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Diagnosis and Treatment of Hemothorax Caused by Intercostal Artery Pseudoaneurysm
Diagnóstico y tratamiento de un hemotórax causado por un seudoaneurisma de arteria intercostal
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Increase in density in both lung apices, caused by bilateral oleothorax used to treat pulmonary tuberculosis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina López Riolobos, Enrique Zamora García, Elena García Castillo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "López Riolobos" ] 1 => array:2 [ "nombre" => "Enrique" "apellidos" => "Zamora García" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "García Castillo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S030028961500054X" "doi" => "10.1016/j.arbres.2014.12.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961500054X?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000264?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000004/v2_201604010234/S1579212916000264/v2_201604010234/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Diagnosis and Treatment of Hemothorax Caused by Intercostal Artery Pseudoaneurysm" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "219" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Rodríguez, Teresa González de la Huebra Labrador, Jose L. Aranda" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María" "apellidos" => "Rodríguez" "email" => array:1 [ 0 => "mery.rodriguez.perez@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" => "Teresa" "apellidos" => "González de la Huebra Labrador" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Jose L." "apellidos" => "Aranda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario de Salamanca, Salamanca, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiología Vascular e Intervencionista, Hospital Universitario de Salamanca, Salamanca, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Diagnóstico y tratamiento de un hemotórax causado por un seudoaneurisma de arteria intercostal" ] ] "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" => 676 "Ancho" => 3250 "Tamanyo" => 156984 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Angiography of the tenth intercostal artery. (B) Distal and proximal embolization of the pseudoaneurysm. (C) Preserved vertebral vascularization after embolization.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Intercostal artery pseudoaneurysms (IAP) are rare and difficult to diagnose. They may emerge as a complication after any intervention involving access through the intercostal spaces. They are generally asymptomatic until they tear, causing hemothorax in the pleural cavity. We report the case of a patient with IAP after pulmonary resection by thoracotomy. As we did not suspect pseudoaneurysm, we repeated the intervention for hemothorax 21 days after the first procedure, but did not observe any point of bleeding within the pleural cavity. Ten days after the second procedure, the patient developed another episode of hemothorax. Angiography was performed and the IAP was detected. Selective angiography of the tenth intercostal artery was performed using a microcatheter, which released microcoils into the affected artery, first distal to and then proximal to the IAP, until it was completely occluded<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient's hemothorax was evacuated with a pleural drainage.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">This case shows the importance of suspecting an IAP in case of hemothoraxes not justified by other causes, in order to make a diagnosis and provide the proper treatment. (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rodríguez M, González de la Huebra Labrador T, Aranda JL. Diagnóstico y tratamiento de un hemotórax causado por un seudoaneurisma de arteria intercostal. Arch Bronconeumol. 2016;52:219.</p>" ] ] "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" => 676 "Ancho" => 3250 "Tamanyo" => 156984 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Angiography of the tenth intercostal artery. (B) Distal and proximal embolization of the pseudoaneurysm. (C) Preserved vertebral vascularization after embolization.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intercostal artery pseudoaneurysm due to stab wound" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Sekino" 1 => "H. Takagi" 2 => "H. Kubota" 3 => "T. Kato" 4 => "Y. Matsuno" 5 => "T. Umemoto" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jvs.2005.03.058" "Revista" => array:6 [ "tituloSerie" => "J Vasc Surg" "fecha" => "2005" "volumen" => "42" "paginaInicial" => "352" "paginaFinal" => "356" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16102639" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pseudoaneurysms and the role of minimally invasive techniques in their management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "N.E. Saad" 1 => "W.E. Saad" 2 => "M.G. Davies" 3 => "D.L. Waldman" 4 => "P.J. Fultz" 5 => "D.J. Rubens" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "RG" "fecha" => "2005" "volumen" => "25" "numero" => "Suppl 1" "paginaInicial" => "S173" "paginaFinal" => "S189" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005200000004/v2_201604010234/S1579212916000331/v2_201604010234/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005200000004/v2_201604010234/S1579212916000331/v2_201604010234/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000331?idApp=UINPBA00003Z" ]
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