Myasthenia Gravis and Abdominal Aortic Aneurysm: A Rare Combination

Author:

Papadoulas Spyros1ORCID,Zotou Anastasia2,Kouri Natasa1,Tsimpoukis Andreas1,Zampakis Petros3,Koutsogiannis Nikolaos4,Chroni Elisabeth5

Affiliation:

1. Department of Vascular Surgery, University Hospital of Patras, Patras, Greece

2. Department of Anesthesiology, University Hospital of Patras, Patras, Greece

3. Department of Radiology, University Hospital of Patras, Patras, Greece

4. Department of Cardiology, University Hospital of Patras, Patras, Greece

5. Division of Neuromuscular Disorders, Department of Neurology, University Hospital of Patras, Patras, Greece

Abstract

AbstractAbdominal 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.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,Surgery

Reference10 articles.

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3. Rare case of iatrogenic myocardial infarction induced by use of pyridostigmine;M Niazi;Cureus,2020

4. Cardiac involvement in myasthenia gravis–is there a specific pattern?;C Călin;Rom J Intern Med,2009

5. Stress testing before abdominal aortic aneurysm repair does not lead to a reduction in perioperative cardiac events;J A Columbo;J Vasc Surg,2021

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