Clinical Image
Pericardial Mesh Migration Through the Airway After Extended Lower Bilobectomy
Migración de malla de pericardio a través de vía aérea tras bilobectomía inferior ampliada
Read
2201
Timeswas read the article
804
Total PDF
1397
Total HTML
Share statistics
array:24 [ "pii" => "S030028962200309X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.12.021" "estado" => "S300" "fechaPublicacion" => "2022-05-01" "aid" => "3079" "copyright" => "SEPAR" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:T440" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622000199" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.01.008" "estado" => "S300" "fechaPublicacion" => "2022-05-01" "aid" => "2995" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:441" "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" => "Masa pulmonar con extensión a pared torácica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "441" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lung Cancer with Thoracic Wall Involvement" ] ] "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" => 745 "Ancho" => 1300 "Tamanyo" => 126042 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">A.</span> Visión frontolateral del tórax con tumoración debida a la masa pulmonar, visualizándose la circulación colateral secundaria. <span class="elsevierStyleBold">B.</span> Corte de TC torácica con extensa masa infiltrante.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Irene Nieto-Codesido, Carmen Diego Roza" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Irene" "apellidos" => "Nieto-Codesido" ] 1 => array:2 [ "nombre" => "Carmen" "apellidos" => "Diego Roza" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000199?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000005/v2_202212170819/S0300289622000199/v2_202212170819/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622000187" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.12.016" "estado" => "S300" "fechaPublicacion" => "2022-05-01" "aid" => "2990" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:440" "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" => "Migración de malla de pericardio a través de vía aérea tras bilobectomía inferior ampliada" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "440" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pericardial Mesh Migration Through the Airway After Extended Lower Bilobectomy" ] ] "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" => 1095 "Ancho" => 1500 "Tamanyo" => 270815 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A)<span class="elsevierStyleHsp" style=""></span>Tomografía axial computarizada (TAC). B)<span class="elsevierStyleHsp" style=""></span>Hallazgos broncoscópicos. C)<span class="elsevierStyleHsp" style=""></span>Material extraño extraído. D)<span class="elsevierStyleHsp" style=""></span>Control postoperatorio.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Gómez Tabales, Francisco García Gómez, José Luis López Villalobos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Gómez Tabales" ] 1 => array:2 [ "nombre" => "Francisco" "apellidos" => "García Gómez" ] 2 => array:2 [ "nombre" => "José Luis" "apellidos" => "López Villalobos" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000187?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000005/v2_202212170819/S0300289622000187/v2_202212170819/es/main.assets" ] "asociados" => array:1 [ 0 => array:18 [ "pii" => "S0300289622000187" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.12.016" "estado" => "S300" "fechaPublicacion" => "2022-05-01" "aid" => "2990" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:440" "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" => "Migración de malla de pericardio a través de vía aérea tras bilobectomía inferior ampliada" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "440" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pericardial Mesh Migration Through the Airway After Extended Lower Bilobectomy" ] ] "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" => 1095 "Ancho" => 1500 "Tamanyo" => 270815 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A)<span class="elsevierStyleHsp" style=""></span>Tomografía axial computarizada (TAC). B)<span class="elsevierStyleHsp" style=""></span>Hallazgos broncoscópicos. C)<span class="elsevierStyleHsp" style=""></span>Material extraño extraído. D)<span class="elsevierStyleHsp" style=""></span>Control postoperatorio.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Gómez Tabales, Francisco García Gómez, José Luis López Villalobos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Gómez Tabales" ] 1 => array:2 [ "nombre" => "Francisco" "apellidos" => "García Gómez" ] 2 => array:2 [ "nombre" => "José Luis" "apellidos" => "López Villalobos" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000187?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000005/v2_202212170819/S0300289622000187/v2_202212170819/es/main.assets" ] ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => " Pericardial Mesh Migration Through the Airway After Extended Lower Bilobectomy" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "T440" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Gómez Tabales, Francisco García Gómez, José Luis López Villalobos" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Juan Gómez" "apellidos" => "Tabales" "email" => array:1 [ 0 => "j.gomez.tabales@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Francisco García" "apellidos" => "Gómez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "José Luis López" "apellidos" => "Villalobos" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario Virgen del Rocío, Seville, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad Médico-Quirúrgica de Enfermedades Respiratorias (UMQUER), Servicio de Cirugía Torácica, Hospital Universitario Virgen del Rocío, Seville, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Migración de malla de pericardio a través de vía aérea tras bilobectomía inferior ampliada" ] ] "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" => 1094 "Ancho" => 1500 "Tamanyo" => 272981 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Computed axial tomography. (B) Bronchoscopy findings. (C) Extracted foreign material. (D) Post-operative follow-up.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 77-year-old man with hypertension and diabetes who underwent revascularization for ischemic heart disease 2 years previously. In 2013, lower bilobectomy extended to the pericardium was performed due to pulmonary follicular lymphoma. A manual bronchial suture was made and the pericardial defect was lined with PTFE mesh to prevent cardiac herniation.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Since 2015, he has had recurrent, self-limiting episodes of hemoptysis, along with habitual purulent expectoration. Prior to the onset of these slowly advancing symptoms, imaging tests showed soft tissue formation in the intermediate bronchus stump, so the prosthetic material was partially removed by rigid bronchoscope. After this first rigid bronchoscopy (no photographic images available), the patient was monitored with fiberoptic bronchoscopy every 8–10 weeks, and no major changes with regard to migration of the prosthetic material were observed.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Given his clinical progress and history, a chest CT scan was performed to plan a definitive therapeutic approach. The report was as follows: “Soft tissue formation containing small high-density mass. Finger-like projection of the mass from the intermediate bronchus stump to the lower wall of the right main bronchus toward the lumen” (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The subsequent follow-up fiberoptic bronchoscopy showed a significant protrusion of prosthetic material from the intermediate bronchus stump, while the upper lobe bronchus remained patent. Several unsuccessful attempts were made to remove the material by fiberoptic bronchoscopy, so rigid bronchoscopy was performed, and the mesh could be cut away and removed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, C). Subsequent bronchoscopy monitoring was satisfactory and the patient's clinical symptoms resolved completely (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The patient is currently being followed up by the hematology department, and no images or clinical evidence of bronchopleural fistula have been observed.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Although this is an extremely rare situation, we must take into account the potential complications that can occur when prosthetic material is used in the mediastinum (infection, migration, tamponade in case of pericardial defects, etc.).</p><p id="par0030" class="elsevierStylePara elsevierViewall">Despite an intensive search, we could not find any similar cases in the published literature, as this is an extremely rare late complication.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">The attached video (<a class="elsevierStyleCrossRef" href="#sec0010">Annex A</a>) shows the clinical process and the outcome after the procedure.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0045" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1094 "Ancho" => 1500 "Tamanyo" => 272981 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Computed axial tomography. (B) Bronchoscopy findings. (C) Extracted foreign material. (D) Post-operative follow-up.</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 48058197 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "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" => "Delayed airway extrusion of type 1 thyroplasty Gore-Tex implant" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Morris" 1 => "D.M. Thomas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bcr-2016-215704" "Revista" => array:4 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2016" "volumen" => "2016" "itemHostRev" => array:3 [ "pii" => "S0190962214022695" "estado" => "S300" "issn" => "01909622" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Strap muscle type i thyroplasty after Gore-Tex implant extrusion: case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Sethia" 1 => "R.J. Ivancic" 2 => "W.K. Idicula" 3 => "B.W. deSilva" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jvoice.2019.03.008" "Revista" => array:6 [ "tituloSerie" => "J Voice" "fecha" => "2020" "volumen" => "34" "paginaInicial" => "802" "paginaFinal" => "805" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30981659" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000005/v2_202212170819/S030028962200309X/v2_202212170819/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/03002896/0000005800000005/v2_202212170819/S030028962200309X/v2_202212170819/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962200309X?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 1 | 3 |
| 2024 October | 68 | 19 | 87 |
| 2024 September | 66 | 15 | 81 |
| 2024 August | 61 | 38 | 99 |
| 2024 July | 36 | 25 | 61 |
| 2024 June | 45 | 22 | 67 |
| 2024 May | 52 | 25 | 77 |
| 2024 April | 29 | 20 | 49 |
| 2024 March | 37 | 23 | 60 |
| 2024 February | 52 | 28 | 80 |
| 2024 January | 24 | 23 | 47 |
| 2023 December | 31 | 24 | 55 |
| 2023 November | 33 | 17 | 50 |
| 2023 October | 78 | 26 | 104 |
| 2023 September | 46 | 24 | 70 |
| 2023 August | 32 | 38 | 70 |
| 2023 July | 34 | 21 | 55 |
| 2023 June | 36 | 16 | 52 |
| 2023 May | 29 | 12 | 41 |
| 2023 April | 49 | 33 | 82 |
| 2023 March | 60 | 38 | 98 |
| 2023 February | 43 | 19 | 62 |
| 2023 January | 32 | 20 | 52 |
| 2022 December | 46 | 21 | 67 |
| 2022 November | 49 | 21 | 70 |
| 2022 October | 67 | 34 | 101 |
| 2022 September | 50 | 34 | 84 |
| 2022 August | 44 | 41 | 85 |
| 2022 July | 47 | 36 | 83 |
| 2022 June | 68 | 68 | 136 |
| 2022 May | 51 | 22 | 73 |
Show all
