Abstract

We present the case of a 54-year-old female with longstanding history of myasthenia gravis, on whom an anti ACH antibody test was positive. We performed a minimally invasive video-assisted thoracoscopic thymectomy (VATS) on this patient. Preoperatively, the patient was stabilized with intravenous immunoglobulin (IVIG) and Mestinon (Pyridostigmine). The pre-operative workup included a computed tomography scan of the chest which showed thymic hyperplasia and no evidence of thymoma. Bilateral VATS radical thymectomy (Bi-VATS) is described, with complete exenteration of the mediastinum and cervical region (Video 1).

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