García CS, Ramos SO, Montero ÁR, Hernández OR, Hidalgo MPA, Ramírez MM

Language: Spanish
References: 8
Page: 140-143
PDF size: 160.36 Kb.

ABSTRACT

Peripheral arterial insufficiency is a disease that is associated with known atherogenic risk factors, and is more common in people with hyperlipidemia, diabetes mellitus and smoking habit. A case of a 67-year-old woman with a history of hypertension, diabetes mellitus and old myocardial infarction is presented. She was admitted for signs of acute inflammation of the right leg due to peripheral arterial insufficiency. 8 days after admission she presented an acute coronary syndrome without ST segment elevation with pump failure (Killip class II), and once compensated she was scheduled for emergency supracondylar amputation due to ischemic gangrene. It was decided to use selective spinal subarachnoid from the right leg, which was applied without complications and favored the proper development of the planned surgery. At 72 hours, the patient was discharged from the ICU, with metabolic compensation and without cardiovascular symptoms.

REFERENCES

1. Puras-Mallagray E, Gutiérrez Baz M, Cáncer-Pérez S, Alfayate-García JM, de Benito Fernández L, Perera-Sabio M, et al. Estudio de prevalencia de la enfermedad arterial periférica y diabetes en Espa-ña. Angiología. 2008;60(5):317-26.

2. Brotons C. La tendencia secular de los factores de riesgo cardiovascular: una evolución nada optimis-ta. Re vsl.

3. Carro A. Factores de riesgo cardiovascular, una Ep Cardio206;59:650-2.

4. epidemia ¿prevenible? CorSalud [Internet]. 2012 [ci-tado 3 Feb 2012] ;4(1):[aprox. 4 p.]. Disponible en: http://www.corsalud.sld.cu/sumario/2012/v4n1a12/epidemia.htm

5. de Arazoza Hernández A, Rodríguez Salgueiro FL, Carrasco Molina MA, Valdés Dupeirón O, Rodrí-guez Rosales E. Conducción anestésica de la re-vascularización miocárdica video-asistida. Informe de cinco casos. CorSalud [Internet]. 2011 [citado 5 Ene 2012];3(2):[aprox. 3 p.]. Disponible en: http://www.corsalud.sld.cu/sumario/2011/v3n2a11/conduccion.htm

6. González Martínez M, Sunderland Tallón N, Cid García S. Conducta anestésica en el paciente hipertenso necesitado de cirugía de urgencia. Cor-Salud [Internet]. 2011 [citado 8 Sep 2011];3(3): [aprox. 4 p.]. Disponible en: http://www.corsalud.sld.cu/sumario/2011/v3n3a11/conducta.htm

7. Li G, Warner M, Lang BH, Huang L, Sun LS. Epi-demiology of Anesthesia-related Mortality in the United States, 1999-2005. Anesthesiology. 2009; 110(4):759-65.

8. Hernández Ortega R, González Alfonso O, Hidalgo Menéndez PA, Marrero Font IM, Rodríguez JM, Méndez Martínez J, et al. Analgesia subaracnoidea con meperidina en la cirugía ginecológica de pa-cientes con hipertensión arterial. CorSalud [Inter-net]. 2011 [citado 20 Sep 2011];3(4):[aprox. 4 p.]. Disponible en: http://www.corsalud.sld.cu/sumario/2011/v3n4a11/analgesia.htm