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B) TC de tórax con contraste intravenoso, que muestra una arteria subclavia derecha aberrante que se origina en el cayado aórtico distalmente a la subclavia izquierda discurriendo por detrás del esófago hacia el lado derecho, con voluminoso aneurisma parcialmente trombosado. C) Aneurisma de la aorta descendente parcialmente trombosado.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Diego Alvarez Mavarez, Margarita Gutierrez Rodriguez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Juan Diego" "apellidos" => "Alvarez Mavarez" ] 1 => array:2 [ "nombre" => "Margarita" "apellidos" => "Gutierrez Rodriguez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921000379" "doi" => "10.1016/j.arbr.2020.07.020" "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/S1579212921000379?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620302283?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000004/v1_202104020827/S0300289620302283/v1_202104020827/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S1579212921000926" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.07.024" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2604" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:302" "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" => "The Sandwich Sign in Pleural Lymphoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "302" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El signo sándwich en el linfoma pleural" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 844 "Ancho" => 1740 "Tamanyo" => 227605 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial computed tomography (CT) image shows bilateral pleural effusion and parietal pleural thickening exhibiting the sandwich sign on the left side (arrow). (B) Immunohistochemistry showing lymphoid cell highlighted by BCL2 marker.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Maged Hassan, Lindsey Taylor, Cyrus Daneshvar" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Maged" "apellidos" => "Hassan" ] 1 => array:2 [ "nombre" => "Lindsey" "apellidos" => "Taylor" ] 2 => array:2 [ "nombre" => "Cyrus" "apellidos" => "Daneshvar" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000926?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000926/v1_202104020819/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921000902" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.06.018" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2554" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:300" "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" => "Sclerosing Pneumocytoma Presenting as Endobronchial Tumor With Negative Autofluorescence" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "300" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumor endobronquial con autofluorescencia negativa: Neumocitoma esclerosante" ] ] "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" => 1027 "Ancho" => 1625 "Tamanyo" => 193809 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT scan image with hyperdense lesion on main right bronchi.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jordi Juanola-Pla, Mireia Carmona Tomàs, M. Pilar Ortega Castillo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jordi" "apellidos" => "Juanola-Pla" ] 1 => array:2 [ "nombre" => "Mireia Carmona" "apellidos" => "Tomàs" ] 2 => array:2 [ "nombre" => "M. Pilar Ortega" "apellidos" => "Castillo" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000902?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000902/v1_202104020819/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Radiological changes due to atypical aneurysms of the subclavian artery" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "301" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Diego Alvarez Mavarez, Margarita Gutierrez Rodriguez" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Juan Diego" "apellidos" => "Alvarez Mavarez" "email" => array:1 [ 0 => "juandiego06@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Margarita" "apellidos" => "Gutierrez Rodriguez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología, Hospital Carmen y Severo Ochoa, Cangas del Narcea, Asturias, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Alteración radiológica secundario a aneurismas aberrantes de arteria subclavia" ] ] "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" => 1445 "Ancho" => 1500 "Tamanyo" => 167745 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) PA and lateral chest X-ray showing mediastinal widening with images significant for masses. (B) Chest CT with intravenous contrast, showing an aberrant right subclavian artery that originates in the aortic arch distal to the left subclavian artery, running behind the esophagus towards the right side, with a large, partially thrombosed aneurysm. (C) Partially thrombosed aneurysm of the descending aorta.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 76-year-old man was referred from the emergency department due to radiological changes. Background of interest included work in a coal mine for 9 years, former smoking habit (90 pack-years), a diagnosis of COPD treated with umeclidinium/vilanterol, and intermittent claudication. Reported symptoms were mMRC grade 2 dyspnea on exertion, unchanged in the last year. The only finding on examination was reduced breath sounds in both lung fields. Imaging tests (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) showed mediastinal widening with images significant for masses. A chest CT scan was requested.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Subclavian artery aneurysms are rare entities, representing 0.01% of peripheral aneurysms.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> They are usually due to arteriosclerosis but are sometimes caused by trauma or degenerative diseases. Clinical manifestations are rare, and diagnosis is more common after an incidental finding simulating a lung mass on chest X-ray. Chest CT is a useful technique for differential diagnosis of this entity. Aneurysms can sometimes rupture, provoking a life-threatening situation that requires surgical intervention.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors state that they received no funding for the research, authorship and/or publication of this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Alvarez Mavarez JD, Gutierrez Rodriguez M. Alteración radiológica secundario a aneurismas aberrantes de arteria subclavia. Arch Bronconeumol. 2021;57:301.</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" => 1445 "Ancho" => 1500 "Tamanyo" => 167745 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) PA and lateral chest X-ray showing mediastinal widening with images significant for masses. (B) Chest CT with intravenous contrast, showing an aberrant right subclavian artery that originates in the aortic arch distal to the left subclavian artery, running behind the esophagus towards the right side, with a large, partially thrombosed aneurysm. (C) Partially thrombosed aneurysm of the descending aorta.</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" => "Multiple arteriosclerotic arterial aneurysms" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T.L. Dent" 1 => "S.M. Lindenauer" 2 => "C.B. Ernst" 3 => "W.J. Fry" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/archsurg.1972.04180080184031" "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1972" "volumen" => "105" "paginaInicial" => "338" "paginaFinal" => "344" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5044555" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous rupture of an aneurysm of the right subclavian artery as a first presentation of Ehlers Danlos syndrome in a 15-year-old boy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Verbert" 1 => "J. Verbist" 2 => "P. Peeters" 3 => "H. Deferm" 4 => "L. Haenen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/00015458.2013.11680947" "Revista" => array:5 [ "tituloSerie" => "Acta Chir Belg" "fecha" => "2013" "volumen" => "113" "paginaInicial" => "367" "paginaFinal" => "372" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000379/v1_202104020819/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/15792129/0000005700000004/v1_202104020819/S1579212921000379/v1_202104020819/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000379?idApp=UINPBA00003Z" ]
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