Successful pregnancy and cesarean delivery via noninvasive ventilation in mitochondrial myopathy.
We report a case study of a 22-year-old woman with mitochondrial thymidine kinase 2 deficiency and chronic respiratory failure due to severe neuromuscular weakness requiring noninvasive positive pressure ventilation (NIPPV) since 12 years of age. During pregnancy and cesarean delivery, she was successfully supported with NIPPV. A multidisciplinary team approach should be used in pregnant patients with these disorders with specific attention to management of pulmonary complications, selection of route of delivery, anesthesia, and analgesia.
Yuan
N
N
Department of Pediatrics, Center of Excellence in Pulmonary Biology (Pulmonary Division), Stanford University Medical Center, Palo Alto, CA, USA. nyuan@stanford.edu
El-Sayed
Y Y
YY
Ruoss
S J
SJ
Riley
E
E
Enns
G M
GM
Robinson
T E
TE
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D017240:Mitochondrial Myopathies; D011175:Positive-Pressure Respiration; D011247:Pregnancy; D011248:Pregnancy Complications; D012131:Respiratory Insufficiency / Q000628:therapy*