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array:23 [ "pii" => "S0300289623002661" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.07.028" "estado" => "S300" "fechaPublicacion" => "2023-11-01" "aid" => "3376" "copyright" => "SEPAR" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:758" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289623003009" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.09.006" "estado" => "S300" "fechaPublicacion" => "2023-11-01" "aid" => "3400" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:759" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Endobronchial Tuberculosis on Video: Different Evolutionary Phases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "759" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1405 "Ancho" => 1405 "Tamanyo" => 244716 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Figure.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Milko Terranova Ríos, Ana Andrés Blanco, Fernando Gil Diez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Milko" "apellidos" => "Terranova Ríos" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Andrés Blanco" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Gil Diez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623003009?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000011/v2_202402070602/S0300289623003009/v2_202402070602/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289623002879" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.09.001" "estado" => "S300" "fechaPublicacion" => "2023-11-01" "aid" => "3394" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:756-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Description of Respiratory Mechanics in a Patient With Pleuroparenchymal Fibroelastosis: Role of Stress in Lung Injury?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "756" "paginaFinal" => "757" ] ] "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" => 1636 "Ancho" => 2007 "Tamanyo" => 589509 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Non-contrast thoracic CT scan that shows pleural thickening and irregular apical opacities as well as traction bronchiectasis suggestive of pleuroparenchymal fibroelastosis (diagnostic CT, two years before referral to a transplant center). (B) Contrast-enhanced thoracic CT scan that reveals progression of the images consistent with pleuroparenchymal fibroelastosis in the upper lobes as well as ground glass opacities and consolidation on the lower lobes, suggestive of diffuse alveolar damage (CT performed during acute exacerbation). (C) Chest X-ray, antero-posterior (AP) projection. First day of ECMO weaning attempt. Patient had been weaned from mechanical ventilation several weeks before. X-ray reveals mild bilateral pulmonary opacities and consolidation of the upper pulmonary lobes consistent with PPFE. Femoral and jugular ECMO cannulas and tracheostomy tube are also identified. (D) Chest X-ray, antero-posterior (AP) projection. Third day of ECMO weaning attempt. Patient had been weaned from mechanical ventilation several weeks before. Thoracic X-ray shows an increase in pulmonary opacities with consolidation in the lower pulmonary lobes and the PPFE pattern. (E) Fifth day after ECMO weaning attempt (weaning attempts ceased on day three). Thoracic X-ray shows a diffuse pattern of severe bilateral consolidation (white lung pattern). (F) Autopsy sample of lung (H/E staining, 20× magnification) reveals presence of hyaline membranes and neutrophilic inflammation in the alveoli with disrupted epithelium, compatible with diffuse alveolar damage in exudative (acute) stage. (G) Autopsy sample of lung (H/E staining, 20× magnification) shows thickening of the alveolar septa, in addition to proliferation of type II pneumocytes and myofibroblasts, compatible with diffuse alveolar damage in proliferative (subacute) stage. (H) Autopsy sample of lung (trichrome staining, 20× magnification) shows marked pleural thickening with fibrosis with abundant collagen deposition.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jordi Vallverdu, Natalia Rakislova, Jacob Sellares, Enric Barbeta" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Jordi" "apellidos" => "Vallverdu" ] 1 => array:2 [ "nombre" => "Natalia" "apellidos" => "Rakislova" ] 2 => array:2 [ "nombre" => "Jacob" "apellidos" => "Sellares" ] 3 => array:2 [ "nombre" => "Enric" "apellidos" => "Barbeta" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623002879?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000011/v2_202402070602/S0300289623002879/v2_202402070602/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Broncoscophy Evaluation Before Tracheal Cannula Removal in a Patient With Tracheobronchopathia Osteochondroplastica" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "758" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Alessandro Graziani, Franca Morgagni, Marina Terzitta" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Alessandro" "apellidos" => "Graziani" "email" => array:1 [ 0 => "alessandro.graziani@auslromagna.it" ] "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" => "Franca" "apellidos" => "Morgagni" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Marina" "apellidos" => "Terzitta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Medicina Interna Sub Intensiva, Ospedale Santa Maria Delle Croci, Viale Randi 3, 48121 Ravenna Italy" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Pneumologia, Ospedale Santa Maria Delle Croci, Viale Randi 3, 48121 Ravenna, Italy" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Terapia Intensiva, Ospedale Santa Maria Delle Croci, Viale Randi 3, 48121 Ravenna, Italy" "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" => 1714 "Ancho" => 1333 "Tamanyo" => 300932 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In the antero-lateral tracheal wall, thorax CT scan shows calcified nodules, which protrude into the airway (A–D, red arrows). Large nodules, above the tracheal cannula cuff, are in contact with the cannula itself and occluding the tracheal lumen (B). Bronchoscopy reveals firm and glossy nodules with intact mucosa layer (E and F, black arrows), the posterior tracheal wall is spared.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Tracheobronchopathia osteochondroplastica (TO) is caused by osteocartilaginous nodules originating from the cartilaginous rings and is therefore located in the anterior part of the trachea. The aetiology of TO is still not fully understood. The disease is benign and has an indolent course. Most patients are asymptomatic or have nonspecific respiratory symptoms.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Chest X-ray is often unremarkable. Thorax computed tomography (CT) scan may show calcified nodules arranged along the antero-lateral wall of the trachea and the main bronchi. Firm and glossy nodules with intact mucosa, are typical bronchoscopic findings of TO.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">We describe a patient who underwent emergency tracheostotomy due to failed oro-tracheal intubation procedure for the anatomical conformation, during prolonged generalized non motor seizures with severe respiratory failure. CT scan shows multiple calcified nodules on the antero-lateral tracheal wall that spared the laryngeal tract (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A–D), confirmed by bronchoscopy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E and F). Histological examination of a biopsy fragment sustained the diagnosis of TO.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">During evaluation for removal of the tracheal cannula, with the cannula scuffed and capped and the patient in spontaneous breathing, tracheal nodular lesions resulted in air passage obstruction in the inspiratory phase only. Therefore, cannula was removed during bronchoscopic examination that confirmed the tracheal patency.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] 1 => 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" => 1714 "Ancho" => 1333 "Tamanyo" => 300932 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In the antero-lateral tracheal wall, thorax CT scan shows calcified nodules, which protrude into the airway (A–D, red arrows). Large nodules, above the tracheal cannula cuff, are in contact with the cannula itself and occluding the tracheal lumen (B). Bronchoscopy reveals firm and glossy nodules with intact mucosa layer (E and F, black arrows), the posterior tracheal wall is spared.</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" => "Nodular trachea: tracheobronchopathia osteochondroplastica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Agarwal" 1 => "J. Klair" 2 => "A. Joiner" 3 => "N.K. Meena" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2015" "volumen" => "2015" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchopathia osteochondroplastica: five cases report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "W. Wang" 1 => "H. Hu" 2 => "M. Liu" 3 => "J. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/0145561319897982" "Revista" => array:6 [ "tituloSerie" => "Ear Nose Throat J" "fecha" => "2020" "volumen" => "99" "paginaInicial" => "111" "paginaFinal" => "118" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30935226" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000011/v2_202402070602/S0300289623002661/v2_202402070602/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000011/v2_202402070602/S0300289623002661/v2_202402070602/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623002661?idApp=UINPBA00003Z" ]
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