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array:24 [ "pii" => "S0300289622001879" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.12.018" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "3051" "copyright" => "SEPAR" "copyrightAnyo" => "2022" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:T352-T353" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622000229" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.01.006" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2993" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:354-5" "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">Caso clínico</span>" "titulo" => "Síndrome posneumonectomía en paciente con síndrome de Swyer-James-MacLeod" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "354" "paginaFinal" => "355" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Postpneumonectomy Syndrome in a Patient With Swyer-James-MacLeod Syndrome" ] ] "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" => 836 "Ancho" => 1505 "Tamanyo" => 155447 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Radiografía de tórax que muestra una silueta cardíaca de disposición derecha, con hiperinsuflación y herniación del pulmón izquierdo ocupando ambos hemitórax. B) TAC de tórax con contraste i.v. (corte coronal) donde se objetiva permeabilidad vascular, identificándose el bronquio principal izquierdo (*) interpuesto entre la arteria pulmonar y la aorta. C y D) TAC con contraste i.v. con ventana de parénquima (cortes axiales) que muestra rotación antihoraria de estructuras mediastínicas que se desplazan a la derecha disponiéndose en un plano posterior, hiperinsuflación pulmonar izquierda con herniación derecha y bronquio principal izquierdo (*) discurriendo entre la arteria pulmonar izquierda y la aorta descendente, sin datos de compresión extrínseca y manteniendo un calibre adecuado.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina Benito Bernáldez, Antonia Mora Jurado, Virginia Almadana Pacheco" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Benito Bernáldez" ] 1 => array:2 [ "nombre" => "Antonia" "apellidos" => "Mora Jurado" ] 2 => array:2 [ "nombre" => "Virginia" "apellidos" => "Almadana Pacheco" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000229?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289622000229/v5_202301090807/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622000059" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.12.009" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2978" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:352-3" "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">Caso clínico</span>" "titulo" => "Metástasis cardiacas en paciente con tumor fibroso solitario pleural" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "352" "paginaFinal" => "353" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cardiac Metastases in a Patient with a Pleural Solitary Fibrous Tumor" ] ] "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" => 1124 "Ancho" => 1250 "Tamanyo" => 126018 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Imagen axial de TC de tórax (ventana de parénquima pulmonar), en la que se visualizan múltiples nódulos pulmonares bilaterales. B) y C) Imágenes axial (B) y sagital (C) de TC de tórax (ventana de mediastino), en las que se observan varios nódulos en el espesor miocárdico de la pared libre del ventrículo derecho (flecha blanca), septo interventricular (flechas negras cortas) y pared libre del ventrículo izquierdo (flecha negra larga). D) Imagen axial de TC de tórax (ventana de mediastino), en la que se identifican defectos de repleción en las arterias pulmonares (flechas).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ignacio Jara Alonso, Sara González Castro, Luis Gorospe Sarasúa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Jara Alonso" ] 1 => array:2 [ "nombre" => "Sara" "apellidos" => "González Castro" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe Sarasúa" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000059?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289622000059/v5_202301090807/es/main.assets" ] "asociados" => array:1 [ 0 => array:18 [ "pii" => "S0300289622000059" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.12.009" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2978" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:352-3" "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">Caso clínico</span>" "titulo" => "Metástasis cardiacas en paciente con tumor fibroso solitario pleural" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "352" "paginaFinal" => "353" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cardiac Metastases in a Patient with a Pleural Solitary Fibrous Tumor" ] ] "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" => 1124 "Ancho" => 1250 "Tamanyo" => 126018 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Imagen axial de TC de tórax (ventana de parénquima pulmonar), en la que se visualizan múltiples nódulos pulmonares bilaterales. B) y C) Imágenes axial (B) y sagital (C) de TC de tórax (ventana de mediastino), en las que se observan varios nódulos en el espesor miocárdico de la pared libre del ventrículo derecho (flecha blanca), septo interventricular (flechas negras cortas) y pared libre del ventrículo izquierdo (flecha negra larga). D) Imagen axial de TC de tórax (ventana de mediastino), en la que se identifican defectos de repleción en las arterias pulmonares (flechas).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ignacio Jara Alonso, Sara González Castro, Luis Gorospe Sarasúa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Jara Alonso" ] 1 => array:2 [ "nombre" => "Sara" "apellidos" => "González Castro" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe Sarasúa" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000059?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289622000059/v5_202301090807/es/main.assets" ] ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => " Cardiac Metastases in a Patient with a Pleural Solitary Fibrous Tumor" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "T352" "paginaFinal" => "T353" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ignacio Jara Alonso, Sara González Castro, Luis Gorospe Sarasúa" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Ignacio Jara" "apellidos" => "Alonso" "email" => array:1 [ 0 => "nachojara24@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Sara González" "apellidos" => "Castro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Luis Gorospe" "apellidos" => "Sarasúa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario Ramón y Cajal, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Metástasis cardiacas en paciente con tumor fibroso solitario pleural" ] ] "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" => 1124 "Ancho" => 1250 "Tamanyo" => 126018 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial CT image of the chest (lung parenchyma window), showing multiple bilateral pulmonary nodules. (B and C) Axial (B) and sagittal (C) chest CT images (mediastinal window) showing several nodules in the right ventricular free wall (white arrow), interventricular septum (short black arrows) and left ventricular free wall (long black arrow). (D) Axial CT image of the chest (mediastinum window) showing filling defects in the pulmonary arteries (arrows).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Solitary fibrous tumors of the pleura (SFTP) are rare neoplasms that can spread to different organs. SFTP metastases are usually located in the pleura, chest/abdominal wall, lung, peritoneum and liver; cardiac involvement is exceptional.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> We report the case of a patient with an SFTP who developed cardiac metastases.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our patient was an 87-year-old man, former smoker with a history of anticoagulated atrial fibrillation who underwent surgery for a malignant SFTP. Two years after surgery, a follow-up computed tomography (CT) scan of the chest revealed multiple bilateral pulmonary nodules compatible with metastases (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). CT-guided core needle biopsy confirmed that the pulmonary nodules were consistent with SFTP metastases. In the CT follow-up 1 month later, the pulmonary lesions had grown rapidly, and several nodular lesions were observed in the chambers of the heart, highly suggestive of cardiac metastases (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, C). A few days after the last CT follow-up, the patient was diagnosed with a massive bilateral pulmonary thromboembolism (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D) and died a few hours later.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Cardiac metastasis in SFTP is exceptional, and we have only found 1 documented case of left atrium metastasis by intracavitary extension from the left upper pulmonary vein. In our case, the rapid and extensive involvement of several chambers of the heart (coinciding with accelerated pulmonary progression) suggests a previously unreported hematogenous spread of the tumor. Although we were unable to confirm cardiac involvement with histology in our patient, we believe that imaging tests and rapid pulmonary progression (confirmed pathologically) reinforce the hypothesis of a metastatic origin of the cardiac lesions. We also believe that the subsequent pulmonary thromboembolism could be associated with tumor infiltration of the right heart chambers.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">This study did not receive any financial support.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no conflict of interest to declare.</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" => 1124 "Ancho" => 1250 "Tamanyo" => 126018 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial CT image of the chest (lung parenchyma window), showing multiple bilateral pulmonary nodules. (B and C) Axial (B) and sagittal (C) chest CT images (mediastinal window) showing several nodules in the right ventricular free wall (white arrow), interventricular septum (short black arrows) and left ventricular free wall (long black arrow). (D) Axial CT image of the chest (mediastinum window) showing filling defects in the pulmonary arteries (arrows).</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" => "Cardiac intracavitary metastasis of a malignant solitary fibrous tumor: case report and review of the literature on sarcomas with left intracavitary extension" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Cuadrado" 1 => "T. García-Camarero" 2 => "V. Expósito" 3 => "J.F. Val-Bernal" 4 => "J.J. Gómez-Román" 5 => "M.F. Garijo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.carpath.2007.02.006" "Revista" => array:7 [ "tituloSerie" => "Cardiovasc Pathol" "fecha" => "2007" "volumen" => "16" "paginaInicial" => "241" "paginaFinal" => "247" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17637433" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1474442211701880" "estado" => "S300" "issn" => "14744422" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Metastatic patterns of solitary fibrous tumors: a single-institution experience" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. O’Neill" 1 => "S. Tirumani" 2 => "W. Do" 3 => "A.R. Keraliya" 4 => "J.L. Hornick" 5 => "A.B. Shinagare" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Roentgenol" "fecha" => "2017" "volumen" => "208" "paginaInicial" => "2" "paginaFinal" => "9" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289622001879/v5_202301090807/en/main.assets" "Apartado" => array:4 [ "identificador" => "93649" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case reports/Casos clínicos" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000004/v5_202301090807/S0300289622001879/v5_202301090807/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622001879?idApp=UINPBA00003Z" ]
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