array:24 [
  "pii" => "S0300289622000771"
  "issn" => "03002896"
  "doi" => "10.1016/j.arbres.2021.06.018"
  "estado" => "S300"
  "fechaPublicacion" => "2022-04-01"
  "aid" => "3008"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2022;58:T358"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289621002040"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2021.06.017"
    "estado" => "S300"
    "fechaPublicacion" => "2022-04-01"
    "aid" => "2880"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2022;58:359"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Imagen Cl&#237;nica</span>"
      "titulo" => "M&#250;ltiples n&#243;dulos s&#243;lidos en el seguimiento post-COVID-19 tras neumon&#237;a leve"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "359"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Multiple Solid Nodules at Post-COVID-19 Follow-up After Mild Pneumonia"
        ]
      ]
      "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" => 1250
              "Ancho" => 843
              "Tamanyo" => 182404
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La tomograf&#237;a computarizada de alta resoluci&#243;n &#40;A&#41; muestra m&#250;ltiples n&#243;dulos pulmonares infracentim&#233;tricos &#40;flechas negras&#41; con resoluci&#243;n parcial de los mismos a los 3 meses &#40;B&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jaume Bordas-Martinez, Bel&#233;n del R&#237;o, Maria Molina-Molina"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Jaume"
              "apellidos" => "Bordas-Martinez"
            ]
            1 => array:2 [
              "nombre" => "Bel&#233;n"
              "apellidos" => "del R&#237;o"
            ]
            2 => array:2 [
              "nombre" => "Maria"
              "apellidos" => "Molina-Molina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002040?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621002040/v5_202301090807/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289621001939"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2021.06.009"
    "estado" => "S300"
    "fechaPublicacion" => "2022-04-01"
    "aid" => "2870"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2022;58:358"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Imagen Cl&#237;nica</span>"
      "titulo" => "Tratamiento endosc&#243;pico de f&#237;stula broncoperic&#225;rdica en paciente con c&#225;ncer de pulm&#243;n"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "358"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient"
        ]
      ]
      "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" => 632
              "Ancho" => 950
              "Tamanyo" => 92726
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Corte axial de TC de t&#243;rax donde se objetiva el trayecto fistuloso broncoperic&#225;rdico &#40;flecha negra&#41; junto con neumopericardio &#40;flecha blanca&#41;&#46; B&#46; Visi&#243;n endosc&#243;pica donde se observa dicho trayecto fistuloso&#46; C&#46; Visi&#243;n endosc&#243;pica donde se visualiza spigot de Watanabe al inicio del trayecto fistuloso&#46; D&#46; Corte coronal de TC tras 48 horas visualiz&#225;ndose spigot normoposicionado &#40;flecha&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Esperanza Salcedo Lobera, Francisco M&#46; P&#225;ez Codeso, Guillermo Bentabol Ramos"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Esperanza"
              "apellidos" => "Salcedo Lobera"
            ]
            1 => array:2 [
              "nombre" => "Francisco M&#46;"
              "apellidos" => "P&#225;ez Codeso"
            ]
            2 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Bentabol Ramos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001939?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621001939/v5_202301090807/es/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:18 [
      "pii" => "S0300289621001939"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2021.06.009"
      "estado" => "S300"
      "fechaPublicacion" => "2022-04-01"
      "aid" => "2870"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2022;58:358"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Imagen Cl&#237;nica</span>"
        "titulo" => "Tratamiento endosc&#243;pico de f&#237;stula broncoperic&#225;rdica en paciente con c&#225;ncer de pulm&#243;n"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "358"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient"
          ]
        ]
        "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" => 632
                "Ancho" => 950
                "Tamanyo" => 92726
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Corte axial de TC de t&#243;rax donde se objetiva el trayecto fistuloso broncoperic&#225;rdico &#40;flecha negra&#41; junto con neumopericardio &#40;flecha blanca&#41;&#46; B&#46; Visi&#243;n endosc&#243;pica donde se observa dicho trayecto fistuloso&#46; C&#46; Visi&#243;n endosc&#243;pica donde se visualiza spigot de Watanabe al inicio del trayecto fistuloso&#46; D&#46; Corte coronal de TC tras 48 horas visualiz&#225;ndose spigot normoposicionado &#40;flecha&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Esperanza Salcedo Lobera, Francisco M&#46; P&#225;ez Codeso, Guillermo Bentabol Ramos"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Esperanza"
                "apellidos" => "Salcedo Lobera"
              ]
              1 => array:2 [
                "nombre" => "Francisco M&#46;"
                "apellidos" => "P&#225;ez Codeso"
              ]
              2 => array:2 [
                "nombre" => "Guillermo"
                "apellidos" => "Bentabol Ramos"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001939?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621001939/v5_202301090807/es/main.assets"
    ]
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => " Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "T358"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Esperanza Salcedo Lobera, Francisco M&#46; P&#225;ez Codeso, Guillermo Bentabol Ramos"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Esperanza"
            "apellidos" => "Salcedo Lobera"
            "email" => array:1 [
              0 => "esalcedolobera@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Francisco M&#46;"
            "apellidos" => "P&#225;ez Codeso"
          ]
          2 => array:2 [
            "nombre" => "Guillermo"
            "apellidos" => "Bentabol Ramos"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de gesti&#243;n cl&#237;nica m&#233;dico-quir&#250;rgica de enfermedades respiratorias&#44; Hospital Regional Universitario de M&#225;laga&#44; M&#225;laga&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Tratamiento endosc&#243;pico de f&#237;stula broncoperic&#225;rdica en paciente con c&#225;ncer de pulm&#243;n"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 632
            "Ancho" => 950
            "Tamanyo" => 92726
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Axial CT scan of the chest showing the path of the bronchopericardial fistula &#40;black arrow&#41; and pneumopericardium &#40;white arrow&#41;&#46; &#40;B&#41; Endoscopic image showing the fistula trajectory&#46; &#40;C&#41; Endoscopic view where Watanabe spigot can be seen at the beginning of the fistula trajectory&#46; &#40;D&#41; Coronal CT slice after 48<span class="elsevierStyleHsp" style=""></span>h showing correct positioning of the spigot &#40;arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 71-year-old man&#44; former smoker with a cumulative smoking index of 80 pack-years&#44; diagnosed with T4N2M1 squamous cell carcinoma of the lung 2 years previously&#44; receiving chemotherapy and radiation therapy&#46; He attended the emergency room with a 48-h history of asthenia&#44; and hypotension was detected&#46; Computed tomography showed tension pneumopericardium &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; and bronchoscopy revealed a fistula orifice of about 5<span class="elsevierStyleHsp" style=""></span>mm in the distal third of the left main bronchus which was constricted by the tumor &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; We decided to close the fistula by implanting a 6<span class="elsevierStyleHsp" style=""></span>mm Watanabe spigot to occlude the fistula orifice and surround it with Bioglue&#174; biological sealant &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; A follow-up computed tomography scan was performed at 48<span class="elsevierStyleHsp" style=""></span>h&#44; and the spigot was seen to be in the correct position &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#46; The patient progressed well&#44; but despite this&#44; he died a week later due to massive hemoptysis&#46; Bronchopericardial fistula causing pneumopericardium is a rare and often lethal complication of lung carcinoma&#46; Surgical treatment of bronchopericardial fistula is often unsuccessful due to anatomical limitations and intra-operative hemodynamic instability&#46; Endoscopic management has rarely been used&#46; We found no literature describing the implantation of a spigot in this indication&#44; and very few other alternative treatment options are available&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">This paper has not received any funding&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interests"
        ]
        2 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 632
            "Ancho" => 950
            "Tamanyo" => 92726
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Axial CT scan of the chest showing the path of the bronchopericardial fistula &#40;black arrow&#41; and pneumopericardium &#40;white arrow&#41;&#46; &#40;B&#41; Endoscopic image showing the fistula trajectory&#46; &#40;C&#41; Endoscopic view where Watanabe spigot can be seen at the beginning of the fistula trajectory&#46; &#40;D&#41; Coronal CT slice after 48<span class="elsevierStyleHsp" style=""></span>h showing correct positioning of the spigot &#40;arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumopericardium due to brochopericardial fistula in a patient with lung cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Lages"
                            1 => "C&#46;C&#46; Oliveira"
                            2 => "C&#46; Lacerda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bcr-2018-226939"
                      "Revista" => array:2 [
                        "tituloSerie" => "BMJ Case Rep"
                        "fecha" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non-small-cell lung cancer with brochopericardial fistula formation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Gharwan"
                            1 => "R&#46; Erlich"
                            2 => "L&#46; Skaryak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1200/JCO.2010.31.9483"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Clin Oncol"
                        "fecha" => "2011"
                        "volumen" => "29"
                        "paginaInicial" => "141"
                        "paginaFinal" => "142"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03002896/0000005800000004/v5_202301090807/S0300289622000771/v5_202301090807/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "93646"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Clinical Images&#47;Im&#225;genes cl&#237;nicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000004/v5_202301090807/S0300289622000771/v5_202301090807/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000771?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Clinical Image
Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient
Tratamiento endoscópico de fístula broncopericárdica en paciente con cáncer de pulmón
Esperanza Salcedo Lobera
Corresponding author
esalcedolobera@gmail.com

Corresponding author.
, Francisco M. Páez Codeso, Guillermo Bentabol Ramos
Unidad de gestión clínica médico-quirúrgica de enfermedades respiratorias, Hospital Regional Universitario de Málaga, Málaga, Spain
Read
2441
Times
was read the article
790
Total PDF
1651
Total HTML
Share statistics
 array:24 [
  "pii" => "S0300289622000771"
  "issn" => "03002896"
  "doi" => "10.1016/j.arbres.2021.06.018"
  "estado" => "S300"
  "fechaPublicacion" => "2022-04-01"
  "aid" => "3008"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2022;58:T358"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289621002040"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2021.06.017"
    "estado" => "S300"
    "fechaPublicacion" => "2022-04-01"
    "aid" => "2880"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2022;58:359"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Imagen Cl&#237;nica</span>"
      "titulo" => "M&#250;ltiples n&#243;dulos s&#243;lidos en el seguimiento post-COVID-19 tras neumon&#237;a leve"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "359"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Multiple Solid Nodules at Post-COVID-19 Follow-up After Mild Pneumonia"
        ]
      ]
      "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" => 1250
              "Ancho" => 843
              "Tamanyo" => 182404
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La tomograf&#237;a computarizada de alta resoluci&#243;n &#40;A&#41; muestra m&#250;ltiples n&#243;dulos pulmonares infracentim&#233;tricos &#40;flechas negras&#41; con resoluci&#243;n parcial de los mismos a los 3 meses &#40;B&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jaume Bordas-Martinez, Bel&#233;n del R&#237;o, Maria Molina-Molina"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Jaume"
              "apellidos" => "Bordas-Martinez"
            ]
            1 => array:2 [
              "nombre" => "Bel&#233;n"
              "apellidos" => "del R&#237;o"
            ]
            2 => array:2 [
              "nombre" => "Maria"
              "apellidos" => "Molina-Molina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002040?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621002040/v5_202301090807/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289621001939"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2021.06.009"
    "estado" => "S300"
    "fechaPublicacion" => "2022-04-01"
    "aid" => "2870"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2022;58:358"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Imagen Cl&#237;nica</span>"
      "titulo" => "Tratamiento endosc&#243;pico de f&#237;stula broncoperic&#225;rdica en paciente con c&#225;ncer de pulm&#243;n"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "358"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient"
        ]
      ]
      "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" => 632
              "Ancho" => 950
              "Tamanyo" => 92726
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Corte axial de TC de t&#243;rax donde se objetiva el trayecto fistuloso broncoperic&#225;rdico &#40;flecha negra&#41; junto con neumopericardio &#40;flecha blanca&#41;&#46; B&#46; Visi&#243;n endosc&#243;pica donde se observa dicho trayecto fistuloso&#46; C&#46; Visi&#243;n endosc&#243;pica donde se visualiza spigot de Watanabe al inicio del trayecto fistuloso&#46; D&#46; Corte coronal de TC tras 48 horas visualiz&#225;ndose spigot normoposicionado &#40;flecha&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Esperanza Salcedo Lobera, Francisco M&#46; P&#225;ez Codeso, Guillermo Bentabol Ramos"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Esperanza"
              "apellidos" => "Salcedo Lobera"
            ]
            1 => array:2 [
              "nombre" => "Francisco M&#46;"
              "apellidos" => "P&#225;ez Codeso"
            ]
            2 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Bentabol Ramos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001939?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621001939/v5_202301090807/es/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:18 [
      "pii" => "S0300289621001939"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2021.06.009"
      "estado" => "S300"
      "fechaPublicacion" => "2022-04-01"
      "aid" => "2870"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2022;58:358"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Imagen Cl&#237;nica</span>"
        "titulo" => "Tratamiento endosc&#243;pico de f&#237;stula broncoperic&#225;rdica en paciente con c&#225;ncer de pulm&#243;n"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "358"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient"
          ]
        ]
        "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" => 632
                "Ancho" => 950
                "Tamanyo" => 92726
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Corte axial de TC de t&#243;rax donde se objetiva el trayecto fistuloso broncoperic&#225;rdico &#40;flecha negra&#41; junto con neumopericardio &#40;flecha blanca&#41;&#46; B&#46; Visi&#243;n endosc&#243;pica donde se observa dicho trayecto fistuloso&#46; C&#46; Visi&#243;n endosc&#243;pica donde se visualiza spigot de Watanabe al inicio del trayecto fistuloso&#46; D&#46; Corte coronal de TC tras 48 horas visualiz&#225;ndose spigot normoposicionado &#40;flecha&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Esperanza Salcedo Lobera, Francisco M&#46; P&#225;ez Codeso, Guillermo Bentabol Ramos"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Esperanza"
                "apellidos" => "Salcedo Lobera"
              ]
              1 => array:2 [
                "nombre" => "Francisco M&#46;"
                "apellidos" => "P&#225;ez Codeso"
              ]
              2 => array:2 [
                "nombre" => "Guillermo"
                "apellidos" => "Bentabol Ramos"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001939?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621001939/v5_202301090807/es/main.assets"
    ]
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => " Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "T358"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Esperanza Salcedo Lobera, Francisco M&#46; P&#225;ez Codeso, Guillermo Bentabol Ramos"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Esperanza"
            "apellidos" => "Salcedo Lobera"
            "email" => array:1 [
              0 => "esalcedolobera@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Francisco M&#46;"
            "apellidos" => "P&#225;ez Codeso"
          ]
          2 => array:2 [
            "nombre" => "Guillermo"
            "apellidos" => "Bentabol Ramos"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de gesti&#243;n cl&#237;nica m&#233;dico-quir&#250;rgica de enfermedades respiratorias&#44; Hospital Regional Universitario de M&#225;laga&#44; M&#225;laga&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Tratamiento endosc&#243;pico de f&#237;stula broncoperic&#225;rdica en paciente con c&#225;ncer de pulm&#243;n"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 632
            "Ancho" => 950
            "Tamanyo" => 92726
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Axial CT scan of the chest showing the path of the bronchopericardial fistula &#40;black arrow&#41; and pneumopericardium &#40;white arrow&#41;&#46; &#40;B&#41; Endoscopic image showing the fistula trajectory&#46; &#40;C&#41; Endoscopic view where Watanabe spigot can be seen at the beginning of the fistula trajectory&#46; &#40;D&#41; Coronal CT slice after 48<span class="elsevierStyleHsp" style=""></span>h showing correct positioning of the spigot &#40;arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 71-year-old man&#44; former smoker with a cumulative smoking index of 80 pack-years&#44; diagnosed with T4N2M1 squamous cell carcinoma of the lung 2 years previously&#44; receiving chemotherapy and radiation therapy&#46; He attended the emergency room with a 48-h history of asthenia&#44; and hypotension was detected&#46; Computed tomography showed tension pneumopericardium &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; and bronchoscopy revealed a fistula orifice of about 5<span class="elsevierStyleHsp" style=""></span>mm in the distal third of the left main bronchus which was constricted by the tumor &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; We decided to close the fistula by implanting a 6<span class="elsevierStyleHsp" style=""></span>mm Watanabe spigot to occlude the fistula orifice and surround it with Bioglue&#174; biological sealant &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; A follow-up computed tomography scan was performed at 48<span class="elsevierStyleHsp" style=""></span>h&#44; and the spigot was seen to be in the correct position &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#46; The patient progressed well&#44; but despite this&#44; he died a week later due to massive hemoptysis&#46; Bronchopericardial fistula causing pneumopericardium is a rare and often lethal complication of lung carcinoma&#46; Surgical treatment of bronchopericardial fistula is often unsuccessful due to anatomical limitations and intra-operative hemodynamic instability&#46; Endoscopic management has rarely been used&#46; We found no literature describing the implantation of a spigot in this indication&#44; and very few other alternative treatment options are available&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">This paper has not received any funding&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interests"
        ]
        2 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 632
            "Ancho" => 950
            "Tamanyo" => 92726
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Axial CT scan of the chest showing the path of the bronchopericardial fistula &#40;black arrow&#41; and pneumopericardium &#40;white arrow&#41;&#46; &#40;B&#41; Endoscopic image showing the fistula trajectory&#46; &#40;C&#41; Endoscopic view where Watanabe spigot can be seen at the beginning of the fistula trajectory&#46; &#40;D&#41; Coronal CT slice after 48<span class="elsevierStyleHsp" style=""></span>h showing correct positioning of the spigot &#40;arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumopericardium due to brochopericardial fistula in a patient with lung cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Lages"
                            1 => "C&#46;C&#46; Oliveira"
                            2 => "C&#46; Lacerda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bcr-2018-226939"
                      "Revista" => array:2 [
                        "tituloSerie" => "BMJ Case Rep"
                        "fecha" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non-small-cell lung cancer with brochopericardial fistula formation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Gharwan"
                            1 => "R&#46; Erlich"
                            2 => "L&#46; Skaryak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1200/JCO.2010.31.9483"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Clin Oncol"
                        "fecha" => "2011"
                        "volumen" => "29"
                        "paginaInicial" => "141"
                        "paginaFinal" => "142"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03002896/0000005800000004/v5_202301090807/S0300289622000771/v5_202301090807/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "93646"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Clinical Images&#47;Im&#225;genes cl&#237;nicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000004/v5_202301090807/S0300289622000771/v5_202301090807/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000771?idApp=UINPBA00003Z"
]
Article information
ISSN: 03002896
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 1 5
2024 October 67 19 86
2024 September 56 14 70
2024 August 72 34 106
2024 July 47 17 64
2024 June 49 19 68
2024 May 67 29 96
2024 April 38 21 59
2024 March 36 18 54
2024 February 61 25 86
2024 January 39 23 62
2023 December 71 24 95
2023 November 59 19 78
2023 October 81 21 102
2023 September 54 23 77
2023 August 35 27 62
2023 July 67 24 91
2023 June 79 13 92
2023 May 40 16 56
2023 April 39 27 66
2023 March 46 35 81
2023 February 29 15 44
2023 January 42 34 76
2022 December 41 29 70
2022 November 52 19 71
2022 October 52 33 85
2022 September 49 23 72
2022 August 47 42 89
2022 July 38 40 78
2022 June 48 38 86
2022 May 130 68 198
2022 March 16 0 16
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?