Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2020.09.009
Brazilian Journal of Anesthesiology
Case Report

Anesthesia for bariatric surgery in patient with mitochondrial myopathy – case report

Carlos Eduardo Coimbra Melonio, Ciro Bezerra Vieira, Plínio C. Leal, Caio Marcio B. de Oliveira, Elizabeth T.N. Servín, Lyvia Maria Rodrigues de Sousa Gomes, Ed Carlos R. Moura

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Abstract

Mitochondrial Myopathy is a rare pathology caused by a defect in the mitochondrial DNA metabolism, leading to defects in the formation of adenosine triphosphate, in the Krebs citric acid cycle, fatty acid oxidation and oxidative phosphorylation. It is manifested by exercise intolerance, muscle fatigue on small efforts, muscle weakness, tachycardia, and difficulty breathing. There are few case reports on the operative management of adult patients suffering from mitochondrial myopathy. With this report, we intend to describe the anesthetic management of a patient with mitochondrial myopathy who underwent laparoscopic gastroplasty and outline some anesthetic considerations about this pathology.

Keywords

Case report;  Anesthesia;  Neuromuscular disorders;  Mitochondrial myopathy;  Gastroplasty

References

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2 M. Schieren, J. Defosse, A. Böhmer, et al. Anaesthetic management of patients with myopathies Eur J Anaesthesiol, 34 (2017), pp. 641-649

3 R.S. Litman, S.M. Griggs, J.J. Dowling, et al. MH susceptibility and related diseases Anesthesiology, 30 (2017), pp. 1-9

4 J. Lerman Perioperative management of the paediatric patient with coexisting neuromuscular disease Br J Anaesth, 107 (2011), pp. 79-89

5 A. Bagatini, R.D. Trindade, C.R. Gomes, et al. Anestesia para Cirurgia Bariátrica. Avaliação Retrospectiva e Revisão da Literatura Rev Bras Anestesiol, 56 (2006), pp. 205-222
 

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