重症肌无力与腹主动脉瘤：一种罕见的组合。

Myasthenia Gravis and Abdominal Aortic Aneurysm: A Rare Combination.

作者信息

Papadoulas Spyros, Zotou Anastasia, Kouri Natasa, Tsimpoukis Andreas, Zampakis Petros, Koutsogiannis Nikolaos, Chroni Elisabeth

机构信息

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

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

出版信息

Aorta (Stamford). 2023 Apr;11(2):87-90. doi: 10.1055/a-2051-7678. Epub 2023 Mar 20.

DOI:10.1055/a-2051-7678

PMID:36940930

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10232032/

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.

摘要

重症肌无力（MG）患者合并腹主动脉瘤极为罕见。我们报告一例64岁男性，患有重症肌无力且有无症状腹主动脉瘤，接受了血管内治疗。拔管后，他因急性心肌梗死发生心脏骤停。心肺复苏和初次冠状动脉血管成形术取得了满意的结果。由于这些患者术后并发症发生率较高，需要特别护理。