Clinical Image
Acquired Perfusion Defect
Defecto de Perfusión Adquirido
Read
1855
Timeswas read the article
904
Total PDF
951
Total HTML
Share statistics
array:23 [ "pii" => "S1579212921003517" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.04.019" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2486" "copyright" => "SEPAR" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:701" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => 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" ] "itemAnterior" => array:19 [ "pii" => "S1579212921003001" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.09.002" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2484" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:699-700" "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" => "Asymptomatic acute pulmonary embolism in a patient with a delayed pulmonary artery stump thrombosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "699" "paginaFinal" => "700" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tromboembolismo pulmonar agudo asintomático en paciente con trombosis diferida del muñón de una arteria pulmonar" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1522 "Ancho" => 2500 "Tamanyo" => 366244 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT images following administration of intravenous contrast, axial plane and mediastinal window. A) Chest CT image obtained 2 years after thoracic surgery (right inferior lobectomy) showing tumor recurrence (white asterisk) and patent intermediate pulmonary artery (black asterisk). B) Chest CT image obtained 12 months after radiation therapy, identifying an eccentric filling defect that forms obtuse angles in the right lower lobe artery stump with extension proximal to the intermediate artery (asterisk). C) Chest CT image obtained 18 months after image B, showing a central filling defect in a segmental artery in the left lower lobe (arrow), consistent with acute PE. D and E) Chest CT images obtained 6 months after image C, which showed resolved PE but persistent pulmonary artery stump thrombosis (asterisk).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Gorospe-Sarasúa, Margarita Martín-Martín, Rosa María Mirambeaux-Villanova" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe-Sarasúa" ] 1 => array:2 [ "nombre" => "Margarita" "apellidos" => "Martín-Martín" ] 2 => array:2 [ "nombre" => "Rosa María" "apellidos" => "Mirambeaux-Villanova" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289620301356" "doi" => "10.1016/j.arbres.2020.05.002" "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/S0300289620301356?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003001?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003001/v1_202111020702/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Acquired Perfusion Defect" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "701" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Firas Bahdi, Audra J. Schwalk, Saadia A. Faiz" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Firas" "apellidos" => "Bahdi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Audra J." "apellidos" => "Schwalk" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Saadia A." "apellidos" => "Faiz" "email" => array:1 [ 0 => "safaiz@mdanderson.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Medicine, Baylor College of Medicine, Houston, TX, United States" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Defecto de Perfusión Adquirido" ] ] "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" => 742 "Ancho" => 2917 "Tamanyo" => 317503 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial contrast-enhanced chest CT with mediastinal (A) and lung (B) windows shows conglomerate tumor (yellow asterisk) in the right hilar and subcarinal space with narrowing of the right bronchus intermedius and right distal main (yellow arrow) pulmonary artery. Quantitative lung perfusion scintigraphy (C) revealed nearly absent perfusion of right lung.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A middle-aged man with metastatic lung cancer and chronic obstructive pulmonary disease (COPD) presented with increasing dyspnea, wheezing, and cough for two weeks. On examination, he had irregularly irregular tachycardia, bilateral end-expiratory wheezes, and no peripheral edema. EKG revealed atrial fibrillation with rapid ventricular response. CT of the chest revealed no pulmonary embolism, a centrally obstructing right infrahilar soft tissue mass with narrowing of the right bronchus intermedius (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1A and B</a>). Echocardiogram confirmed normal biventricular systolic function without pulmonary hypertension. Pulmonary was consulted for tracheobronchial intervention, but quantitative ventilation/perfusion study revealed minimal perfusion in the right lung (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1C</a>). Following conservative medical therapy with amiodarone, inhaled bronchodilators and steroids for COPD exacerbation, patient gradually improved. Chemotherapy (carboplatin, pemetrexed) was continued. The patient expired 7 months later due to progressive disease.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Quantitative lung scanning is a non-invasive procedure that provides prognostic information for postoperative pulmonary function.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Unilateral absence of perfusion on ventilation/perfusion scan is rare, and literature is limited to case reports and small case series. Acquired conditions may include malignant fibrous histiocytoma, pulmonary artery tumors, bronchogenic carcinoma, pulmonary vein stenosis and massive pulmonary embolism.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Bronchoscopic intervention is typically a palliative procedure in advanced lung cancer, and although it may have been technically feasible, compression of pulmonary vasculature and resolution of his acute symptoms would not support tracheobronchial intervention.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This research is supported in part by the National Institutes of Health through MD <span class="elsevierStyleGrantSponsor" id="gs1">Anderson's Cancer Center Support Grant</span> (<span class="elsevierStyleGrantNumber" refid="gs1">CA016672</span>).</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of Interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no conflicts of interest exist.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of Interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 742 "Ancho" => 2917 "Tamanyo" => 317503 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial contrast-enhanced chest CT with mediastinal (A) and lung (B) windows shows conglomerate tumor (yellow asterisk) in the right hilar and subcarinal space with narrowing of the right bronchus intermedius and right distal main (yellow arrow) pulmonary artery. Quantitative lung perfusion scintigraphy (C) revealed nearly absent perfusion of right lung.</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" => "Ventilation-perfusion scintigraphy to predict postoperative pulmonary function in lung cancer patients undergoing pneumonectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "T. Win" 1 => "A.D. Tasker" 2 => "A.M. Groves" 3 => "C. White" 4 => "A.J. Ritchie" 5 => "F.C. Wells" 6 => "C.M. Laroche" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Roentgenol" "fecha" => "2006" "volumen" => "187" "paginaInicial" => "1260" "paginaFinal" => "1265" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acquired whole-lung mismatched perfusion defects on pulmonary ventilation/perfusion scintigraphy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.W. Bowman" 1 => "B.K. Albers" 2 => "M.K. Jain" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/ijnm.IJNM_60_18" "Revista" => array:6 [ "tituloSerie" => "Indian J Nucl Med" "fecha" => "2018" "volumen" => "33" "paginaInicial" => "312" "paginaFinal" => "316" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30386053" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003517/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/S1579212921003517/v1_202111020702/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003517?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 3 | 9 |
| 2024 October | 31 | 23 | 54 |
| 2024 September | 31 | 14 | 45 |
| 2024 August | 49 | 29 | 78 |
| 2024 July | 22 | 18 | 40 |
| 2024 June | 33 | 25 | 58 |
| 2024 May | 36 | 28 | 64 |
| 2024 April | 29 | 19 | 48 |
| 2024 March | 26 | 14 | 40 |
| 2024 February | 21 | 30 | 51 |
| 2024 January | 21 | 25 | 46 |
| 2023 December | 18 | 20 | 38 |
| 2023 November | 20 | 17 | 37 |
| 2023 October | 23 | 28 | 51 |
| 2023 September | 21 | 27 | 48 |
| 2023 August | 23 | 31 | 54 |
| 2023 July | 27 | 19 | 46 |
| 2023 June | 29 | 11 | 40 |
| 2023 May | 21 | 23 | 44 |
| 2023 April | 29 | 32 | 61 |
| 2023 March | 31 | 51 | 82 |
| 2023 February | 22 | 20 | 42 |
| 2023 January | 19 | 60 | 79 |
| 2022 December | 34 | 30 | 64 |
| 2022 November | 25 | 18 | 43 |
| 2022 October | 39 | 35 | 74 |
| 2022 September | 26 | 29 | 55 |
| 2022 August | 31 | 37 | 68 |
| 2022 July | 24 | 40 | 64 |
| 2022 June | 26 | 26 | 52 |
| 2022 May | 29 | 32 | 61 |
| 2022 April | 62 | 23 | 85 |
| 2022 March | 56 | 47 | 103 |
| 2022 February | 11 | 20 | 31 |
Show all
