title: Myasthenia crisis following percutaneous coronary intervention in a patient with late onset myasthenia gravis: successful treatment of a unique case.
abstract: A 70-year-old female, known case of late onset myasthenia gravis for last 1 year was admitted with effort angina. Coronary angiogram revealed presence of significant lesion in the proximal part of right coronary artery. She had undergone percutaneous coronary intervention. Following angioplasty she developed recurrent ventricular tachycardia and respiratory distress. She developed myasthenia crisis and was put on ventilator. She had undergone through plasmapheresis thrice as anti-acetylcholine receptor antibody titres were very high. Medline search revealed no previous report of similar case. We are reporting the first case where myasthenia crisis was triggered by percutaneous coronary intervention and was treated successfully.
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerghatta Road, Bangalore, 560069, Karnataka, India. dr_soumyapatra@rediffmail.com
authors.forename: Soumya
authors.initials: S
authors.lastname: Patra
authors.forename: Ajit Pal
authors.initials: AP
authors.lastname: Singh
authors.forename: B C
authors.initials: BC
authors.lastname: Srinivas
authors.forename: C N
authors.initials: CN
authors.lastname: Manjunath
mesh_terms: D000368:Aged; D023921:Coronary Stenosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009157:Myasthenia Gravis / Q000209:etiology* / Q000628:therapy; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D010956:Plasmapheresis / Q000379:methods*; D012008:Recurrence