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Teresa Gómez Hernández, Nuria M. Novoa, Marcelo F. Jiménez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M. Teresa" "apellidos" => "Gómez Hernández" ] 1 => array:2 [ "nombre" => "Nuria M." "apellidos" => "Novoa" ] 2 => array:2 [ "nombre" => "Marcelo F." "apellidos" => "Jiménez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616302708" "doi" => "10.1016/j.arbres.2016.11.001" "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/S0300289616302708?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917300903?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000005/v1_201704280925/S1579212917300903/v1_201704280925/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212917300113" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.01.007" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "1496" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2017;53:270" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1782 "formatos" => array:3 [ "EPUB" => 135 "HTML" => 1242 "PDF" => 405 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Myocardial Calcification: A Rare Complication of Pneumonia and Sepsis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "270" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Calcificación miocárdica: una complicación excepcional de la neumonía y la sepsis" ] ] "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" => 1052 "Ancho" => 1248 "Tamanyo" => 158234 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A. Tomography performed on admission showing bilateral pleural effusion and pulmonary consolidation. Panel B. Similar tomography slice obtained 7 days later, revealing calcified ventricular myocardium. Panels C and D. Extensive calcification throughout the left ventricular myocardium (day 30).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Aldo Mateo Torracchi Carrasco" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Aldo Mateo" "apellidos" => "Torracchi Carrasco" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616303234" "doi" => "10.1016/j.arbres.2016.11.002" "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/S0300289616303234?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917300113?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000005/v1_201704280925/S1579212917300113/v1_201704280925/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Traumatic Thoracoplasty: Conservative Treatment or Surgery?" 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Belén" "apellidos" => "Lozano Serrano" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Complejo Hospitalario Universitario de Albacete, Albacete, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Toracoplastia traumática ¿tratamiento conservador o quirúrgico?" ] ] "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" => 652 "Ancho" => 909 "Tamanyo" => 90535 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional slice from the chest computed tomography, showing a segment of the left rib piercing the lung (arrow) with associated hemithorax.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 76-year-old man who was involved in a high-impact traffic accident. He arrived at the emergency department already intubated due to respiratory failure, with signs of chest injury and left hypoventilation. A total body CT scan showed posterior and axillary fractures of the third to twelfth left ribs, piercing the pulmonary parenchyma, causing a large hematoma in the chest wall, pulmonary contusion, and hemothorax (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A left chest tube was placed, from which 1000<span class="elsevierStyleHsp" style=""></span>ml of blood was drained; bleeding was then controlled and the lung was re-expanded, so urgent surgery could be avoided. The patient was weaned from ventilation on day 5, and good pain control was achieved with epidural analgesia, so we decided to manage the patient conservatively.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Traumatic thoracoplasty is understood as a type of severe closed chest injury, characterized by the absence of paradoxical chest movement, since the rib fractures are impacted in the lung.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Intervention is recommended in cases in which the only reason for maintaining mechanical ventilation (MV) is unstable thorax, in cases which must be operated for other reasons, and in the case of extensive rib injury requiring prolonged MV.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></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: Garví López M, Rodilla Fiz AM, Lozano Serrano MB. Toracoplastia traumática ¿tratamiento conservador o quirúrgico?. Arch Bronconeumol. 2017;53:271.</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" => 652 "Ancho" => 909 "Tamanyo" => 90535 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional slice from the chest computed tomography, showing a segment of the left rib piercing the lung (arrow) with associated hemithorax.</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" => "Normativa sobre diagnóstico y tratamiento de los traumatismos torácicos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Freixinet" 1 => "H. Hernández" 2 => "P. Martínez" 3 => "P. Moreno" 4 => "P. Rodríguez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0300-2896(11)70011-4" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2011" "volumen" => "47" "paginaInicial" => "41" "paginaFinal" => "49" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21300218" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical versus nonsurgical interventions for flail chest" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.J. Cataneo" 1 => "D.C. Cataneo" 2 => "F.H. de Oliveira" 3 => "K.A. Arruda" 4 => "R. El Dib" 5 => "P. de Oliveira Carvalho" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Cochrane Database Syst Rev" "fecha" => "2015" "volumen" => "7" "paginaInicial" => "CD009919" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000005/v1_201704280925/S1579212917300939/v1_201704280925/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/15792129/0000005300000005/v1_201704280925/S1579212917300939/v1_201704280925/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917300939?idApp=UINPBA00003Z" ]
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