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Intraoperatory diagnosis of partial anomalous pulmonary venous return during pulmonary resection surgery in a non-small cell lung cancer patient
Diagnóstico intraoperatorio de drenaje venoso pulmonar anómalo parcial durante cirugía de resección pulmonar en paciente con diagnóstico con carcinoma no microcítico de pulmón
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La imagen «b» muestra la reconstrucción volumétrica de los vasos pulmonares izquierdos y muestra el DVPAP drenando en el tronco braquicefálico izquierdo.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carlos Alfredo Fraile Olivero, Marina Asunción Pardina Solano, Lucia Milla Collado" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Carlos Alfredo" "apellidos" => "Fraile Olivero" ] 1 => array:2 [ "nombre" => "Marina Asunción" "apellidos" => "Pardina Solano" ] 2 => array:2 [ "nombre" => "Lucia" "apellidos" => "Milla Collado" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921003025" "doi" => "10.1016/j.arbr.2021.09.004" "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/S1579212921003025?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620301770?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000011/v2_202111040649/S0300289620301770/v2_202111040649/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S1579212921003578" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.01.016" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2747" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:704" "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" => "Pulmonary Embolism Caused by a Migrated Biochip: An Alert for the Future" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "704" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Embolia pulmonar por biochip. Una alerta para el futuro" ] ] "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" => 1376 "Ancho" => 1667 "Tamanyo" => 281292 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Anteroposterior radiograph of the right humerus showing a small, dense linear projection in the right hemithorax (arrow). (B and C) Axial and coronal reconstructed images depicting the device lodged in a vascular branch of the right lower lobe of the lung (arrows). (D) Axial CT image (obtained with the mediastinal window setting) showing the small metallic device (arrow). (E) The biochip being implanted in the patient's hand.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Thyago Alem Dall’Acqua, Edson Marchiori, Rosana Souza Rodrigues" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Thyago Alem" "apellidos" => "Dall’Acqua" ] 1 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] 2 => array:2 [ "nombre" => "Rosana Souza" "apellidos" => "Rodrigues" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003578?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003578/v1_202111020702/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212921003013" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.09.003" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2502" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:702" "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" => "Anterior mediastinal mass associated with febrile syndrome as a single manifestation of IgG4-related disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "702" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Masa mediastínica anterior asociada a síndrome febril como única manifestación de enfermedad relacionada con IgG4" ] ] "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" => 832 "Ancho" => 1250 "Tamanyo" => 85548 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest-abdomen-pelvis computed tomography with intravenous contrast in axial (A) and coronal (B) planes, showing the anterior mediastinal mass with heterogeneous enhancement and an infiltrative appearance (red arrows). T2-weighted MRI image with fat suppression (C) identifying the hyperintense anterior mediastinal mass (red arrow). The lesion was markedly hypermetabolic on the initial PET/CT images (SUVmax = 11.9) (D) and disappeared on PET/CT after 4 months of treatment (E).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Dolores Rabadán-Caravaca, Eduardo Ruiz-Carazo, María Dolores García-Roa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María Dolores" "apellidos" => "Rabadán-Caravaca" ] 1 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Ruiz-Carazo" ] 2 => array:2 [ "nombre" => "María Dolores" "apellidos" => "García-Roa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289620301678" "doi" => "10.1016/j.arbres.2020.05.013" "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/S0300289620301678?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003013?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003013/v1_202111020702/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Intraoperatory diagnosis of partial anomalous pulmonary venous return during pulmonary resection surgery in a non-small cell lung cancer patient" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "703" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carlos Alfredo Fraile Olivero, Marina Asunción Pardina Solano, Lucia Milla Collado" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Carlos Alfredo" "apellidos" => "Fraile Olivero" "email" => array:1 [ 0 => "fraile.carlos@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Marina Asunción" "apellidos" => "Pardina Solano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Lucia" "apellidos" => "Milla Collado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario Arnau de Vilanova, Lérida, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario Arnau de Vilanova, Lérida, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Diagnóstico intraoperatorio de drenaje venoso pulmonar anómalo parcial durante cirugía de resección pulmonar en paciente con diagnóstico con carcinoma no microcítico de pulmón" ] ] "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" => 658 "Ancho" => 1000 "Tamanyo" => 110130 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. Partial anomalous pulmonary venous return (PAPVR) straddling the left main pulmonary artery. B. Volumetric reconstruction of left pulmonary vessels showing the PAPVR draining into the left brachiocephalic trunk.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 68-year-old patient diagnosed with squamous lung carcinoma undergoing left pneumonectomy. Intraoperatively, during the dissection of the main pulmonary artery (MPA), a large-caliber vessel from the left upper lobe was observed straddling the left MPA and ascending through the mediastinal fat anterior to the aortic arch. A CT scan of the pulmonary arteries performed during the preoperative period was reviewed, and a partial anomalous pulmonary venous return (PAPVR) from the upper left pulmonary vein (PV) toward the left braquicefalic venous trunk was visualized; it was sectioned with an Endostapler and the pulmonary resection surgery was completed. Volumetric reconstruction was requested which confirmed the intraoperative finding. In PAPVR, 1 or more lobes drain to the right atrium or one of its tributaries. Prevalence is 0.4%–0.7%, and the most frequent anomaly is from the right PV to the superior vena cava; it is usually an incidental finding, the presence of symptoms being exceptional<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>. In our case, we observed the drainage of the left upper PV to the left brachiocephalic venous trunk, which has a vertical course (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The availability of preoperative volumetric vascular reconstruction aids surgical planning and diagnosis of pulmonary vascular abnormalities<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "⋆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fraile Olivero CA, Pardina Solano MA, Milla Collado L. Diagnóstico intraoperatorio de drenaje venoso pulmonar anómalo parcial durante cirugía de resección pulmonar en paciente con diagnóstico con carcinoma no microcítico de pulmón. Arch Bronconeumol. 2021;57:703.</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" => 658 "Ancho" => 1000 "Tamanyo" => 110130 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. Partial anomalous pulmonary venous return (PAPVR) straddling the left main pulmonary artery. B. Volumetric reconstruction of left pulmonary vessels showing the PAPVR draining into the left brachiocephalic trunk.</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" => "Congenital thoracic vascular anomalies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.A. Maldonado" 1 => "T. Henry" 2 => "F.R. Gutiérrez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rcl.2009.09.004" "Revista" => array:5 [ "tituloSerie" => "Radiol Clin N Am." "fecha" => "2010" "volumen" => "48" "paginaInicial" => "85" "paginaFinal" => "115" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rentabilidad de la reconstrucción volumétrica de la arteria pulmonar para la planificación de lobectomías y segmentectomías endoscópicas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Ojanguren" 1 => "J.L. Recuero" 2 => "M. Pardina" 3 => "L. Milla" 4 => "M. Santamaría" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ciresp.2017.01.005" "Revista" => array:6 [ "tituloSerie" => "Cir Esp." "fecha" => "2017" "volumen" => "95" "paginaInicial" => "102" "paginaFinal" => "108" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28213996" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003025/v1_202111020702/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/15792129/0000005700000011/v1_202111020702/S1579212921003025/v1_202111020702/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003025?idApp=UINPBA00003Z" ]
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