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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 41-year-old woman was referred to our center for evaluation as a potential candidate for lung transplantation due to Mounier-Kühn syndrome with severe lung function decline. She developed cough and bronchorrhea at the age of 20 years along with dyspnea that progressed to functional class <span class="elsevierStyleSmallCaps">III</span>.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Chest computed tomography showed bronchiectasis and significant airway dilation. The anteroposterior diameter of the trachea and the main bronchi were 53<span class="elsevierStyleHsp" style=""></span>mm and 35<span class="elsevierStyleHsp" style=""></span>mm, respectively.</p><p id="par0015" class="elsevierStylePara elsevierViewall">We performed flexible bronchoscopy under local anesthesia in order to visualize the airway and obtain a sample for microbiological study. During the procedure, we observed severe distortion of the tracheobronchial anatomy with the formation of deep folds, tracheobronchomalacia, and abundant purulent secretions (see video in [Annex]). As far as we know, no dynamic images of cases of Mounier-Kühn of this magnitude have been published previously. Given the technical difficulties, the isolation of resistant <span class="elsevierStyleItalic">Pseudomonas</span>, and reports of poor progress after lung transplantation in these cases,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> we decided that the patient was not a suitable candidate to undergo the procedure.</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: Wainstein EJ, Las Heras MJ, Matías Castro H. Broncoscopia en un caso de síndrome de Mounier-Kühn. Arch Bronconeumol. 2020;56:46.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:1 [ 0 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 11901323 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lung transplantation in a patient with Mounier-Kühn syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "O.A. Minai" 1 => "A.C. Mehta" 2 => "G. Pettersson" 3 => "K.J. Demet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Thorac Cardiovasc Surg" "fecha" => "2006" "volumen" => "132" "paginaInicial" => "737" "paginaFinal" => "738" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000001/v3_202001222229/S1579212919303507/v3_202001222229/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/15792129/0000005600000001/v3_202001222229/S1579212919303507/v3_202001222229/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919303507?idApp=UINPBA00003Z" ]
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