{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:35:32Z","timestamp":1787754932005,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2014,11,12]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Mitochondrial myopathy comprises heterogeneous neuromuscular disorders caused by mitochondrial dysfunction. Acute exacerbation of mitochondrial myopathy infrequently occurs sequentially after perioperative stress. We present an unusual case of a late-emerging and lethal exacerbation of mitochondrial myopathy after total hip arthroplasty. Despite special attention paid to perioperative control, the patient\u2019s condition drastically deteriorated on postoperative day thirteen, and she died later as a result of cardiomyopathy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>When performing surgery on a patient with mitochondrial myopathy, the merits of surgery must always surpass the possible grave risk of this condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.n.00043","type":"journal-article","created":{"date-parts":[[2014,11,14]],"date-time":"2014-11-14T00:09:36Z","timestamp":1415923776000},"page":"e105","source":"Crossref","is-referenced-by-count":1,"title":["Late-Emerging Lethal Exacerbation of Cardiomyopathy in a Patient with Mitochondrial Myopathy After Total Hip Arthroplasty"],"prefix":"10.2106","volume":"4","author":[{"given":"Tomohiro","family":"Mimura","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu, Shiga, 520-2192, Japan. E-mail address for T. Mimura:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Imai","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu, Shiga, 520-2192, Japan. E-mail address for T. Mimura:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taku","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu, Shiga, 520-2192, Japan. E-mail address for T. Mimura:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Furuya","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu, Shiga, 520-2192, Japan. E-mail address for T. Mimura:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanji","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu, Shiga, 520-2192, Japan. E-mail address for T. Mimura:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshitaka","family":"Matsusue","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu, Shiga, 520-2192, Japan. E-mail address for T. 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