kurkluoglu\n              M,\n            \n            \n              Sahin\n              MA.\n            \n          \n          Guillain-Barr\u00e9 syndrome after coronary artery bypass surgery.\n\t\t\t\t\tInteract Cardiovasc Thorac Surg2012;15(5):918\u20139."},{"issue":"6","key":"i1526-6702-49-3-e207439-b8","series-title":"Cardiovasc J Afr","first-page":"e4","article-title":"Miller-Fisher syndrome after coronary artery bypass surgery","volume":"28","year":"2017","unstructured":"Aldag\n              M,\n            \n            \n              Albeyoglu\n              S,\n            \n            \n              Ciloglu\n              U,\n            \n            \n              Kutlu\n              H,\n            \n            \n              Ceylan\n              L.\n            \n          \n          Miller-Fisher syndrome after coronary artery bypass surgery.\n\t\t\t\t\tCardiovasc J Afr2017;28(6):e4\u20135."},{"issue":"12","key":"i1526-6702-49-3-e207439-b9","series-title":"Gen Thorac Cardiovasc Surg","first-page":"1087","article-title":"Guillain-Barr\u00e9 syndrome after cardiac surgery: diagnostic dilemma","volume":"67","year":"2019","unstructured":"Raut\n              MS,\n            \n            \n              Hanjoora\n              VM,\n            \n            \n              Chishti\n              MA,\n            \n            \n              Tewari\n              R.\n            \n          \n          Guillain-Barr\u00e9 syndrome after cardiac surgery: diagnostic dilemma.\n\t\t\t\t\tGen Thorac Cardiovasc Surg2019;67(12):1087\u20138."},{"issue":"3","key":"i1526-6702-49-3-e207439-b10","series-title":"Neurol Clin Pract","first-page":"201","article-title":"Clinical factors associated with Guillain-Barr\u00e9 syndrome following surgery","volume":"8","year":"2018","unstructured":"Hocker\n              S,\n            \n            \n              Nagarajan\n              E,\n            \n            \n              Rubin\n              M,\n            \n            \n              Wijdicks\n              EFM.\n            \n          \n          Clinical factors associated with Guillain-Barr\u00e9 syndrome following surgery.\n\t\t\t\t\tNeurol Clin Pract2018;8(3):201\u20136."},{"issue":"3","key":"i1526-6702-49-3-e207439-b11","series-title":"Eur J Neurol","first-page":"e40","article-title":"Surgery itself does not trigger Guillain-Barr\u00e9 syndrome","volume":"20","year":"2013","unstructured":"Wakerley\n              BR,\n            \n            \n              Yuki\n              N.\n            \n          \n          Surgery itself does not trigger Guillain-Barr\u00e9 syndrome.\n\t\t\t\t\tEur J Neurol2013;20(3):e40."},{"issue":"8","key":"i1526-6702-49-3-e207439-b12","series-title":"J Neurol Neurosurg Psychiatry","first-page":"907","article-title":"Guillain-Barr\u00e9 syndrome in Asia","volume":"85","year":"2014","unstructured":"Bae\n              JS,\n            \n            \n              Yuki\n              N,\n            \n            \n              Kuwabara\n              S,\n            \n            \n              Kim\n              JK,\n            \n            \n              Vucic\n              S,\n            \n            \n              Lin\n              CS,\n            \n            \n              Kiernan\n              MC.\n            \n          \n          Guillain-Barr\u00e9 syndrome in Asia.\n\t\t\t\t\tJ Neurol Neurosurg Psychiatry2014;85(8):907\u201313."},{"key":"i1526-6702-49-3-e207439-b13","series-title":"Neuropsychiatr Dis Treat","first-page":"969","article-title":"Surgery and Guillain-Barr\u00e9 syndrome: a single-center retrospective study focused on clinical and electrophysiological subtypes","volume":"16","year":"2020","unstructured":"Bao\n              L,\n            \n            \n              Chen\n              X,\n            \n            \n              Li\n              Q,\n            \n            \n              Zhang\n              R,\n            \n            \n              Shi\n              H,\n            \n            \n              Cui\n              G.\n            \n          \n          Surgery and Guillain-Barr\u00e9 syndrome: a single-center retrospective study focused on clinical and electrophysiological subtypes.\n\t\t\t\t\tNeuropsychiatr Dis Treat2020;16:969\u201374."},{"issue":"9047","key":"i1526-6702-49-3-e207439-b14","series-title":"Lancet","first-page":"225","article-title":"Randomised trial of plasma exchange, intravenous immunoglobulin, and combined treatments in Guillain-Barr\u00e9 syndrome. Plasma Exchange\/Sandoglobulin Guillain-Barr\u00e9 Syndrome Trial Group","volume":"349","year":"1997","unstructured":"Randomised trial of plasma exchange, intravenous immunoglobulin, and combined treatments in Guillain-Barr\u00e9 syndrome. Plasma Exchange\/Sandoglobulin Guillain-Barr\u00e9 Syndrome Trial Group.\n\t\t\t\t\tLancet1997;349(9047):225\u201330."},{"issue":"1","key":"i1526-6702-49-3-e207439-b15","series-title":"J Clin Neuromuscul Dis","first-page":"1","article-title":"Human immunoglobulin versus plasmapheresis in Guillain-Barr\u00e9 syndrome and myasthenia gravis: a meta-analysis","volume":"18","year":"2016","unstructured":"Ortiz-Salas\n              P,\n            \n            \n              Velez-Van-Meerbeke\n              A,\n            \n            \n              Galvis-Gomez\n              CA,\n            \n            \n              Rodriguez\n              Q JH.\n            \n          \n          Human immunoglobulin versus plasmapheresis in Guillain-Barr\u00e9 syndrome and myasthenia gravis: a meta-analysis.\n\t\t\t\t\tJ Clin Neuromuscul Dis2016;18(1):1\u201311."},{"issue":"21","key":"i1526-6702-49-3-e207439-b16","series-title":"Neurology","first-page":"1680","article-title":"Distinguishing acute-onset CIDP from fluctuating Guillain-Barr\u00e9 syndrome: a prospective study","volume":"74","year":"2010","unstructured":"Ruts\n              L,\n            \n            \n              Drenthen\n              J,\n            \n            \n              Jacobs\n              BC,\n            \n            \n              van Doorn\n              PA,\n            \n            Dutch GBS Study Group.\n          \n          Distinguishing acute-onset CIDP from fluctuating Guillain-Barr\u00e9 syndrome: a prospective study.\n\t\t\t\t\tNeurology2010;74(21):1680\u20136."},{"issue":"1","key":"i1526-6702-49-3-e207439-b17","series-title":"Acta Neurol Scand","first-page":"44","article-title":"Autonomic function in demyelinating and axonal subtypes of Guillain-Barr\u00e9 syndrome","volume":"105","year":"2002","unstructured":"Asahina\n              M,\n            \n            \n              Kuwabara\n              S,\n            \n            \n              Suzuki\n              A,\n            \n            \n              Hattori\n              T.\n            \n          \n          Autonomic function in demyelinating and axonal subtypes of Guillain-Barr\u00e9 syndrome.\n\t\t\t\t\tActa Neurol Scand2002;105(1):44\u201350."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/3\/article-e207439.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/thij\/article-pdf\/doi\/10.14503\/THIJ-20-7439\/3078986\/i1526-6702-49-3-e207439.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/3\/article-e207439.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/3\/article-e207439.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:37:22Z","timestamp":1730993842000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/3\/article-e207439.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":17,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.14503\/thij-20-7439","relation":{},"ISSN":["1526-6702","0730-2347"],"issn-type":[{"type":"electronic","value":"1526-6702"},{"type":"print","value":"0730-2347"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}