Tetralogy of Fallot in a 73-year-old woman

Introduction Tetralogy of Fallot (TF) is the most common cyanotic congenital cardiopathy, representing around 5% of all heart diseases of congenital origin. It was first described in 1671 by Dan Stentson, but until 1888, Doctor Etienne-Louis Fallot detailed the four main cardiac defects derived from malformation of the aorticopulmonary septum1. Pathophysiologically, these defects cause the […]

Awake fiberoptic intubation in a patient with tongue base cancer and limited mouth opening

Introduction Awake fiberoptic intubation (AFOI) is the technique of choice for managing anticipated difficult airways, as it allows tracheal intubation in an awake, spontaneously breathing patient before induction of general anesthesia, thereby minimizing the risk of a “cannot intubate, cannot oxygenate” scenario1. Successful awake intubation depends on proper patient selection, meticulous preparation, and a team […]

Diagnosis of acute biliary pancreatitis in the absence of imaging findings

Introduction Acute pancreatitis is defined as a sudden inflammation of the pancreas, and that can compromise adjacent structures, such as the peritoneum1. This condition represents one of the main gastrointestinal causes of hospitalization worldwide; with its incidence estimated between 13 and 45 cases/100,000 inhabitants per year, and it increases with each year; however, the incidence […]

Simultaneous cardiocerebral infarction complicated by cardiogenic shock

Introduction Cardio-cerebral infarction (CCI) is the occurrence of both acute ischemic stroke (AIS) and acute myocardial infarction (AMI) at the same time (simultaneous or synchronous) or consecutively (metachronous). According to published literature, metachronous CCI occurs with an incidence of 0.9-12.7%1. In contrast, synchronous CCI (occurrence of AMI and AIS within 48 h) is extremely rare, […]