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array:24 [ "pii" => "S0870255122004802" "issn" => "08702551" "doi" => "10.1016/j.repc.2022.09.002" "estado" => "S300" "fechaPublicacion" => "2023-01-01" "aid" => "2063" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2023;42:75-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S0870255122004814" "issn" => "08702551" "doi" => "10.1016/j.repc.2022.01.010" "estado" => "S300" "fechaPublicacion" => "2023-01-01" "aid" => "2062" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2023;42:77-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "An unthinkable cause of syncope" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "77" "paginaFinal" => "78" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Uma causa impensável de síncope" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3183 "Ancho" => 2167 "Tamanyo" => 416805 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial thoracic computed tomography showing a giant cyst (*) compressing the right heart. (B) Four-chamber view, balanced turbo field-echo (BTFE) cardiovascular magnetic resonance (CMR) showing a giant cyst (*) compressing the right heart. (C) Left ventricular tract outflow (LVOT) view, BTFE CMR showing a giant cyst (*) compressing the right atrium (black arrow). (D) BTFE CMR sagittal view of the cyst extension. (E) Coronal thoracic computed tomography after the cyst resection. (F) BTFE CMR showing the LVOT view after the cyst resection.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Maria G. Matta, Beatriz A. Camara, Lucia Rodríguez Eyras, Miguel A. Garcia" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Maria G." "apellidos" => "Matta" ] 1 => array:2 [ "nombre" => "Beatriz A." "apellidos" => "Camara" ] 2 => array:2 [ "nombre" => "Lucia Rodríguez" "apellidos" => "Eyras" ] 3 => array:2 [ "nombre" => "Miguel A." "apellidos" => "Garcia" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122004814?idApp=UINPBA00004E" "url" => "/08702551/0000004200000001/v2_202301120627/S0870255122004814/v2_202301120627/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0870255122004917" "issn" => "08702551" "doi" => "10.1016/j.repc.2022.11.001" "estado" => "S300" "fechaPublicacion" => "2023-01-01" "aid" => "2070" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "dis" "cita" => "Rev Port Cardiol. 2023;42:73-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>" "titulo" => "Exercise-induced syncope: A real red flag!" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "73" "paginaFinal" => "74" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Síncope induzida pelo exercício: um verdadeiro sinal de alerta!" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Hélder Dores" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Hélder" "apellidos" => "Dores" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122004917?idApp=UINPBA00004E" "url" => "/08702551/0000004200000001/v2_202301120627/S0870255122004917/v2_202301120627/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Placement of permanent pacemaker in a patient with venous anomaly through the right subclavian vein" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "75" "paginaFinal" => "76" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ibrahim Etem Celik, Mustafa Duran, Mikail Yarlıoglu, Sani Namık Murat" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ibrahim Etem" "apellidos" => "Celik" "email" => array:1 [ 0 => "etem84@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Mustafa" "apellidos" => "Duran" ] 2 => array:2 [ "nombre" => "Mikail" "apellidos" => "Yarlıoglu" ] 3 => array:2 [ "nombre" => "Sani Namık" "apellidos" => "Murat" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Cardiology, University of Health Sciences, Ankara Education and Research Hospital, Ankara, Turkey" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Implantação de <span class="elsevierStyleItalic">pacemaker</span> definitivo pela veia subclávia num doente com anomalia venosa" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 653 "Ancho" => 1340 "Tamanyo" => 96890 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. Venogram from the right upper limb showing the absence of a right SVC with the persistent left superior vena cava draining into the dilated coronary sinus. B. Chest X-ray demonstrating the loop configuration of the ventricular lead of the VVIR pacemaker.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 58-year-old female patient was admitted to our hospital with dizziness and near syncope. The diagnosis of Mobitz type 2 atrioventricular block was made on electrocardiogram. A dual-chamber pacemaker was inserted through the right side as the patient actively used her left arm. The right ventricular (RV) lead was advanced in an attempt to access the right superior vena cava (SVC), but resistance was encountered. Venography revealed persistent left superior vena cava (PLSVC) draining through the dilated coronary sinus (CS) into the right atrium with absent right SVC (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A). Then, a classic lead delivery system was used to reach the right atrium through CS and then through the tricuspid valve into the right ventricle. The RV lead was advanced via PLSVC through the CS and was actively fixed to the right ventricle apex with loop configuration. Following RV lead placement, an atrial active fixation lead was introduced, however we were unable to implant a pacemaker lead in a proper location. The parameters of the implanted VVIR pacemaker were ventricular sensing of 6 mV, pacing threshold of 0.4 V, and impedance of 630 ohms. Chest X-ray revealed satisfactory positioning of the ventricular lead (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">While implanting cardiac devices in patients with PLSVC and absent right SVC, it is difficult to pass through the tricuspid valve to place the ventricular lead. Although lead implantation is very challenging due to abnormal vena cava anatomy, different techniques can be used to facilitate the crossing tricuspid valve. Physicians should be aware of the use of active fixation leads, and conforming the loop configuration of the ventricular lead may overcome this technical challenge.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">No potential conflict of interest was reported by the author(s).</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-09-28" "fechaAceptado" => "2022-09-07" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 653 "Ancho" => 1340 "Tamanyo" => 96890 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. Venogram from the right upper limb showing the absence of a right SVC with the persistent left superior vena cava draining into the dilated coronary sinus. B. Chest X-ray demonstrating the loop configuration of the ventricular lead of the VVIR pacemaker.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000004200000001/v2_202301120627/S0870255122004802/v2_202301120627/en/main.assets" "Apartado" => array:4 [ "identificador" => "95133" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Image in Cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000004200000001/v2_202301120627/S0870255122004802/v2_202301120627/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122004802?idApp=UINPBA00004E" ]
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