RESUMO
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)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Doença de Depósito de Glicogênio Tipo V/tratamento farmacológico , Doença de Depósito de Glicogênio Tipo V/complicações , Mastectomia/métodos , Midazolam/uso terapêutico , Doença de Depósito de Glicogênio Tipo V/prevenção & controle , Intubação Intratraqueal/instrumentação , Diurese , Fentanila/uso terapêutico , Propofol/uso terapêutico , Albuterol/uso terapêuticoRESUMO
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.