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Axial CT contrast-enhanced image (C) demonstrated slight enhancement of the swollen lymph nodes. At six-month follow-up, chest CT (D and E) showed the shrinkage of lymph nodes and the relief of main bronchus compression. H&E staining (F) demonstrated numerous spherical yeast cells of variable size surrounded by a clear halo (400×), suggesting the diagnosis of cryptococcosis." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jia He, Xian-Zheng Tan, Peng Liu" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jia" "apellidos" => "He" ] 1 => array:2 [ "nombre" => "Xian-Zheng" "apellidos" => "Tan" ] 2 => array:2 [ "nombre" => "Peng" "apellidos" => "Liu" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623003629?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000001/v3_202406051404/S0300289623003629/v3_202406051404/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289623003186" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.10.003" "estado" => "S300" "fechaPublicacion" => "2024-01-01" "aid" => "3418" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2024;60:50-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Case Report" "titulo" => "Primary Tracheal Adenoid Cystic Carcinoma: Therapeutic Challenges Posed by Unresectable" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "50" "paginaFinal" => "52" ] ] "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" => 2827 "Ancho" => 1874 "Tamanyo" => 575417 ] ] "descripcion" => array:1 [ "en" => "(A and B) A huge pedunculated round mass in the inferior third of the trachea (20/3/2015). (C and D) Right lung tumor before and after receiving argon-helium cryoablation targeted therapy (30/10/2020; 4/11/2020). (E and F) Esophageal stenosis, and then esophageal covered metal mesh stent (MTN-SE-S-20/100-A-8/650) implantation under DSA (5/1/2021; 6/1/2021). (G and H) Tracheal space occupying, esophageal space occupying after esophageal covered metal mesh stent implantation (7/6/2023). (I and J) Rigid bronchoscopy combined with flexible bronchoscopy to remove the new organisms in the esophagus and then move the esophageal covered metal mesh stent up 1cm(7/6/2023). (K and L) Rigid bronchoscopy combined with flexible bronchoscopy to remove tracheal new organisms and then Y-shaped covered metal mesh stent (size: 16mm×50mm trachea/12mm×35mm left principal bronchus/15mm×35mm right principal bronchus) was implanted (7/6/2023; 9/6/2023). (M) Chest CT was used to evaluate the placement of double stents (10/6/2023). (N) Digestive-respiratory tract fistulas (8/7/2023)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jun Teng, Heng Zou, Hongwu Wang" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jun" "apellidos" => "Teng" ] 1 => array:2 [ "nombre" => "Heng" "apellidos" => "Zou" ] 2 => array:2 [ "nombre" => "Hongwu" "apellidos" => "Wang" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623003186?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000001/v3_202406051404/S0300289623003186/v3_202406051404/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Clinical Image" "titulo" => "Transpleural Systemic Artery to Pulmonary Artery Fistulas: Doppler Ultrasound Findings" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "53" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Gorospe, Miguel Ángel Gómez-Bermejo, Ana Palomera-Rico" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Luis" "apellidos" => "Gorospe" "email" => array:1 [ 0 => "luisgorospe@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Gómez-Bermejo" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Palomera-Rico" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Radiology, Ramón y Cajal University Hospital, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "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" => 821 "Ancho" => 1136 "Tamanyo" => 179705 ] ] "descripcion" => array:1 [ "en" => "(A) Doppler ultrasound of the right thoracic wall identifies prominent right-sided intercostal arteries showing spectral broadening (increased peak systolic velocity [134 cm/s] and decreased resistance index [0.53]), suggesting an arterial fistula with an increased and turbulent blood flow. (B) Doppler ultrasound of the left thoracic wall shows a normal doppler waveform of the intercostal arteries (low peak systolic velocity [27 cm/s] and high resistance index [0.84]). (C) Coronal thoracic maximum intensity projection (MIP) CT image shows hypertrophy of the right superior intercostal arteries (arrows) compared to the left hemithorax. (D) Coronal thoracic MIP CT image shows an unexpected early and prominent contrast enhancement of the right upper lobe vessels (asterisks) due to retrograde filling through the hypertrophied intercostal arteries. (E) Volumetric reconstruction CT image shows the hypertrophy of the posterior right intercostal arteries. (F) Digital subtraction angiogram shows the right intercostal arteries embolization procedure using polyvinyl alcohol particles (300–500 μm in size)." ] ] ] "textoCompleto" => "We present the case of a 69-year-old lung cancer survivor (the patient was treated 6 years earlier with chemoradiation therapy) who presented to our hospital with hemoptysis. Chest radiograph showed a right upper lobe atelectasis. A thoracic ultrasound was first performed and identified right-sided prominent intercostal arteries with a low resistance spectral waveform on Doppler interrogation (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1A,B</a>), suggesting the presence of transpleural systemic artery to pulmonary artery fistulas (TPSAPAFs). These TPSAPAFs were later confirmed on CT as the cause for the hemoptysis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1C–E</a>), and the patient underwent a successful embolization of several non-bronchial systemic arteries (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1F</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>TPSAPAFs are abnormal anastomoses between systemic arteries and peripheral pulmonary arteries and can be congenital or, more frequently, acquired. Acquired TPSAPAFs may occur due to long-standing inflammation/infection, trauma, surgery, and cancer. In these conditions, TPSAPAFs mostly occur between systemic nonbronchial arteries (intercostal, internal mammary, costocervical trunk, and inferior phrenic arteries) and peripheral branches of the pulmonary artery.<a class="elsevierStyleCrossRefs" href="#bib0015">1,2</a> In our patient, chronic radiation changes in the lung most likely facilitated the hypertrophy and recruitment of systemic nonbronchial arteries. To our knowledge, Doppler ultrasound findings of TPSAPAFs have not been previously described. Understanding the pathophysiology, complex anatomy, and treatment for these rare vascular anastomoses is crucial prior to angiographic intervention in order to improve outcomes, avoid misdiagnosis, and prevent inappropriate intervention.FundingThis study received no funding.Conflict of interestsThe authors state that they have no conflict of interests." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 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" => 821 "Ancho" => 1136 "Tamanyo" => 179705 ] ] "descripcion" => array:1 [ "en" => "(A) Doppler ultrasound of the right thoracic wall identifies prominent right-sided intercostal arteries showing spectral broadening (increased peak systolic velocity [134 cm/s] and decreased resistance index [0.53]), suggesting an arterial fistula with an increased and turbulent blood flow. (B) Doppler ultrasound of the left thoracic wall shows a normal doppler waveform of the intercostal arteries (low peak systolic velocity [27 cm/s] and high resistance index [0.84]). (C) Coronal thoracic maximum intensity projection (MIP) CT image shows hypertrophy of the right superior intercostal arteries (arrows) compared to the left hemithorax. (D) Coronal thoracic MIP CT image shows an unexpected early and prominent contrast enhancement of the right upper lobe vessels (asterisks) due to retrograde filling through the hypertrophied intercostal arteries. (E) Volumetric reconstruction CT image shows the hypertrophy of the posterior right intercostal arteries. (F) Digital subtraction angiogram shows the right intercostal arteries embolization procedure using polyvinyl alcohol particles (300–500 μm in size)." ] ] ] "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" => "Computed tomography angiography for presence of systemic-to-pulmonary artery shunt in transpleural systemic arterial supply" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Y.F. Zhang" 1 => "Q. Zhao" 2 => "R. Huang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejrad.2020.109060" "Revista" => array:5 [ "tituloSerie" => "Eur J Radiol" "fecha" => "2020" "volumen" => "129" "paginaInicial" => "109060" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32446128" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT for evaluation of hemoptysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.M. Marquis" 1 => "C.A. Raptis" 2 => "M.Z. Rajput" 3 => "K.L. Steinbrecher" 4 => "T.S. Henry" 5 => "S.E. Rossi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/rg.2021200150" "Revista" => array:6 [ "tituloSerie" => "Radiographics" "fecha" => "2021" "volumen" => "41" "paginaInicial" => "742" "paginaFinal" => "761" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33939537" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000001/v3_202406051404/S0300289623003575/v3_202406051404/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000001/v3_202406051404/S0300289623003575/v3_202406051404/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623003575?idApp=UINPBA00003Z"]

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

It is a monthly journal in which all manuscripts are sent to peer-review and handled by the editor or an associate editor from the team and the final decision is made on the basis of the comments from the expert reviewers and the editors. The journal is published solely in English. All the published data is composed of novel manuscripts not previously published in any other journal and not being in consideration for publication in any other journal..

The journal is indexed at Science Citation Index Expanded, Medline/Pubmed, Embase and SCOPUS. Access to any published article is possible through the journal's web page as well as from Pubmed, ScienceDirect, and other international databases. Furthermore, the journal is also present in X, Facebook and Linkedin. Manuscripts can be submitted electronically using the following web site: https://www.editorialmanager.com/ARBR/.

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8.7

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3.5

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0.464

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0.482

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