Clinical Image
Angina pectoris associated with arterial air embolism after lung biopsy
Angor debido a embolismo aéreo arterial tras biopsia pulmonar
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C) En la imagen inferior se demuestra la existencia de aire en el interior del ventrículo izquierdo (flecha).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sara Lojo-Lendoiro, Eloisa Santos-Armentia, Concepción Martínez-Rodríguez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Sara" "apellidos" => "Lojo-Lendoiro" ] 1 => array:2 [ "nombre" => "Eloisa" "apellidos" => "Santos-Armentia" ] 2 => array:2 [ "nombre" => "Concepción" "apellidos" => "Martínez-Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212920303402" "doi" => "10.1016/j.arbr.2020.11.011" "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/S1579212920303402?idApp=UINPBA00003Z" ] ] "EPUB" => 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0 => array:2 [ "paginaInicial" => "72" "paginaFinal" => "73" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Prótesis en T de Montgomery para el tratamiento de la estenosis traqueal: experiencia de una Unidad de Endoscopia Respiratoria y revisión de la literatura" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Margallo Iribarnegaray, Ricardo García Luján, Isabel Pina Maíquez, Fernando Revuelta Salgado, José Alfaro Abreu, Eduardo de Miguel Poch" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Margallo Iribarnegaray" ] 1 => array:2 [ "nombre" => "Ricardo" "apellidos" => "García Luján" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Pina Maíquez" ] 3 => array:2 [ "nombre" => "Fernando" "apellidos" => "Revuelta Salgado" ] 4 => array:2 [ "nombre" => "José" "apellidos" => "Alfaro Abreu" ] 5 => array:2 [ "nombre" => "Eduardo" "apellidos" => "de Miguel Poch" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289620302441" "doi" => "10.1016/j.arbres.2020.07.012" "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/S0300289620302441?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920303359?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000001/v2_202102030751/S1579212920303359/v2_202102030751/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212920303190" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.10.009" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "2303" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:70" "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" => "Paraganglioma in an unusual site" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "70" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Paraganglioma de localización infrecuente" ] ] "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" => 454 "Ancho" => 1500 "Tamanyo" => 101672 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Image of the mediastinal mass on chest X-ray. (b) Image of chest CT showing the mass in the middle mediastinum. (c) Paraganglioma during surgery, seen in the center of the image. The trachea is located at the top and the innominate vein is above it. 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A) The upper left image shows the Tru-Cut needle entering the lesion located in the lower left lobe (arrow). B) The upper right image shows the presence of air within the descending aorta artery and the circumflex artery (arrows). C) The lower image shows the presence of air inside the left ventricle (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 72-year-old woman diagnosed in 2015 with T3N0M0 adenocarcinoma of the sigma, who presented 4 years later with a pulmonary nodule in the left lower lobe. Biopsy was requested (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The procedure was performed in the right lateral decubitus position, because the lesion could not be approached from the supine position: the patient could not tolerate prone decubitus, and a colostomy prevented left lateral decubitus.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">CT-guided biopsy was obtained in a single pass using a coaxial needle and 20<span class="elsevierStyleHsp" style=""></span>G Tru-Cut needle.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Immediately after the aspiration, the patient developed cough with bloody sputum, and symptoms of sweating, chest pain, and respiratory distress with O<span class="elsevierStyleInf">2</span> saturation of 96%. CT revealed a minimal pneumothorax and air in the descending thoracic aorta and circumflex artery (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><p id="par0020" class="elsevierStylePara elsevierViewall">Blood pressure was monitored and O<span class="elsevierStyleInf">2</span> was administered at 100%, after placing the patient in the Trendelenburg position to avoid cerebral embolism.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Minutes later, she showed clinical improvement. A new CT scan was performed which showed that the air in the descending aorta had decreased, while a minimal amount remained in the left ventricle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c).</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient was admitted to the ICU and was discharged after 48<span class="elsevierStyleHsp" style=""></span>h without symptoms.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Post-biopsy arterial embolism of the pulmonary nodule is a rare complication, but it is potentially lethal as it can be associated with angina pectoris.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Incidence ranges from 0.02% to 0.4% of procedures, although in most cases it is an asymptomatic, undiagnosed complication.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-08-03" "fechaAceptado" => "2019-10-14" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Lendoiro SL, Armentia ES, Rodríguez CM. Angor debido a embolismo aéreo arterial tras biopsia pulmonar. Arch Bronconeumol. 2020;57:71.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1219 "Ancho" => 1500 "Tamanyo" => 202015 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial CT slices for performing lung biopsy with the patient positioned in the right lateral decubitus position. A) The upper left image shows the Tru-Cut needle entering the lesion located in the lower left lobe (arrow). B) The upper right image shows the presence of air within the descending aorta artery and the circumflex artery (arrows). C) The lower image shows the presence of air inside the left ventricle (arrow).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systemic air embolism after percutaneous lung biopsy: a manageable complication" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L. Fiore" 1 => "N.E. Frenk" 2 => "G.L.P. Martins" 3 => "P.C.C. Viana" 4 => "M.R. de Menezes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3941/jrcr.v11i6.2990" "Revista" => array:6 [ "tituloSerie" => "J Radiol Case Rep." "fecha" => "2017" "volumen" => "11" "paginaInicial" => "6" "paginaFinal" => "14" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29299093" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Coronary artery air embolism complicating a CT-guided percutaneous lung biopsy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Deshmukh" 1 => "N. Kadavani" 2 => "R. Kakkar" 3 => "S. Desai" 4 => "G.M. Bhat" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/ijri.IJRI_347_18" "Revista" => array:6 [ "tituloSerie" => "Indian J Radiol Imaging" "fecha" => "2019" "volumen" => "29" "paginaInicial" => "81" "paginaFinal" => "84" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31000947" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000001/v2_202102030751/S1579212920303402/v2_202102030751/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/15792129/0000005700000001/v2_202102030751/S1579212920303402/v2_202102030751/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920303402?idApp=UINPBA00003Z" ]
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