ABSTRACT
La enfermedad de McArdle es una miopatía metabólica que puede implicar graves complicaciones durante el acto anestésico. Exponemos el caso de una paciente sometida a mastectomía, diagnosticada previamente de enfermedad de McArdle. El conocimiento de la fisiopatología y la aplicación de medidas de prevención puede evitar complicaciones de posible desenlace fatal. Se describen las posibles complicaciones y las medidas de prevención y tratamiento (AU)
McArdle disease is a metabolic myopathy that can may lead to severe perioperative problems. A case is reported of a woman with a history of McArdle disease, who was scheduled for a mastectomy. An understanding of the physiology and pathology, and the application of appropriate preventive measures can avoid complications. A overview of the complications and the management are described (AU)
Subject(s)
Humans , Female , Middle Aged , Glycogen Storage Disease Type V/drug therapy , Glycogen Storage Disease Type V/complications , Mastectomy/methods , Midazolam/therapeutic use , Glycogen Storage Disease Type V/prevention & control , Intubation, Intratracheal/instrumentation , Diuresis , Fentanyl/therapeutic use , Propofol/therapeutic use , Albuterol/therapeutic useABSTRACT
McArdle disease is a metabolic myopathy that can may lead to severe perioperative problems. A case is reported of a woman with a history of McArdle disease, who was scheduled for a mastectomy. An understanding of the physiology and pathology, and the application of appropriate preventive measures can avoid complications. A overview of the complications and the management are described.
