Clinical Image
Unusual Cause of Aerial Trapping; Bronchial Atresia
Caso insólito de atrapamiento aéreo; la atresia bronquial
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A Single-center Analysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "591" "paginaFinal" => "593" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿El comorbidoma de COPD se puede aplicar a todos los pacientes ambulatorios con enfermedad pulmonar obstructiva crónica? Un estudio unicéntrico" ] ] "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" => 1691 "Ancho" => 2083 "Tamanyo" => 145087 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The “comorbidome” is a graphic expression of comorbities with more than 5% prevalence in the entire cohort. The area of the circles relates to the prevalence of the disease. The proximity to the center (mortality) express the strength of the association between the disease and the risk of death. This was scaled from the inverse of the HR (1/HR). The dotted line represents HR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1. Beyond the line, HR are less than 1. The red bubble represents statistical significance association (HR<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>1; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.05). <span class="elsevierStyleItalic">Abbreviations</span>: HF: heart failure. CKD: chronic kidney disease. IHD: ischemic heart disease. CVA: cerebrovascular accidents. DM: diabetes mellitus. DLP: dyslipidemia. PADs: peripheral arterial disease.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Marco Figueira Gonçalves, Miguel Ángel García Bello, María Dolores Martín Martínez, Ignacio García-Talavera, Rafael Golpe" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Juan Marco" "apellidos" => "Figueira Gonçalves" ] 1 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "García Bello" ] 2 => array:2 [ "nombre" => "María Dolores" "apellidos" => "Martín Martínez" ] 3 => array:2 [ "nombre" => "Ignacio" "apellidos" => "García-Talavera" ] 4 => array:2 [ "nombre" => "Rafael" "apellidos" => "Golpe" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919302988?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000011/v1_201911020900/S1579212919302988/v1_201911020900/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212919302964" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.11.025" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "2047" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2019;55:589" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Yellow Nail Syndrome: A Rare Cause of Pleural Effusion" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "589" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de las uñas amarillas: una causa rara de derrame pleural" ] ] "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" => 931 "Ancho" => 1255 "Tamanyo" => 130396 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Yellow dystrophic fingernails. (B) Computed Tomography of the chest demonstrated large right-sided pleural effusion. (C) Milky white “Chylous” pleural fluid.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Federica De Giacomi, Narat Srivali" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Federica" "apellidos" => "De Giacomi" ] 1 => array:2 [ "nombre" => "Narat" "apellidos" => "Srivali" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289618304587" "doi" => "10.1016/j.arbres.2018.11.014" "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/S0300289618304587?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919302964?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000011/v1_201911020900/S1579212919302964/v1_201911020900/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Unusual Cause of Aerial Trapping; Bronchial Atresia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "590" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yener Aydın, Yusuf Gedikli, Hayri Ogul" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Yener" "apellidos" => "Aydın" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Yusuf" "apellidos" => "Gedikli" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Hayri" "apellidos" => "Ogul" "email" => array:1 [ 0 => "drhogul@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Thoracic Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Division of Radiology, Bayburt State Hospital, Bayburt, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Caso insólito de atrapamiento aéreo; la atresia bronquial" ] ] "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" => 1225 "Ancho" => 401 "Tamanyo" => 97204 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The reformat coronal CT at maximum inspiration (A) shows a non-contrast enhancing tubular lesion with surrounding hypoattenuation of the apicoposterior segment of the left upper lobe (asterisk), a finding indicative of hyperinflation. The coronal CT scan also demonstrates aerial trapping in the apicoposterior segment of the left upper lobe. The contrast enhanced maximum intensity projection images (B and C) reveal no connection between the non-contrast tubular lesion (arrows) and pulmonary artery of the apicoposterior segment in the left upper lobe.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 22-year-old woman was referred to our emergency radiology unit with sudden onset of shortness of breath and left-sided chest pain. The chest radiography revealed left hilar tubular opacite (arrow) and hyperaeration (asterisk) in the upper zone of the left lung (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The contrast enhanced computed tomography (CT) showed a non-contrast enhancing tubular mass that was seen extending from the left hilum, with surrounding hypoattenuation of the apicoposterior segment of the left upper lobe (asterisk), a finding indicative of hyperinflation (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A). There was also no connection between the non-contrast tubular mass (arrows) and pulmonary artery of the apicoposterior segment in the left upper lobe (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B–C). CT findings were also including mucocele and occlusion of the bronchus central to the mucocele. CT results (mucocele with hyperaeration of the adjacent lung parenchyma) were considered pathognomonic for bronchial atresia. Surgical treatment was no performed because the patient refused operation.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The bronchial atresia is a congenital abnormality resulting from focal interruption of a lobar, segmental, or sub segmental bronchus with associated peripheral mucus impaction and associated hyperinflation of the obstructed lung segment. In bronchial atresia, cause of hyperinflation of the adjacent lung is collateral air drift. Unlike congenital lobar overinflation, there is no ball-valve effect in this condition. Hence, the lobar or segmental hyperinflation is mild.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Radiologically, bronchial atresia is associated with a triad of findings: focal interruption of a bronchus; associated distal mucus impaction (bronchocele) that is visible as a branching tubular or ovoid area of increased attenuation; and associated hyperinflation of the obstructed pulmonary segment.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Bronchial atresia should be kept in mind in patients with shortness of breath and chest pain.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 544 "Ancho" => 600 "Tamanyo" => 28765 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The chest radiography reveals left hilar tubular opacite (arrow) and hyperaeration (asterisk) in the upper zone of the left lung.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1225 "Ancho" => 401 "Tamanyo" => 97204 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The reformat coronal CT at maximum inspiration (A) shows a non-contrast enhancing tubular lesion with surrounding hypoattenuation of the apicoposterior segment of the left upper lobe (asterisk), a finding indicative of hyperinflation. The coronal CT scan also demonstrates aerial trapping in the apicoposterior segment of the left upper lobe. The contrast enhanced maximum intensity projection images (B and C) reveal no connection between the non-contrast tubular lesion (arrows) and pulmonary artery of the apicoposterior segment in the left upper lobe.</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" => "Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic–pathologic correlation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.R. Biyyam" 1 => "T. Chapman" 2 => "M.R. Ferguson" 3 => "G. Deutsch" 4 => "M.K. Dighe" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/rg.306105508" "Revista" => array:6 [ "tituloSerie" => "Radiographics" "fecha" => "2010" "volumen" => "30" "paginaInicial" => "1721" "paginaFinal" => "1738" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21071385" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Congenital bronchial atresia: radiologic findings in nine patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H. Matsushima" 1 => "N. Takayanagi" 2 => "M. Satoh" 3 => "K. Kurashima" 4 => "T. Kanauchi" 5 => "T. Hoshi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00004728-200209000-00034" "Revista" => array:6 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "2002" "volumen" => "26" "paginaInicial" => "860" "paginaFinal" => "864" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12439329" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005500000011/v1_201911020900/S1579212919302976/v1_201911020900/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/15792129/0000005500000011/v1_201911020900/S1579212919302976/v1_201911020900/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919302976?idApp=UINPBA00003Z" ]
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