Chisholm J C, Gilson A
J Natl Med Assoc. 1980 Oct;72(10):997-8.
Although myasthenia gravis (MG) is frequently mentioned in standard textbooks and journal articles as a rare cause for pulmonary hypertension and right heart failure, no case can actually be found in the literature. The case described in this report is the first documented case of chronically decompensated MG manifesting itself as pulmonary hypertension, severe right heart failure, and functional prolapse of both the mitral and tricuspid valves. Interestingly, no hepatic biochemical abnormalities were present in spite of significant congestive hepatomegaly.
尽管重症肌无力（MG）在标准教科书和期刊文章中经常被提及是肺动脉高压和右心衰竭的罕见病因，但实际上在文献中找不到相关病例。本报告中描述的病例是首例有记录的慢性失代偿性重症肌无力病例，表现为肺动脉高压、严重右心衰竭以及二尖瓣和三尖瓣功能性脱垂。有趣的是，尽管存在明显的充血性肝肿大，但未出现肝脏生化异常。
