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El corazón univentricular es una rara cardiopatía congénita cianógena compleja, caracterizada por la presencia de una sola cavidad ventricular en la que drenan ambas aurículas, pudiendo presentarse de 3 formas morfológicas distintas. Es causado por ausencia en la formación del tabique interventricular, produciendo un corazón con tres cavidades. Tiene una prevalencia de 5 de cada 100, 000 nacidos vivos, de predominio en el sexo masculino, constituyendo un 2% del total de las cardiopatías congénitas. Dependiendo las alteraciones acompañantes se manifiesta clínicamente por cianosis, hipertensión pulmonar e insuficiencia cardíaca congestiva. Suele asociarse a alteraciones en la posición de las grandes arterias, dextrocardia, estenosis valvular o subvalvular pulmonar, estenosis subaórtica, drenaje venoso pulmonar anómalo total o parcial, coartación aórtica y bloqueo AV congénito. El diagnóstico se puede realizar desde el período prenatal mediante la ecografía fetal, lo que puede mejorar la supervivencia al realizar un manejo temprano principalmente quirúrgico.

Introducción: Los pacientes con enfermedad renal crónica tienen un alto riesgo de desarrollar cardiomiopatía, aterosclerosis y arterioesclerosis. La aterosclerosis es la principal causa de cardiopatía isquémica en pacientes con enfermedad renal crónica en terapia sustitutiva tales como diálisis (hemodiálisis y diálisis peritoneal) y trasplante. En el caso de la diálisis las enfermedades cardiovasculares incrementan el riesgo de arritmias y muerte súbita de origen cardiaco. Objetivos: Brindar una serie de consideraciones perioperatorias a tomar en cuenta durante el manejo en hemodinamia del paciente con enfermedad renal crónica, por parte del equipo multidisciplinario involucrado en atención médica al paciente con ERC. Caso clínico: Presentamos a un paciente masculino de 52 años con los siguientes factores de riesgo cardiovascular: edad, sedentarismo, hipertensión, DMT2 en enfermedad renal crónica KDIGO estadio 5D, insuficiencia cardiaca congestiva (ICC) NYHA 2, antecedente de intervencionismo coronario percutáneo (PCI) por síndrome coronario agudo, hace 5 años. En protocolo de trasplante renal. El paciente fue sometido exitosamente a PCI de urgencia, se colocó durante el procedimiento endovascular balón medicado In.Pact falcon™ DCB 3 x 20 mm intra stent a la arteria descendente anterior y stent directo resolute onyx™ DES 3,0 x 38 mm al segmento proximal de la arteria circunfleja. Conclusiones: En este caso clínico se realizó exitosamente el intervencionismo coronario, la evolución del paciente fue favorable debido al seguimiento por parte del equipo multidisciplinario conformado por nefrólogo, hemodinamistas, cardiólogos, intensivistas y anestesiólogos que participan en el grupo de Código Infarto., Introduction: Patients with chronic kidney disease are at high risk of developing cardiomyopathy, atherosclerosis and arteriosclerosis. Atherosclerosis is the main cause of ischemic heart disease in CKD patients in substitute therapy such as dialysis (hemodialysis or peritoneal dialysis) and transplantation. In the case of dialysis, cardiovascular diseases increase the risk of arrhythmias and sudden cardiac death. Objectives: To provide a number of perioperative considerations to be taken into account during hemodynamic management of the chronic kidney disease patient by the multidisciplinary team involved in patient care with chronic kidney disease. Clinical case: We present a 52-year-old male patient with the following cardiovascular risk factors: age, sedentary lifestyle, hypertension, DMT2, CKD 5D KDIGO stage, congestive heart failure, New York Heart Association (NYHA) 2 and history of percutaneous coronary intervention (PCI) due to acute coronary syndrome, 5 years ago, in renal transplant protocol. The patient was successfully subjected to emergency PCI and during the endovascular procedure, a medicated balloon was placed. A In.Pact falcon™ DCB 3 x 20 mm intra stent to the prior DA and direct resolute onyx ™ DES 3.0 x 38 mm stent to the proximal segment of the circumflex artery. Conclusions: In this clinical case, coronary intervention was carried out successfully. The patient's evolution was favorable due to follow-up by multidisciplinary team made up of nephrologists, hemodynamic specialist, cardiologists, intensive care doctors and anesthesiologists who participated in the Infarction Code group.

Primary cardiac tumors are a rare entity. Much more common are tumor metastases: breast, lung, soft tissue sarcomas, melanoma, leukemia and lymphomas. 75% of these are of benign lineage and, among them, the atrial myxoma is the most common, presenting around 50%, with greater prevalence in women aged 13 to 80 years. They are located in the left atrium in three quarters of the time. Its symptoms are varied, from asymptomatic patients to those who have had embolism, syncope, arrhythmia, heart failure, asthenia or anorexia among others. We present the clinical case of a patient who undergoes surgery of the left atrial myxoma and the anesthetic management necessary to address this surgery., Los tumores cardiacos primarios son una entidad poco frecuente. Un 75% de éstos son de estirpe benigna y, entre ellos, el mixoma auricular es el más común, presentándose alrededor del 50%, con mayor prevalencia en mujeres de 13 a 80 años. Los síntomas del mismo son muy variados, desde pacientes asintomáticos hasta aquellos que han presentado embolismo, síncope, arritmia, insuficiencia cardiaca, astenia o anorexia entre otros. Presentamos el caso clínico de una paciente que se somete a intervención quirúrgica de mixoma auricular izquierdo y, el manejo anestésico necesario para abordar dicha cirugía.

Background: Cardiac catheterization is a basic diagnostic and therapeutic procedure in cardiological activity, considered a gold test. The latest data published by the Section of Hemodynamics and Interventional Cardiology of the Spanish Society of Cardiology show a remarkable increase in the global number of catheterizations. General Objective: To determine the prevalence of complications in patients undergoing cardiac catheterization in the Santa Inés S.A clinic, during the period January 2012- December 2017. Cuenca 2018. Methodology: A cross-sectional descriptive retrospective study was carried out in the clinic "Santa Inés SA", the clinical histories of patients attended in the department of hemodynamics during the period January 2012- December 2017 were reviewed. The SPSS version 15.0 program was used where they will process and analyze the obtained data. Results: It was determined that 43.7% of the patients undergoing cardiac catheterization were older adults and 62.7 were men; The prevalence of complications in patients undergoing cardiac catheterization in the Santa Inés S.A clinic, during the period January 2012- December 2017 was 0,8. Conclusion: Complications were analyzed in patients undergoing cardiac catheterization, this complication was bigger in old men’s, coronary diseases and diagnostics catheterization. All case was in femoral access.

Background: Cardiac catheterization is a basic diagnostic and therapeutic procedure in cardiological activity, considered a gold test. The latest data published by the Section of Hemodynamics and Interventional Cardiology of the Spanish Society of Cardiology show a remarkable increase in the global number of catheterizations. General Objective: To determine the prevalence of complications in patients undergoing cardiac catheterization in the Santa Inés S.A clinic, during the period January 2012- December 2017. Cuenca 2018. Methodology: A cross-sectional descriptive retrospective study was carried out in the clinic "Santa Inés SA", the clinical histories of patients attended in the department of hemodynamics during the period January 2012- December 2017 were reviewed. The SPSS version 15.0 program was used where they will process and analyze the obtained data. Results: It was determined that 43.7% of the patients undergoing cardiac catheterization were older adults and 62.7 were men; The prevalence of complications in patients undergoing cardiac catheterization in the Santa Inés S.A clinic, during the period January 2012- December 2017 was 0,8. Conclusion: Complications were analyzed in patients undergoing cardiac catheterization, this complication was bigger in old men’s, coronary diseases and diagnostics catheterization. All case was in femoral access.

Background: Cardiac catheterization is a basic diagnostic and therapeutic procedure in cardiological activity, considered a gold test. The latest data published by the Section of Hemodynamics and Interventional Cardiology of the Spanish Society of Cardiology show a remarkable increase in the global number of catheterizations. General Objective: To determine the prevalence of complications in patients undergoing cardiac catheterization in the Santa Inés S.A clinic, during the period January 2012- December 2017. Cuenca 2018. Methodology: A cross-sectional descriptive retrospective study was carried out in the clinic "Santa Inés SA", the clinical histories of patients attended in the department of hemodynamics during the period January 2012- December 2017 were reviewed. The SPSS version 15.0 program was used where they will process and analyze the obtained data. Results: It was determined that 43.7% of the patients undergoing cardiac catheterization were older adults and 62.7 were men; The prevalence of complications in patients undergoing cardiac catheterization in the Santa Inés S.A clinic, during the period January 2012- December 2017 was 0,8. Conclusion: Complications were analyzed in patients undergoing cardiac catheterization, this complication was bigger in old men’s, coronary diseases and diagnostics catheterization. All case was in femoral access.

Desde el año 2007 el Gobierno de Colombia, el sector privado y la academia comenzaron a trabajar en el desarrollo de una política nacional de competitividad a largo plazo, con el objetivo de convertir a Colombia en uno de los tres países más competitivos de América Latina, a través de una economía exportadora de bienes y servicios de alto valor agregado para el año 2032 (Ministerio Industria y Comercio. Programa de Transformación Productiva, 2013). Para ello, el Ministerio de Industria Comercio y Turismo - MINCOMEX- creó en el año 2008 el programa de transformación productiva -PTP- , el cual propende por la generación de crecimiento sostenible en la economía y el empleo, y busca desarrollar sectores altamente competitivos y generadores de valor agregado, alcanzando estándares de clase mundial" (Consejo Nacional de Política Económica y Social. República de Colombia, DNP, Ministerio de Comercio, Industria y Turismo, 2010).