Clinical Image
Multiple Unusual Vascular Anomalies Accompanying Aortic Coarctation
Múltiples anomalías vasculares infrecuentes en la coartación aórtica
Department of Radiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey
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(A) Graphical display of all 78 bronchoscopies with the suggested monitor height displayed in one line (<elsevierMultimedia ident="202008090658252821"></elsevierMultimedia>) against the observed monitor height in one line (<elsevierMultimedia ident="202008090658252822"></elsevierMultimedia>). (B) Graphical display of the difference in suggested and average observed monitor heights by subjects (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>13). Smaller sized dots represent a smaller average difference between the suggested and observed monitor height, consistent with monitor heights that remain similar for each of the six bronchoscopies performed by the subject. Larger dots represent a larger average difference between the suggested and observed monitor height, consistent with varying monitor heights for each of the six bronchoscopies performed by the subject. The presence of a negative number indicates a higher average observed monitor height than suggested by their body height, consistent with poor ergonomic positioning.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Christopher R. Gilbert, Jeffrey Thiboutot, Alexander Chen, A. Christine Argento, Nicholas J. Pastis, Hans J. Lee, Andrew D. Lerner, Lonny B. Yarmus" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Christopher R." "apellidos" => "Gilbert" ] 1 => array:2 [ "nombre" => "Jeffrey" "apellidos" => "Thiboutot" ] 2 => array:2 [ "nombre" => "Alexander" "apellidos" => "Chen" ] 3 => array:2 [ "nombre" => "A. Christine" "apellidos" => "Argento" ] 4 => array:2 [ "nombre" => "Nicholas J." "apellidos" => "Pastis" ] 5 => array:2 [ "nombre" => "Hans J." "apellidos" => "Lee" ] 6 => array:2 [ "nombre" => "Andrew D." "apellidos" => "Lerner" ] 7 => array:2 [ "nombre" => "Lonny B." "apellidos" => "Yarmus" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301853?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000008/v2_202008090657/S1579212920301853/v2_202008090657/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212920301233" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.07.018" "estado" => "S300" "fechaPublicacion" => "2020-08-01" "aid" => "2221" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:524" "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" => "Peritoneal scintigraphy scan in the diagnosis of pleuroperitoneal leak" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "524" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Gammagrafía peritoneal en el diagnóstico de la comunicación peritoneo-pleural" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1029 "Ancho" => 2083 "Tamanyo" => 286375 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">a) Posteroanterior chest X-ray showing increased radiation density in right hemithorax consistent with massive pleural effusion; b) peritoneal scintigraphy showing rapid diffusion of the radiotracer from the peritoneal cavity to the right hemitorax, which is most obvious in static images acquired in posterior projection after 60 min. This image is consistent with pleuroperitoneal fistula.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan José Martin-Marcuartu, Paula Fernández-Rodríguez, Juan Luis Tirado-Hospital" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan José" "apellidos" => "Martin-Marcuartu" ] 1 => array:2 [ "nombre" => "Paula" "apellidos" => "Fernández-Rodríguez" ] 2 => array:2 [ "nombre" => "Juan Luis" "apellidos" => "Tirado-Hospital" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619303035" "doi" => "10.1016/j.arbres.2019.07.002" "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/S0300289619303035?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301233?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000008/v2_202008090657/S1579212920301233/v2_202008090657/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Multiple Unusual Vascular Anomalies Accompanying Aortic Coarctation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "525" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Fahri Aydin, Alperen Tezcan, Hayri Ogul" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Fahri" "apellidos" => "Aydin" ] 1 => array:2 [ "nombre" => "Alperen" "apellidos" => "Tezcan" ] 2 => array:4 [ "nombre" => "Hayri" "apellidos" => "Ogul" "email" => array:1 [ 0 => "drhogul@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Radiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Múltiples anomalías vasculares infrecuentes en la coartación aórtica" ] ] "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" => 965 "Ancho" => 1267 "Tamanyo" => 188317 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Posterior view 3D volume rendering CT angiography image (A) and axial CT scan in mediastinal window (B) show a coexistence of the aberrant right subclavian artery (long arrow) and aortic coarctation. The aberrant right subclavian artery originates from the aortic coarctation segment. Axial CT scan (C) reveals the circumflex artery (dashed arrow) and left descending coronary artery (short arrow) originating from aorta directly. Axial (D) and coronal (E) CT angiography scans show a double superior vena cava anomaly (frames). All CT scans also reveal cardiomegaly and ascending aortic aneurysm.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 21-year-old female patient was admitted to our clinic with complaint of dyspnea. The computer tomography (CT) angiography showed aberrant right subclavian artery and aortic coarctation coexistence (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Coarctation segment was seen on distal of arcus aorta just after to the originated of the left subclavian artery. There was also an aberrant right subclavian artery originated from the aortic coarctation segment (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The aberrant subclavian artery was going to the right upper extremity following through to posterior of the esophagus. In addition to that, there was no the left main coronary artery. CT scans revealed the circumflex artery and left descending coronary artery originating from aorta directly (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). The patient had bicuspid aortic valve. There was also a double superior vena cava and an ascending aortic aneurysm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D and E). There were no abnormalities in bronchial distribution. The aortic coarctation segment was treated by stenting.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The bicuspid aortic valve affects about 1–2% of the population.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> It is frequently associated with the coarctation of the aorta. Aortic coarctation is a common congenital heart disease. It has been reported as 1% the coexistence of aberrant right subclavian artery and postductal coarctation of the aorta.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> However, the aberrant right subclavian artery that was originated from the coarctation segment of aorta is extremely rare. About this, there are only few case reports in the literature. Today, by means of the advances in CT technology, even the most complex vascular anomalies of the cardiopulmonary system can be successfully demonstrated with CT angiography.</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" => 965 "Ancho" => 1267 "Tamanyo" => 188317 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Posterior view 3D volume rendering CT angiography image (A) and axial CT scan in mediastinal window (B) show a coexistence of the aberrant right subclavian artery (long arrow) and aortic coarctation. The aberrant right subclavian artery originates from the aortic coarctation segment. Axial CT scan (C) reveals the circumflex artery (dashed arrow) and left descending coronary artery (short arrow) originating from aorta directly. Axial (D) and coronal (E) CT angiography scans show a double superior vena cava anomaly (frames). All CT scans also reveal cardiomegaly and ascending aortic aneurysm.</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" => "Clinical and pathophysiological implications of a bicuspid aortic valve" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P.W.M. Fedak" 1 => "S. Verma" 2 => "T.E. David" 3 => "R.L. Leask" 4 => "R.D. Weisel" 5 => "J. Butany" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/01.cir.0000027905.26586.e8" "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2002" "volumen" => "106" "paginaInicial" => "900" "paginaFinal" => "904" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12186790" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anomalous right subclavian artery arising proximal to a postductal thoracic aortic coarctation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.A. Reid" 1 => "E.D. Foster" 2 => "J. Stubberfield" 3 => "R.D. Alley" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0003-4975(10)61380-x" "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1981" "volumen" => "32" "paginaInicial" => "85" "paginaFinal" => "87" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7247565" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000008/v2_202008090657/S1579212920301841/v2_202008090657/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/15792129/0000005600000008/v2_202008090657/S1579212920301841/v2_202008090657/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301841?idApp=UINPBA00003Z" ]
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