1. Hospital Metropolitano Department of Surgery, Division of Cardiothoracic Surgery, , Quito, Ecuador
2. Hospital Metropolitano Department of Pathology, , Quito, Ecuador
3. Universidad Internacional del Ecuador (UIDE) Ecuador PGY2 General Surgery, , Quito, Ecuador
4. Hospital Metropolitano and Universidad San Francisco de Quito (USFQ) Department of Surgery, , Quito, Ecuador