Imagen clínica
Aneurisma de la arteria pulmonar
Pulmonary Artery Aneurysm
Victoria Mayoral-Campos
, José Luis de Benito-Arévalo, Marzo Antonio Varea-Sanz
Corresponding author
Servicio de Radiología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España
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Chest CT with the administration of intravenous contrast, sagittal and axial projection (C and D) confirms an aneurysmatic dilatation of the conus arteriosus.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Victoria Mayoral-Campos, José Luis de Benito-Arévalo, Marzo Antonio Varea-Sanz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Victoria" "apellidos" => "Mayoral-Campos" ] 1 => array:2 [ "nombre" => "José Luis" "apellidos" => "de Benito-Arévalo" ] 2 => array:2 [ "nombre" => "Marzo Antonio" "apellidos" => "Varea-Sanz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289613002378" "doi" => "10.1016/j.arbres.2013.07.016" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289613002378?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212913001882?idApp=UINPBA00003Z" "url" => "/15792129/0000004900000012/v1_201312010030/S1579212913001882/v1_201312010030/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0300289613001002" "issn" => "03002896" "doi" => "10.1016/j.arbres.2013.02.010" "estado" => "S300" "fechaPublicacion" => "2013-12-01" "aid" => "770" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Arch Bronconeumol. 2013;49:553-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 15391 "formatos" => array:3 [ "EPUB" => 109 "HTML" => 14675 "PDF" => 607 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>" "titulo" => "Hernia intercostal invertida de tejido blando de la pared torácica: hallazgos en la tomografía computarizada multidetector" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "553" "paginaFinal" => "554" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Inverted Intercostal Hernia of Soft Tissue of the Chest Wall: Multi-Detector Computed Tomography Findings" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2038 "Ancho" => 1979 "Tamanyo" => 444137 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">TC axial (A) y sagital (B) con contraste, con reconstrucciones (C,D), en que se observa una herniación en forma de lente convexa y una incarceración de tejido blando de la pared posterior derecha del tórax (capa de grasa subcutánea y músculo romboides mayor) en la cavidad pleural a través del espacio ensanchado existente entre la sexta y la octava costillas.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ulysses S. 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A)<span class="elsevierStyleHsp" style=""></span>Secuencia normal. B)<span class="elsevierStyleHsp" style=""></span>Secuencia correspondiente a la paciente, donde se ve la inserción de una timina (T) en vez de una adenina (A) en el codón 376 del exón 5 en heterocigosis, correspondiente al alelo PI-Mattawa. La secuencia codificante del gen SERPINA1 (exones 2 a 5) se analizó utilizando <span class="elsevierStyleItalic">primers</span> previamente descritos para los exones 3 a 5 y <span class="elsevierStyleItalic">primers</span> ex2F 5′ACGTGGTGTCAATCCCTGATCACTG3′ y ex2R 5′TATGGGAACAGCTGG3′ para el exón 2, tomando como referencia comparativa la SERPINA1_Transcript_ENST00000440909.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Beatriz Lara, Beatriz Martínez-Delgado, Maria Luisa Torres, Sandra Marín-Arguedas, Ana Bustamante, Marc Miravitlles" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Lara" ] 1 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Martínez-Delgado" ] 2 => array:2 [ "nombre" => "Maria Luisa" "apellidos" => "Torres" ] 3 => array:2 [ "nombre" => "Sandra" "apellidos" => "Marín-Arguedas" ] 4 => array:2 [ "nombre" => "Ana" "apellidos" => "Bustamante" ] 5 => array:2 [ "nombre" => "Marc" "apellidos" => "Miravitlles" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212913001924" "doi" => "10.1016/j.arbr.2013.10.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212913001924?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961300152X?idApp=UINPBA00003Z" "url" => "/03002896/0000004900000012/v1_201312040037/S030028961300152X/v1_201312040037/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen clínica</span>" "titulo" => "Aneurisma de la arteria pulmonar" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "551" "paginaFinal" => "552" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Victoria Mayoral-Campos, José Luis de Benito-Arévalo, Marzo Antonio Varea-Sanz" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Victoria" "apellidos" => "Mayoral-Campos" "email" => array:1 [ 0 => "vickymayoral@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "José Luis" "apellidos" => "de Benito-Arévalo" ] 2 => array:2 [ "nombre" => "Marzo Antonio" "apellidos" => "Varea-Sanz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary Artery Aneurysm" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 573 "Ancho" => 2600 "Tamanyo" => 183554 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rx tórax PA (A) y lateral (B) en la que se visualiza lesión redondeada de perfiles lisos localizada a nivel del hilio izquierdo en la proyección PA (flechas 1A), que se proyecta al espacio retroesternal (flecha 1B). La TC torácica con la administración de CIV, proyección sagital y axial (C-D) confirma la dilatación aneurismática del cono de la arteria pulmonar.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Presentamos el caso de un paciente de 77<span class="elsevierStyleHsp" style=""></span>años, con antecedentes de hipertensión y glaucoma, que ingresó en nuestro hospital por cuadro de disnea de reposo, sin tos ni expectoración. Como hallazgo casual, en la radiografía de tórax (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A-B) se evidenció imagen sacular de bordes bien definidos a nivel del hilio izquierdo (flechas 1A) y que se extendía hacia el espacio retroesternal (flecha 1B). Se decidió completar el estudio con TC torácica con contraste yodado intravenoso (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>C-D), en la que se informó dilatación aneurismática del cono de la arteria pulmonar de 75<span class="elsevierStyleHsp" style=""></span>mm de diámetro (p), sin apreciar otros hallazgos de interés. Se optó por una conducta conservadora en referencia al aneurisma debido a los antecedentes clínicos (asintomático localizado en el tronco pulmonar, y sin datos que indiquen alto riesgo de rotura).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Los aneurismas de la arteria pulmonar son entidades raras<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> y de difícil diagnóstico por su baja prevalencia, puesto que a menudo se presentan con síntomas inespecíficos o incluso en pacientes asintomáticos<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>. En la literatura mundial solo se encuentran documentados algunos casos aislados, y todavía no está claro su manejo.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-07-15" "fechaAceptado" => "2013-07-19" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 573 "Ancho" => 2600 "Tamanyo" => 183554 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rx tórax PA (A) y lateral (B) en la que se visualiza lesión redondeada de perfiles lisos localizada a nivel del hilio izquierdo en la proyección PA (flechas 1A), que se proyecta al espacio retroesternal (flecha 1B). La TC torácica con la administración de CIV, proyección sagital y axial (C-D) confirma la dilatación aneurismática del cono de la arteria pulmonar.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Idiopathıc pulmonary artery aneurysm" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G. Orman" 1 => "T.S. Guvenc" 2 => "B. Balci" 3 => "M. Duymus" 4 => "T. Sevingil" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.athoracsur.2012.08.044" "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2013" "volumen" => "95" "paginaInicial" => "e33" "paginaFinal" => "e34" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23336912" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Idiopathic pulmonary artery aneurysm: Report of a case and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.E. Tomás Labat" 1 => "S. Beltrán Beltrán" 2 => "S. Molina Naveros" 3 => "F. Navarro Botella" 4 => "D. Alvarez Soto" 5 => "E. Pérez Moro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "An Med Interna" "fecha" => "2005" "volumen" => "22" "paginaInicial" => "329" "paginaFinal" => "331" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16288578" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000004900000012/v1_201312040037/S0300289613002378/v1_201312040037/es/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000004900000012/v1_201312040037/S0300289613002378/v1_201312040037/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289613002378?idApp=UINPBA00003Z" ]
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| 2014 June | 65 | 0 | 65 |
| 2014 May | 79 | 0 | 79 |
| 2014 April | 91 | 0 | 91 |
| 2014 March | 100 | 0 | 100 |
| 2014 February | 6 | 0 | 6 |
| 2014 January | 17 | 0 | 17 |
| 2013 December | 41 | 0 | 41 |
| 2013 October | 1 | 0 | 1 |
Show all
