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array:23 [ "pii" => "S0300289622005804" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.09.016" "estado" => "S300" "fechaPublicacion" => "2023-03-01" "aid" => "3192" "copyright" => "SEPAR" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:171" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622005798" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.09.015" "estado" => "S300" "fechaPublicacion" => "2023-03-01" "aid" => "3191" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:172" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Difficult Diagnosis of a Foreign Body Inhalation in a COPD Patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "172" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 815 "Ancho" => 733 "Tamanyo" => 116432 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT (axial plan): a perforated foreign body in the left main bronchus; (B) 3D CT reconstruction showing the bronchial tree and a perforated foreign body in the left main bronchus; (C) 3D CT reconstruction showing a perforated foreign body in the left main bronchus; (D) 3D CT reconstruction showing a perforated foreign body in the left main bronchus; (E) Foreign body compatible to a chicken's vertebra; (F) Foreign body compatible to a chicken's vertebra, measuring 1.5<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>1.5<span class="elsevierStyleHsp" style=""></span>cm.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pedro Pereira Barros, Bruno dos Santos, Ulisses Brito" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Pedro" "apellidos" => "Pereira Barros" ] 1 => array:2 [ "nombre" => "Bruno" "apellidos" => "dos Santos" ] 2 => array:2 [ "nombre" => "Ulisses" "apellidos" => "Brito" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622005798?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000003/v4_202401230711/S0300289622005798/v4_202401230711/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S030028962200566X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.09.006" "estado" => "S300" "fechaPublicacion" => "2023-03-01" "aid" => "3179" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:169-70" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Digenic Inheritance in a Case of Pulmonary Arterial Hypertension Associated with Two Incidental Septal Defects and Multiple Thoracic Collaterals" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "169" "paginaFinal" => "170" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1506 "Ancho" => 2925 "Tamanyo" => 280509 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A. Incidental atrial septal defect detected in TTE, showing right-to-left shunting (red arrow); Panel B. Small perimembranous ventricular septal defect (VSD) with Left-to-right shunting during systole (red arrow); Panels C and D. Reconstruction of some of the thoracic collaterals noticed in the mediastinum in the angiographic computed tomography (red arrows); Panel E. Genetic analysis and segregation study of first-degree relatives.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alejandro Cruz-Utrilla, María Pilar Escribano Subias, Jair Antonio Tenorio Castaño, María Jesús del Cerro Marín" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Cruz-Utrilla" ] 1 => array:2 [ "nombre" => "María Pilar" "apellidos" => "Escribano Subias" ] 2 => array:2 [ "nombre" => "Jair Antonio" "apellidos" => "Tenorio Castaño" ] 3 => array:2 [ "nombre" => "María Jesús" "apellidos" => "del Cerro Marín" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962200566X?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000003/v4_202401230711/S030028962200566X/v4_202401230711/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Left Radial Flap in the Treatment of Tracheo-Gastric Fistula" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "171" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Alejandro Jove Lamas, José Cerón Navarro, Enrique Cases Viedma" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Alejandro" "apellidos" => "Jove Lamas" "email" => array:1 [ 0 => "alexjovelamas@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" => "José" "apellidos" => "Cerón Navarro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Enrique" "apellidos" => "Cases Viedma" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Médico Interno Residente de Neumología del Hospital Universitari i Politècnic La Fe, Av. Fernando Abril Martorell, 106, 46026 Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Médico Especialista de Cirugía Torácica del Hospital Universitari i Politècnic La Fe, Av. Fernando Abril Martorell, 106, 46026 Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Médico Especialista de Neumología del Hospital Universitari i Politècnic La Fe, Av. Fernando Abril Martorell, 106, 46026 Valencia, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "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" => 409 "Ancho" => 1005 "Tamanyo" => 57518 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Esophageal stent emerging above the main carina after rupture of the pars membranacea of the trachea (A); well-positioned radial myocutaneous flap with closed fistula. Hairs can be seen on its surface (B).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient, a 56-year-old man, underwent surgery for esophageal adenocarcinoma, involving esophagectomy with intrathoracic esophagogastric anastomosis. After the procedure, the patient developed anastomotic stenosis that was refractory to multiple dilation procedures, so after 1 year of follow-up we decided to implant a covered metallic stent. After the intervention, the patient developed a persistent cough, leading to the finding of a bronchogastric fistula. After 6 months of follow-up, recurrent symptoms of esophageal stenosis required stent replacement.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In the follow-up bronchoscopies, a distal shadow was observed in the pars membranacea of the trachea extending to the right main bronchus. The patient's clinical situation deteriorated, with excessive salivation and irritative cough on ingestion, so a chest computed tomography (CT) scan and bronchoscopy were performed, which revealed that the stent had migrated to the distal third of the trachea, ruptured the pars membranacea, and emerged above the main carina (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, <a class="elsevierStyleCrossRef" href="#sec0010">video</a>). Finally, with the collaboration of the plastic surgery and thoracic surgery departments, we performed total gastrectomy, closure of the tracheal defect with left radial myocutaneous flap,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a> and coloplasty (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, <a class="elsevierStyleCrossRef" href="#sec0010">video</a>). Currently, 36 months after the intervention, the patient is undergoing regular endoscopic monitoring that shows a well-positioned graft with no gut-airway communication.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 409 "Ancho" => 1005 "Tamanyo" => 57518 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Esophageal stent emerging above the main carina after rupture of the pars membranacea of the trachea (A); well-positioned radial myocutaneous flap with closed fistula. Hairs can be seen on its surface (B).</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:2 [ "fichero" => "mmc1.pdf" "ficheroTamanyo" => 231963 ] ] 2 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 15558244 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0010" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheoesophageal fistula and pharyngoesophageal stenosis repair by double skin paddle radial forearm flap" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V. Poissonnet" 1 => "D. Culie" 2 => "C. Rouanet" 3 => "A. Bozec" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.anorl.2021.09.002" "Revista" => array:6 [ "tituloSerie" => "Eur Ann Otorhinolaryngol Head Neck Dis" "fecha" => "2022" "volumen" => "139" "paginaInicial" => "297" "paginaFinal" => "300" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34531167" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000003/v4_202401230711/S0300289622005804/v4_202401230711/en/main.assets" "Apartado" => array:4 [ "identificador" => "93864" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000003/v4_202401230711/S0300289622005804/v4_202401230711/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622005804?idApp=UINPBA00003Z" ]
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