Anesthetic considerations for renal transplant surgery in patients with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes syndrome: a case report.
Mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes syndrome is a progressive syndrome with variable involvement of multiple-organ systems. These patients require special consideration for preoperative optimization, intraoperative management, and postoperative care. The medical literature regarding perioperative management of these patients relies heavily on case reports. Here we present a novel experience providing care for a patient with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes syndrome who underwent renal transplantation for focal segmental glomerulosclerosis and end-stage renal disease.
Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address: michelle.humeidan@osumc.edu.
Michelle L
ML
Humeidan
Saint Louis University School of Medicine, St Louis, MO, USA.
Julia
J
Dalia
Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Wanye D
WD
Traetow
D000328:Adult; D000777:Anesthetics / Q000008:administration & dosage*; D018450:Disease Progression; D005260:Female; D005923:Glomerulosclerosis, Focal Segmental / Q000209:etiology / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods*; D017241:MELAS Syndrome / Q000503:physiopathology / Q000601:surgery*; D019990:Perioperative Care / Q000379:methods
D000777:Anesthetics
Anesthesia; Mitochondrial myopathy; Renal transplant