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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 Clínica</span>" "titulo" => "Múltiples nódulos sólidos en el seguimiento post-COVID-19 tras neumonía 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 tomografía computarizada de alta resolución (A) muestra múltiples nódulos pulmonares infracentimétricos (flechas negras) con resolución parcial de los mismos a los 3 meses (B).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jaume Bordas-Martinez, Belén del Río, Maria Molina-Molina" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jaume" "apellidos" => "Bordas-Martinez" ] 1 => array:2 [ "nombre" => "Belén" "apellidos" => "del Río" ] 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 Clínica</span>" "titulo" => "Tratamiento endoscópico de fístula broncopericárdica en paciente con cáncer de pulmón" "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. Corte axial de TC de tórax donde se objetiva el trayecto fistuloso broncopericárdico (flecha negra) junto con neumopericardio (flecha blanca). B. Visión endoscópica donde se observa dicho trayecto fistuloso. C. Visión endoscópica donde se visualiza spigot de Watanabe al inicio del trayecto fistuloso. D. Corte coronal de TC tras 48 horas visualizándose spigot normoposicionado (flecha).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Esperanza Salcedo Lobera, Francisco M. Páez Codeso, Guillermo Bentabol Ramos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Esperanza" "apellidos" => "Salcedo Lobera" ] 1 => array:2 [ "nombre" => "Francisco M." "apellidos" => "Páez 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 Clínica</span>" "titulo" => "Tratamiento endoscópico de fístula broncopericárdica en paciente con cáncer de pulmón" "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. Corte axial de TC de tórax donde se objetiva el trayecto fistuloso broncopericárdico (flecha negra) junto con neumopericardio (flecha blanca). B. Visión endoscópica donde se observa dicho trayecto fistuloso. C. Visión endoscópica donde se visualiza spigot de Watanabe al inicio del trayecto fistuloso. D. Corte coronal de TC tras 48 horas visualizándose spigot normoposicionado (flecha).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Esperanza Salcedo Lobera, Francisco M. Páez Codeso, Guillermo Bentabol Ramos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Esperanza" "apellidos" => "Salcedo Lobera" ] 1 => array:2 [ "nombre" => "Francisco M." "apellidos" => "Páez 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. Páez 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">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Francisco M." "apellidos" => "Páez Codeso" ] 2 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Bentabol Ramos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de gestión clínica médico-quirúrgica de enfermedades respiratorias, Hospital Regional Universitario de Málaga, Málaga, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento endoscópico de fístula broncopericárdica en paciente con cáncer de pulmón" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 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">(A) Axial CT scan of the chest showing the path of the bronchopericardial fistula (black arrow) and pneumopericardium (white arrow). (B) Endoscopic image showing the fistula trajectory. (C) Endoscopic view where Watanabe spigot can be seen at the beginning of the fistula trajectory. (D) Coronal CT slice after 48<span class="elsevierStyleHsp" style=""></span>h showing correct positioning of the spigot (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 71-year-old man, former smoker with a cumulative smoking index of 80 pack-years, diagnosed with T4N2M1 squamous cell carcinoma of the lung 2 years previously, receiving chemotherapy and radiation therapy. He attended the emergency room with a 48-h history of asthenia, and hypotension was detected. Computed tomography showed tension pneumopericardium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) 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 (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). 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® biological sealant (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). A follow-up computed tomography scan was performed at 48<span class="elsevierStyleHsp" style=""></span>h, and the spigot was seen to be in the correct position (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). The patient progressed well, but despite this, he died a week later due to massive hemoptysis. Bronchopericardial fistula causing pneumopericardium is a rare and often lethal complication of lung carcinoma. Surgical treatment of bronchopericardial fistula is often unsuccessful due to anatomical limitations and intra-operative hemodynamic instability. Endoscopic management has rarely been used. We found no literature describing the implantation of a spigot in this indication, and very few other alternative treatment options are available.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</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.</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.</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. 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">(A) Axial CT scan of the chest showing the path of the bronchopericardial fistula (black arrow) and pneumopericardium (white arrow). (B) Endoscopic image showing the fistula trajectory. (C) Endoscopic view where Watanabe spigot can be seen at the beginning of the fistula trajectory. (D) Coronal CT slice after 48<span class="elsevierStyleHsp" style=""></span>h showing correct positioning of the spigot (arrow).</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. Lages" 1 => "C.C. Oliveira" 2 => "C. 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. Gharwan" 1 => "R. Erlich" 2 => "L. 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/Imágenes clínicas" "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" ]
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