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This acts as a mass on the middle esophagus (asterisk); and (d) chest CT oblique sagittal plane, showing the collection extending along the entire length of the descending thoracic aorta. A small amount of pleural effusion can be observed.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alfonso López-Frías López-Jurado, Inés Pecharromán de las Heras, Josefa Pérez Templado Ladrón de Guevara" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Alfonso" "apellidos" => "López-Frías López-Jurado" ] 1 => array:2 [ "nombre" => "Inés" "apellidos" => "Pecharromán de las Heras" ] 2 => array:2 [ "nombre" => "Josefa" "apellidos" => "Pérez Templado Ladrón de Guevara" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289618304496" "doi" => "10.1016/j.arbres.2018.11.005" "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/S0300289618304496?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919301442?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000008/v2_201908080725/S1579212919301442/v2_201908080725/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212919301569" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.06.004" "estado" => "S300" "fechaPublicacion" => "2019-08-01" "aid" => "2120" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2019;55:427-33" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 119 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 85 "PDF" => 29 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Special Article</span>" "titulo" => "Bronchiectasis: A Complex, Heterogeneous Disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "427" "paginaFinal" => "433" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Las bronquiectasias: una enfermedad compleja y heterogénea" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1864 "Ancho" => 2500 "Tamanyo" => 252731 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Proposal for treatable traits in bronchiectasis.</p> <p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">ABPA: allergic bronchopulmonary aspergillosis; GE: gastroesophageal.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Angel Martínez-García, Casilda Olveira, Luis Máiz, Rosa M.ª Girón, Concepción Prados, David de la Rosa, Marina Blanco, Alvar Agustí" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Miguel Angel" "apellidos" => "Martínez-García" ] 1 => array:2 [ "nombre" => "Casilda" "apellidos" => "Olveira" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Máiz" ] 3 => array:2 [ "nombre" => "Rosa M.ª" "apellidos" => "Girón" ] 4 => array:2 [ "nombre" => "Concepción" "apellidos" => "Prados" ] 5 => array:2 [ "nombre" => "David" "apellidos" => "de la Rosa" ] 6 => array:2 [ "nombre" => "Marina" "apellidos" => "Blanco" ] 7 => array:2 [ "nombre" => "Alvar" "apellidos" => "Agustí" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619301097" "doi" => "10.1016/j.arbres.2019.02.024" "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/S0300289619301097?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919301569?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000008/v2_201908080725/S1579212919301569/v2_201908080725/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Resection of Endobronchial Hamartoma Using the Ligasure<span class="elsevierStyleSup">®</span> Technique" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "434" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Triviño, Laura Arroyo Pareja, Carolina España" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Ana" "apellidos" => "Triviño" "email" => array:1 [ 0 => "atrivi_17@hotmail.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" => "Laura" "apellidos" => "Arroyo Pareja" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Carolina" "apellidos" => "España" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario Puerta del Mar, Cádiz, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario Puerta del Mar, Cádiz, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Extirpación de hamartoma endobronquial con Ligasure<span class="elsevierStyleSup">®</span>" ] ] "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" => 1186 "Ancho" => 1583 "Tamanyo" => 271731 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT, showing the tracheal obstruction of the lumen by the tumor. (B and C) Images during resection of the tumor by rigid bronchoscopy, using Ligasure<span class="elsevierStyleSup">®</span>. (D) Image of the surgical specimen and the Ligasure<span class="elsevierStyleSup">®</span> blades.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 48-year-old patient, undergoing an investigation of progressive dyspnea MRC grade II, during which an endoluminal polypoid lesion was revealed on X-ray. Fiberoptic bronchoscopy showed a hypervascularized pedunculated mass in the distal third of the trachea, next to the left main bronchus, obstructing 60%–70% of the lumen.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Given the characteristics of the tumor, we proceeded to resect it under rigid fiberoptic bronchoscopy control. Ligasure<span class="elsevierStyleSup">®</span> was used for tumor resection. (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This is an advanced bipolar device that performs hemostasis by thermocoagulation, allowing us to resect and seal the pedicle under visual control, without diminishing FiO<span class="elsevierStyleInf">2</span>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was discharged 48<span class="elsevierStyleHsp" style=""></span>h after the procedure, without complications. When the diagnosis of hamartoma measuring 18<span class="elsevierStyleHsp" style=""></span>mm was confirmed, we decided to follow up the patient with fiberoptic bronchoscopy and radiological control. The patient was asymptomatic and disease-free after 6 months of treatment.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Tracheal hamartoma is a rare benign tumor. Thanks to advances in interventional pulmonology, the successful endoscopic treatment of benign endotracheal lesions is now possible,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> although some authors defend surgical treatment.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Given the benign nature of the lesion and the bronchoscopic outcomes described in the literature, we opted for endoscopic resection and follow-up.</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: Triviño A, Arroyo Pareja L, España C. Extirpación de hamartoma endobronquial con Ligasure<span class="elsevierStyleSup">®</span>. Arch Bronconeumol. 2019;55:434.</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" => 1186 "Ancho" => 1583 "Tamanyo" => 271731 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT, showing the tracheal obstruction of the lumen by the tumor. (B and C) Images during resection of the tumor by rigid bronchoscopy, using Ligasure<span class="elsevierStyleSup">®</span>. (D) Image of the surgical specimen and the Ligasure<span class="elsevierStyleSup">®</span> blades.</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" => "Resection of tracheal hamartoma by eletrocautery and cryotherapy via bronchoscopy under laryngeal mask anaesthesis: report of 2 cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Wang" 1 => "M. Huang" 2 => "X. Qi" 3 => "M. Li" 4 => "L. Zhou" 5 => "K. Yin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3779/j.issn.1009-3419.2011.02.14" "Revista" => array:7 [ "tituloSerie" => "Zhongguo Fei Ai Za Zhi" "fecha" => "2011" "volumen" => "14" "paginaInicial" => "177" "paginaFinal" => "180" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21342652" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1081120618306185" "estado" => "S300" "issn" => "10811206" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endotracheal hamartoma case report: two contrasting clinical presentations of a rare entity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Hon" 1 => "C.J. O’Hara" 2 => "V.R. Litle" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Surg Case Rep" "fecha" => "2017" "volumen" => "38" "paginaInicial" => "98" "paginaFinal" => "101" "itemHostRev" => array:3 [ "pii" => "S0168822714002083" "estado" => "S300" "issn" => "01688227" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005500000008/v2_201908080725/S1579212919301454/v2_201908080725/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005500000008/v2_201908080725/S1579212919301454/v2_201908080725/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919301454?idApp=UINPBA00003Z" ]
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