La oclusión quirúrgica de la orejuela izquierda durante la cirugía cardiaca ha demostrado disminuir el riesgo de stroke y embolia sistémica de forma significativa en los pacientes con fibrilación auricular, siendo actualmente un procedimiento con un alto grado de recomendación. Como cirujanos cardiovasculares tenemos la oportunidad de ofrecer este procedimiento quirúrgico adicional de impacto, pero debemos conocer sus principios anatómicos y quirúrgicos, además de la mayor evidencia que sustenta su indicación.

Surgical occlusion of the left atrial appendage during cardiac surgery has been shown to significantly reduce the risk of stroke and systemic embolism in patients with atrial fibrillation and is currently a procedure with a high degree of recommendation. As cardiovascular surgeons we have the opportunity to offer this additional impactful surgical procedure, so the objective of this review is to understand its anatomical and surgical principles, in addition to evaluating the evidence that supports its indication.

Introducción: La pandemia de la COVID-19 ha provocado aproximadamente 182 millones de casos y cerca de cuatro millones de muertes en todo el mundo, comprometiendo con mayor frecuencia a personas de 25 y 64 años de edad. Esta infección afecta principalmente al sistema respiratorio, pero otros órganos y sistemas pueden verse afectados a corto plazo como el neurológico. Una gran población de pacientes ha logrado superar la infección por el SARS-CoV-2, sin embargo, han comenzado a reportarse una serie de manifestaciones clínicas tardías, básicamente neuropsiquiátricas, dentro de ellas se ha referido a la ansiedad, depresión, deterioro del sueño, dolor muscular, mareos, cefaleas, fatiga, anosmia, entre otros; a este conjunto de manifestaciones tardías se le ha denominado síndrome neurológico post-Covid-19 y requiere por un lado, la atención de la comunidad médica para invest...

Background: The COVID-19 pandemic has caused approximately 182 million cases and nearly four million deaths worldwide, most frequently involving people between 25 and 64 years of age. This infection primarily affects the respiratory system, but other organs and systems can be affected in the short term, such as the neurological system. A large population of patients has managed to overcome the SARS-CoV-2 infection, however, a serie of late clinical manifestations have begun to be reported, basically neuropsychiatric, including anxiety, depression, disorder of sleep, muscle pain, dizziness, headaches, fatigue, anosmia, among others; this set of late manifestations has been called post-Covid-19 neurological syndrome and requires, on the one hand, the attention of the medical community to investigate the late manifestations or sequel of this disease and, on the other hand, medical vigilance...

We present a 64-year-old man diagnosed with Hodgkin's lymphoma at 3 years, who received chemotherapy and several sessions of Mediastinal Radiotherapy (MRT), which caused torrential tricuspid regurgitation (TR), complete heart block (CHB) and porcelain aorta. The patient successfully underwent complex tricuspid repair without cardiac arrest and implantation of an epicardial pacemaker.