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Giant pulmonary artery aneurysm in pulmonary arterial hypertension
Aneurisma gigante de la arteria pulmonar en hipertensión arterial pulmonar
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(B) Right lower lobectomy (arrow) with intra-atrial mass (arrow). (C) CT scan showing multiple parenchymal metastases.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Javier González-García, José Joaquín Domínguez del Castillo, Ángel Salvatierra Velázquez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "F. Javier" "apellidos" => "González-García" ] 1 => array:2 [ "nombre" => "José Joaquín" "apellidos" => "Domínguez del Castillo" ] 2 => array:2 [ "nombre" => "Ángel" "apellidos" => "Salvatierra Velázquez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002378?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921002378/v1_202108020523/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S1579212921002366" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.12.030" "estado" => "S300" "fechaPublicacion" => "2021-08-01" "aid" => "2372" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:540" "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" => "Foreign Body Aspiration Simulating Lung Cancer" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "540" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aspiración de cuerpo extraño que simula cáncer de pulmón" ] ] "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" => 1227 "Ancho" => 1267 "Tamanyo" => 160683 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Computerized tomography (CT) of the chest showed a nodular image with a diameter of 24<span class="elsevierStyleHsp" style=""></span>mm and atelectasis of the posterior segment of the right upper lobe; (C) flexible bronchoscopy revealed total obstruction of the posterior segment of the right upper lobe by amorphous material with abundant granulation tissue; (D) macroscopic appearance of the aspirated material was compatible with rice grains.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Filipa Carriço, Rodrigo Maia Alves, Filomena Luís" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Filipa" "apellidos" => "Carriço" ] 1 => array:2 [ "nombre" => "Rodrigo Maia" "apellidos" => "Alves" ] 2 => array:2 [ "nombre" => "Filomena" "apellidos" => "Luís" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002366?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921002366/v1_202108020523/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Giant pulmonary artery aneurysm in pulmonary arterial hypertension" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "541" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Pedro Caravaca Perez, Agueda Aurtenetxe Perez, Pilar Escribano Subias" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Pedro" "apellidos" => "Caravaca Perez" "email" => array:1 [ 0 => "pecarav86@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Agueda" "apellidos" => "Aurtenetxe Perez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Pilar" "apellidos" => "Escribano Subias" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Fundación Investigación i+12, Unidad Multidisciplinar Hipertensión Pulmonar, Servicio Cardiología, Hospital Universitario 12 Octubre, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "CIBER en Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aneurisma gigante de la arteria pulmonar en hipertensión arterial pulmonar" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1258 "Ancho" => 1675 "Tamanyo" => 278686 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A: chest X-ray, posteroanterior projection. B: transthoracic echocardiography, apical 4 chamber view. C: transthoracic echocardiography, short axis parasternal plane at the level of the large vessels. D–E: chest computed tomography with contrast medium, mediastinal window. F–G: coronary angiography, anteroposterior projection.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">AP: pulmonary artery; VD: right ventricle; VI: left ventricle; AD: right atrium; AI: left atrium; Ao: Aorta; APD: right pulmonary artery.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 68-year-old woman, diagnosed with idiopathic pulmonary hypertension (PH) 15 years previously, treated with triple vasodilator therapy and considered high risk, given the following hemodynamic parameters: mean pulmonary artery pressure 52 mmHg, cardiac index 2.15 l/min/m<span class="elsevierStyleSup">2</span>, right atrial pressure 11 mmHg, pulmonary vascular resistance 11 Wood units. Chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) revealed a prominent pulmonary artery and echocardiogram (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1</a>B and C) showed a dilated right ventricle with mild dysfunction and dilated pulmonary artery. A CT angiogram of the pulmonary arteries performed during follow-up showed aneurysmal dilatation of the pulmonary trunk and main branches with a maximum diameter of 103 mm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D), producing partial compression of the pulmonary bronchial tree (arrow <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D) that caused repeated respiratory infections. She presented exertional angina, and coronary angiography showed tapering of the left coronary artery (LCA) due to extrinsic compression (arrow <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>F), resolved with implantation of a drug-eluting stent (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> G; arrow in <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pulmonary artery aneurysms are a frequent complication in PH, with a prevalence of up to 40%.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> They are associated with the severity of the hemodynamic situation and time of progression. Potential complications include extrinsic compression of the LCA,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> thrombosis, and wall dissection.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Our clinical case is one of the largest pulmonary aneurysms published in the literature and illustrates the main associated complications.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">This study was funded by the <span class="elsevierStyleGrantSponsor" id="gs0005">Instituto de Salud Carlos III</span> (Ministry of Economy, Industry and Competitiveness) and co-funded by the <span class="elsevierStyleGrantSponsor" id="gs0010">European Regional Development Fund</span> via the CIBER cardiovascular diseases network (CB16/11/00502).</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: Caravaca Perez P, Aurtenetxe Perez A, Escribano Subias P. Aneurisma gigante de la arteria pulmonar en hipertensión arterial pulmonar. Arch Bronconeumol. 2021;57:541.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1258 "Ancho" => 1675 "Tamanyo" => 278686 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A: chest X-ray, posteroanterior projection. B: transthoracic echocardiography, apical 4 chamber view. C: transthoracic echocardiography, short axis parasternal plane at the level of the large vessels. D–E: chest computed tomography with contrast medium, mediastinal window. F–G: coronary angiography, anteroposterior projection.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">AP: pulmonary artery; VD: right ventricle; VI: left ventricle; AD: right atrium; AI: left atrium; Ao: Aorta; APD: right pulmonary artery.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Frequency, predictors and prognostic impact of pulmonary artery aneurysms in patients with pulmonary arterial hypertension" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Nuche" 1 => "J.M. Montero Cabezas" 2 => "C. Jiménez López-Guarch" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.amjcard.2018.10.028" "Revista" => array:6 [ "tituloSerie" => "Am J Cardiol" "fecha" => "2019" "volumen" => "123" "paginaInicial" => "474" "paginaFinal" => "481" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30477804" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Left main coronary artery compression in patients with pulmonary arterial hypertension and angina" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N. Galiè" 1 => "F. Saia" 2 => "M. Palazzini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jacc.2017.03.597" "Revista" => array:6 [ "tituloSerie" => "J Am Coll Cardiol" "fecha" => "2017" "volumen" => "69" "paginaInicial" => "2808" "paginaFinal" => "2817" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28595696" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary artery dilatation correlates with the risk of unexpected death in chronic arterial or thromboembolic pulmonary hypertension" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Zyłkowska" 1 => "M. Kurzyna" 2 => "M. Florczyk" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.11-2794" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2012" "volumen" => "142" "paginaInicial" => "1406" "paginaFinal" => "1416" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22797193" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921001865/v1_202108020523/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/15792129/0000005700000008/v1_202108020523/S1579212921001865/v1_202108020523/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001865?idApp=UINPBA00003Z" ]
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