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Case report: perioperative management of caesarean section for a parturient with mitochondrial myopathy
Qiang Zheng1, Penghui Wei1, Jinfeng Zhou1
1Department of Anesthesiology, Qilu Hospital of Shandong University (Qingdao), No.758 Hefei Road, Qingdao, 266035, People's Republic of China.
Background:
Mitochondrial myopathies represent a group of disorders caused by mitochondrial defects that disrupt energy production. Most patients have issues from infancy to early childhood. Pregnancy in women with mitochondrial myopathy is uncommon and the management for these parturients is full of challenges.
Case Presentation:
A 36-year-old woman with mitochondrial myopathy was scheduled for caesarean section under a combined spinal-epidural anaesthesia and multi-model analgesia. The parturient was safe and the delivery was performed safely and smoothly, but there were some complications after surgery due to the complex condition of the patient. After consultation with and treatment from multiple disciplines, both the parturient and neonate were well and discharged.
Conclusion:
It is important that patients with mitochondrial diseases are comprehensively assessed and monitored perioperatively.
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