Subscribe to RSS
Download PDF
DOI: 10.1055/a-2051-7678
Myasthenia Gravis and Abdominal Aortic Aneurysm: A Rare Combination
Funding None.
Abstract
Abdominal aortic aneurysm in a patient with myasthenia gravis (MG) is extremely rare. We present a 64-year-old male with MG and an asymptomatic abdominal aortic aneurysm treated endovascularly. After extubation, he suffered a cardiac arrest due to an acute myocardial infarction. Cardiopulmonary resuscitation and a primary coronary angioplasty led to a satisfactory outcome. Special care is needed due to higher rates of postoperative complications in these patients.
Keywords
myasthenia gravis - abdominal aortic aneurysm - endovascular abdominal aneurysm repair - acetylcholine receptorPublication History
Received: 04 June 2022
Accepted: 07 March 2023
Accepted Manuscript online:
20 March 2023
Article published online:
31 May 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Sherman WF, Wu VJ, Ofa SA, Ross BJ, Savage-Elliott ID, Sanchez FL. Increased rate of complications in myasthenia gravis patients following hip and knee arthroplasty: a nationwide database study in the PearlDiver Database on 257,707 patients. Acta Orthop 2021; 92 (02) 176-181
- 2 Andreev A, Begum F, Singh A, Sahni S. A broken heart: cardiac arrest as the initial presentation of myasthenic crisis. Cureus 2020; 12 (02) e6891
- 3 Niazi M, Iqbal QZ, Zia Z, Sattar SBA, Lafferty J. Rare case of iatrogenic myocardial infarction induced by use of pyridostigmine. Cureus 2020; 12 (08) e9849
- 4 Călin C, Savu O, Dumitru D. et al. Cardiac involvement in myasthenia gravis–is there a specific pattern?. Rom J Intern Med 2009; 47 (02) 179-189
- 5 Columbo JA, Demsas F, Wanken ZJ. et al. Stress testing before abdominal aortic aneurysm repair does not lead to a reduction in perioperative cardiac events. J Vasc Surg 2021; 74 (03) 694-700
- 6 Jun H, Jung CW. Immunoglobulin G4-related inflammatory abdominal aortic aneurysm associated with myasthenia gravis, with contained rupture. Vasc Endovascular Surg 2016; 50 (08) 571-574
- 7 Uehara K, Fujiwara Y, Morishima M, Iwakura A. Open thoracoabdominal aortic aneurysm repair in a patient with myasthenia gravis. Interact Cardiovasc Thorac Surg 2022; 34 (03) 510-511
- 8 Li H, Song P, Yang W. et al. Association between autoimmune diseases and spontaneous cervicocranial arterial dissection. Front Immunol 2022; 12: 820039
- 9 Chang Y-W, Chou Y-C, Yeah C-C. et al. Outcomes after major surgery in patients with myasthenia gravis. A nation wide matched cohort study. PLoS One 2011; 30: 180433
- 10 Bakker J, van de Lujjtgaarden K, Valentijn TM. et al. General anesthesia is associated with adverse outcome after endovascular aneurysm repair. Eur J Vasc Endovasc Surg 2012; 44: 121-125