La hipertension portal como causa de masa mediastinica retrocardiaca. A proposito de dos casos
Portal hypertension as cause of retrocardiac mediastinal mass. Based on two cases
F.J. Alvarez Moro, C. Molino Trinidad, R. Salvador Tarrasón
Servicio de Radiodiagnóstico. Ciudad Sanitaria «Francisco Franco». Barcelona
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Comments based on one case" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V. Montagut, D. Bofill, A. Grau, B. Cabrer, F. Bertomeu, I. Rodríguez, E. Simó" "autores" => array:7 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Montagut" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Bofill" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Grau" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Cabrer" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Bertomeu" ] 5 => array:2 [ "nombre" => "I." "apellidos" => "Rodríguez" ] 6 => array:2 [ "nombre" => "E." "apellidos" => "Simó" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615325977?idApp=UINPBA00003Z" "url" => "/03002896/0000001400000004/v1_201509151328/S0300289615325977/v1_201509151328/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "La hipertension portal como causa de masa mediastinica retrocardiaca. A proposito de dos casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "182" "paginaFinal" => "183" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "F.J. Alvarez Moro, C. Molino Trinidad, R. Salvador Tarrasón" "autores" => array:3 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Alvarez Moro" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Molino Trinidad" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Salvador Tarrasón" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiodiagnóstico. Ciudad Sanitaria «Francisco Franco». Barcelona" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Portal hypertension as cause of retrocardiac mediastinal mass. Based on two cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1978-03-10" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 2 casos de masa mediastínica retrocardíaca de origen vascular en enfermos con hipertensión portal, valorando la importancia del estudio de las líneas mediastínicas paraesofágicas y paraespinales que resultan desviadas de su trayecto normal por estas masas.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los procesos mediastínicos que pueden verse con desplazamiento de estas líneas son múltiples. Así, la acalasia, hernia de hiato, neoplasias esofágicas, enfermedades inflamatorias de la columna vertebral (Pott), traumatismos vertebrales con formación de hematoma, focos de hematopoyesis extramedular, linfoma, tumores de origen nervioso, etc.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En los enfermos con hipertensión portal la ingurgitación del plexo venoso esofágico y la dilatación de las ázigos y hemiázigos originan la aparición de una masa mediastínica retrocardíaca.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las maniobras respiratorias, las diferentes posiciones y, por último, el esofagograma son concluyentes para demostrar la naturaleza vascular de la lesión.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authors present two cases of retrocardiac mediastinal mass of vascular origin in patients with portal hypertension, evaluating the importance of the study of the paraesophageal and paraspinal mediastinal lines that are deviated from their normal route by these masses.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The mediastinal processes that can be seen with the displacement of these lines are multiple, such a achalasia, hiatal hernia, esophageal neoplasia, inflammatory diseases of the spinal column (Pott), vertebral wounds with formation of hematoma, foci of extramedulary hematopoiesis, lymphoma, tumors of nervous origin, etc.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In patients with portal hypertension, the ingurgitation of the esophageal venous plexus and the dilatation of the azygos and hemiazygos cause the appearance of a retrocardiac mediastinal mass.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Respiratory maneuvers, different positions and finally the esophagogram are conclusive for demonstrating the vascular nature of the lesión.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The pleural-esophageal reflection: an aid in the evaluation of esophageal disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.S. Ormond" 1 => "J.R. Jaconette" 2 => "A.W. Templeton" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/80.5.738" "Revista" => array:5 [ "tituloSerie" => "Radiology" "fecha" => "1963" "volumen" => "80" "paginaInicial" => "738" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13940378" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The mediastinum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T.F. Leigh" 1 => "H.S. 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