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(B) Axial contrast-enhanced CT scan. Postoperative review of the images confirmed the presence of a saccular aneurysm (white arrow) in the proximal end of the arch of the azygos vein.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrés Obeso, Redha Souilamas" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Andrés" "apellidos" => "Obeso" ] 1 => array:2 [ "nombre" => "Redha" "apellidos" => "Souilamas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212918300491" "doi" => "10.1016/j.arbr.2017.07.022" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300491?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302740?idApp=UINPBA00003Z" "url" => "/03002896/0000005400000004/v2_201804150418/S0300289617302740/v2_201804150418/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212918300338" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.02.003" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1713" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2018;54:218" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 934 "formatos" => array:3 [ "EPUB" => 149 "HTML" => 535 "PDF" => 250 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pulmonary Hypoplasia in a Young Adult" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "218" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hipoplasia pulmonar en un adulto joven" ] ] "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" => 1131 "Ancho" => 1667 "Tamanyo" => 311693 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial image of the chest CT showing (a) left lung with marked reduction of volume and bronchiectasis, corresponding to pulmonary hypoplasia, and (b) large compensatory hyperinflation of the right lung; Ao-a: ascending aorta; Ao-d: descending aorta; RPA: right pulmonary artery; MB: left and right main bronchi; E: esophagus; SVC: superior vena cava; PV: pulmonary vein.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Vigil Vigil, Luis Alfonso Sota Yoldi, María Jose Escobar Fernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Laura" "apellidos" => "Vigil Vigil" ] 1 => array:2 [ "nombre" => "Luis Alfonso" "apellidos" => "Sota Yoldi" ] 2 => array:2 [ "nombre" => "María Jose" "apellidos" => "Escobar Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289617302958" "doi" => "10.1016/j.arbres.2017.08.003" "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/S0300289617302958?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300338?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000004/v2_201804150412/S1579212918300338/v2_201804150412/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S157921291830048X" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.07.021" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1695" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2018;54:216" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1272 "formatos" => array:3 [ "EPUB" => 132 "HTML" => 784 "PDF" => 356 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical image</span>" "titulo" => "Tuberculoma Cavitation: A Rare Aspect of a Common Disease Clinical Image" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "216" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tuberculoma cavitado: un patrón inusual en la imagen clínica de una enfermedad común" ] ] "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" => 1000 "Ancho" => 1538 "Tamanyo" => 174084 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT image obtained with the mediastinal window setting (A) shows a nodular soft-tissue lesion with internal calcification located in the apicoposterior segment of the left upper lobe (tuberculoma). CT images obtained with the lung window setting (B–D) 8 months later show cavitation of the nodule associated with focal consolidation, ground-glass opacities, and airspace nodules, indicating reactivation and dissemination of the infection.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rosana Souza Rodrigues, Miriam Menna Barreto, Edson Marchiori" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Rosana Souza" "apellidos" => "Rodrigues" ] 1 => array:2 [ "nombre" => "Miriam Menna" "apellidos" => "Barreto" ] 2 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289617302715" "doi" => "10.1016/j.arbres.2017.07.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302715?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291830048X?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000004/v2_201804150412/S157921291830048X/v2_201804150412/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical image</span>" "titulo" => "Unexpected Intraoperative Finding of Azygos Vein Aneurysm Mimicking a Metastatic Lymph Node" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "217" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Andrés Obeso, Redha Souilamas" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Andrés" "apellidos" => "Obeso" "email" => array:1 [ 0 => "andresobca@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Redha" "apellidos" => "Souilamas" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Heart & Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hallazgo intraoperatorio inesperado de un aneurisma de la vena ácigos en forma de nódulo linfático metastásico" ] ] "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" => 893 "Ancho" => 2500 "Tamanyo" => 175639 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Videothoracoscopic image of the aneurysm of the Azygos vein. (B) Axial contrast-enhanced CT scan. Postoperative review of the images confirmed the presence of a saccular aneurysm (white arrow) in the proximal end of the arch of the azygos vein.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 74-year-old female with a 15<span class="elsevierStyleHsp" style=""></span>mm spiculated nodule who underwent VATS right upper lobectomy. An unsuspected paratracheal mass was identified intraoperatively below the arch of the azygos vein (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Any abnormally enlarged lymph nodes had been reported in the computed tomography scan preoperatively. However, given the suspicion of N1 disease, biopsy was performed leading to rupture and bleeding of what turned out to be an aneurysm of the azygos vein. Bleeding was easily controlled by VATS. The patient was extubated and transfer to the ICU. Postoperative course was uneventful and the patient was discharge in the 4th postoperative day. Pathological analysis was consistent with a moderately differentiated squamous cell carcinoma pT1aN0M0. Postoperative review of the images confirmed the presence of a saccular aneurysm (19<span class="elsevierStyleHsp" style=""></span>mm×11<span class="elsevierStyleHsp" style=""></span>mm) in the proximal end of the arch of the azygos vein (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Aneurysms of the azygos vein are very infrequent vascular malformations. Patients are usually asymptomatic, although complications such as thrombosis, rupture or compression of adjacent organs have been described.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Small and saccular aneurysm of the azygos vein can simulate a pathological lymph node,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> especially in the context of oncological surgery, and preoperative identification can be challenging.</p></span>" "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" => 893 "Ancho" => 2500 "Tamanyo" => 175639 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Videothoracoscopic image of the aneurysm of the Azygos vein. (B) Axial contrast-enhanced CT scan. Postoperative review of the images confirmed the presence of a saccular aneurysm (white arrow) in the proximal end of the arch of the azygos vein.</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" => "Resection of an azygos vein aneurysm that formed a thrombus during a 6-year follow-up period" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Kurihara" 1 => "M. Kiyoshima" 2 => "Y. Asato" 3 => "H. Suzuki" 4 => "M. Kitahara" 5 => "M. Satou" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.athoracsur.2012.01.086" "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2012" "volumen" => "94" "paginaInicial" => "1008" "paginaFinal" => "1010" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22579898" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Azygos vein aneurysm mimicking a calcified lymph node" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Y. Sato" 1 => "K. Murata" 2 => "A. Wada" 3 => "M. Takamori" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2169/internalmedicine.55.6809" "Revista" => array:6 [ "tituloSerie" => "Intern Med" "fecha" => "2016" "volumen" => "55" "paginaInicial" => "3405" "paginaFinal" => "3406" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27853093" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000004/v2_201804150412/S1579212918300491/v2_201804150412/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/15792129/0000005400000004/v2_201804150412/S1579212918300491/v2_201804150412/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300491?idApp=UINPBA00003Z" ]
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