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  • 标题:In Vitro Contracture Test Results and Anaesthetic Management of a Patient with Emery-Dreifuss Muscular Dystrophy for Cardiac Transplantation
  • 本地全文:下载
  • 作者:Frank Schuster ; Carsten Wessig ; Christoph Schimmer
  • 期刊名称:Case Reports in Anesthesiology
  • 印刷版ISSN:2090-6382
  • 出版年度:2012
  • 卷号:2012
  • DOI:10.1155/2012/349046
  • 出版社:Hindawi Publishing Corporation
  • 摘要:Emery-Dreifuss muscular dystrophy (EDMD) is a hereditary neuromuscular disorder characterized by slowly progressive muscle weakness, early contractures, and dilated cardiomyopathy. We reported an uneventful general anaesthesia using total intravenous anaesthesia (TIVA) for cardiac transplantation in a 19-year-old woman suffering from EDMD. In vitro contracture test results of two pectoralis major muscle bundles of the patient suggest that exposition to triggering agents does not induce a pathological sarcoplasmic calcium release in the lamin A/C phenotype. However, due to the lack of evidence in the literature, we would recommend TIVA for patients with EDMD if general anaesthesia is required.
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