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array:25 [ "pii" => "S1579212921001671" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.05.007" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2356" "copyright" => "The Author(s)" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:490" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S0300289619306064" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.11.029" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2356" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:490" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 67 "formatos" => array:3 [ "EPUB" => 24 "HTML" => 23 "PDF" => 20 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Laceración traqueobronquial tras traumatismo torácico cerrado" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "490" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tracheobronchial Laceration After Blunt Chest Trauma" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 800 "Ancho" => 905 "Tamanyo" => 100776 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">TC de tórax con contraste intravenoso: A) Plano axial, ventana de pulmón. Signo del pulmón caído (flecha blanca discontinua) por colapso y desplazamiento del hilio pulmonar hacia partes declives. Se observa también neumotórax derecho a tensión (asterisco blanco) que condiciona desplazamiento mediastínico contralateral y neumopericardio (flecha negra discontinua). B) Reconstrucción coronal, ventana de pulmón. Neumomediastino con aire rodeando los bronquios y los vasos pulmonares de disposición paralela a los mismos en el hilio pulmonar (cabeza de flecha negra). C) Reconstrucción multiplanar con proyección de mínima intensidad (MiniP), plano coronal, ventana de pulmón donde se identifica enfisema subcutáneo (flecha negra continua) y discontinuidad de la vía aérea (flecha blanca). D) Reconstrucción volumétrica 3D, proyección anteroposterior con supresión de pulmón derecho. Laceración del bronquio intermediario con amputación bronquial y discontinuidad de la vía aérea (flecha blanca).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Diana Veiga Canuto, Joan Carreres Polo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Diana" "apellidos" => "Veiga Canuto" ] 1 => array:2 [ "nombre" => "Joan" "apellidos" => "Carreres Polo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921001671" "doi" => "10.1016/j.arbr.2021.05.007" "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/S1579212921001671?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619306064?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000007/v2_202107030624/S0300289619306064/v2_202107030624/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "S1579212921001993" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.11.029" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2357" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:491" "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" => "Polypoid Tracheal Fibroma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "491" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibroma traqueal polipoide" ] ] "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" => 950 "Ancho" => 1750 "Tamanyo" => 183353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Spirometry flow-volume loop (A) was not typical of an extrathoracic obstruction. CT-scan axial and sagittal images (B) show a pedicled lesion in middle third of the trachea. Images of flexible bronchoscopy (C) and rigid bronchoscopy (D) before and after argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion. Histological images of polypoid fibroma of the tracheal mucosa [hematoxylin and eosin staining] (E).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Diana Organista, Joana Barbosa, Aurora Lino" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Diana" "apellidos" => "Organista" ] 1 => array:2 [ "nombre" => "Joana" "apellidos" => "Barbosa" ] 2 => array:2 [ "nombre" => "Aurora" "apellidos" => "Lino" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001993?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001993/v1_202107020656/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921002081" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.03.015" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2792" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2021;57:479-89" 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array:2 [ "nombre" => "Susana" "apellidos" => "Gómez-Olles" ] 8 => array:2 [ "nombre" => "Meritxell" "apellidos" => "Boada-Pérez" ] 9 => array:2 [ "nombre" => "Cristina" "apellidos" => "Esquinas" ] 10 => array:2 [ "nombre" => "Berta" "apellidos" => "Sáez-Giménez" ] 11 => array:2 [ "nombre" => "Iñigo" "apellidos" => "Ojanguren" ] 12 => array:2 [ "nombre" => "Miriam" "apellidos" => "Barrecheguren" ] 13 => array:2 [ "nombre" => "Jorge Juan" "apellidos" => "Olsina-Kissler" ] ] ] ] "resumen" => array:1 [ 0 => array:3 [ "titulo" => "Graphical abstract" "clase" => "graphical" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><elsevierMultimedia ident="fig0035"></elsevierMultimedia></p></span>" ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002081?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921002081/v1_202107020656/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Tracheobronchial Laceration After Blunt Chest Trauma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "490" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Diana Veiga-Canuto, Joan Carreres-Polo" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Diana" "apellidos" => "Veiga-Canuto" "email" => array:1 [ 0 => "dianaveigac@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Joan" "apellidos" => "Carreres-Polo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiología, Área Clínica de Imagen Médica, Hospital Universitari i Politècnic La Fe, Valencia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Laceración traqueobronquial tras traumatismo torácico cerrado" ] ] "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" => 800 "Ancho" => 905 "Tamanyo" => 100776 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT with intravenous contrast agent: (A) Axial plane, lung window. Fallen lung sign (dashed white arrow) due to collapse and displacement of the pulmonary hilum toward the lower segments. Right tension pneumothorax (white asterisk) is also observed, causing contralateral mediastinal displacement and pneumopericardium (dashed black arrow). (B) Coronal reconstruction, lung window. Pneumomediastinum with air surrounding the bronchi and pulmonary vessels lying in parallel to bronchi in the pulmonary hilum (black arrowhead). (C) Multiplanar reconstruction with minimum intensity projection, coronal plane, lung window showing subcutaneous emphysema (solid black arrow) and airway discontinuity (white arrow). (D) Three-D volume rendering, anteroposterior projection with suppression of right lung. Laceration of the intermediate bronchus with bronchial amputation and discontinuity of the airway (white arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 50-year-old man with multiple injuries. Chest CT with intravenous contrast agent identified laceration of the intermediate bronchus (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Tracheobronchial laceration is uncommon in clinical practice (0.2%–8% of closed thoracic trauma) because 81% of patients die at the scene from other causes.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> Diagnosis is usually late, as it is masked by other traumatic injuries.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Bronchial ruptures are typically parallel to the cartilaginous rings, less than 2.5<span class="elsevierStyleHsp" style=""></span>cm from the carinal angle, and are slightly more predominant in the right side.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> Indirect signs, such as pneumomediastinum and cervical emphysema, can be seen on imaging tests. Persistent pneumothorax, refractory to drainage tube placement, occurs if the lesion reaches the pleural space. CT has a fundamental role, allowing direct identification of airway discontinuity, angulation, and bronchial defect or amputation. If the rupture is complete, the lung can collapse and fall away from the hilum toward the lower segments (“fallen lung sign”).<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Multiplanar reconstructions CT images with minimal intensity projection are useful if tracheobronchial injury is suspected. Bronchoscopy can confirm the diagnosis and assess its extension. Early surgery should be performed to attempt primary repair.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "z.star;" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Veiga-Canuto D, Carreres-Polo J. Laceración traqueobronquial tras traumatismo torácico cerrado. Arch Bronconeumol. 2021;57:490.</p>" ] ] "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" => 800 "Ancho" => 905 "Tamanyo" => 100776 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT with intravenous contrast agent: (A) Axial plane, lung window. Fallen lung sign (dashed white arrow) due to collapse and displacement of the pulmonary hilum toward the lower segments. Right tension pneumothorax (white asterisk) is also observed, causing contralateral mediastinal displacement and pneumopericardium (dashed black arrow). (B) Coronal reconstruction, lung window. Pneumomediastinum with air surrounding the bronchi and pulmonary vessels lying in parallel to bronchi in the pulmonary hilum (black arrowhead). (C) Multiplanar reconstruction with minimum intensity projection, coronal plane, lung window showing subcutaneous emphysema (solid black arrow) and airway discontinuity (white arrow). (D) Three-D volume rendering, anteroposterior projection with suppression of right lung. Laceration of the intermediate bronchus with bronchial amputation and discontinuity of the airway (white arrow).</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" => "Multidetector CT of blunt thoracic trauma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Kaewlai" 1 => "L.L. Avery" 2 => "A.V. Asrani" 3 => "R.A. Novelline" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/rg.286085510" "Revista" => array:6 [ "tituloSerie" => "Radiographics" "fecha" => "2008" "volumen" => "28" "paginaInicial" => "1555" "paginaFinal" => "1570" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18936021" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatic bronchial injury" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Cheaito" 1 => "A. Tillou" 2 => "C. Lewis" 3 => "H. Cryer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijscr.2016.08.014" "Revista" => array:6 [ "tituloSerie" => "Int J Surg Case Rep" "fecha" => "2016" "volumen" => "27" "paginaInicial" => "172" "paginaFinal" => "175" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27621099" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001671/v1_202107020656/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/15792129/0000005700000007/v1_202107020656/S1579212921001671/v1_202107020656/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001671?idApp=UINPBA00003Z" ]
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