Image in cardiology
Aortic arch geometry after aortic coarctation repair: Systematic magnetic resonance study in a consecutive series of patients
Geometria do arco aórtico em coartações da aorta corrigidas: estudo sistemático por ressonância magnética numa série consecutiva de doentes
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Pinto" "autores" => array:4 [ 0 => array:4 [ "nombre" => "José Diogo" "apellidos" => "Ferreira Martins" "email" => array:1 [ 0 => "jdferreiramartins@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Boban" "apellidos" => "Thomas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Nuno" "apellidos" => "Jalles Tavares" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Fatima F." "apellidos" => "Pinto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Serviço de Cardiologia Pediátrica, Hospital de Santa Marta, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Ressonância Magnética, Caselas, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Geometria do arco aórtico em coartações da aorta corrigidas: estudo sistemático por ressonância magnética numa série consecutiva de doentes" ] ] "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" => 1582 "Ancho" => 1587 "Tamanyo" => 121854 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Romanesque arch geometry.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Systemic hypertension at rest or during exercise persists in a significant number of patients after early repair of coarctation of the aorta (CoA). Recoarctation explains only a small percentage of these cases, and recent studies have suggested intrinsic anomalies in aortic arch geometry (“gothic arch”) as a possible cause, irrespective of whether the repair was surgical or percutaneous.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">We retrospectively assessed all magnetic resonance imaging (MRI) studies in a consecutive series of patients followed in our institution, analyzing the prevalence of the various types of aortic arch geometry: gothic, romanesque and crenel. All the studies were performed using a Signa 1.5T (GE Medical Systems, Milwaukee, WI, USA). Anatomical types were classified by two physicians experienced in MRI (>1500 exams between them), based on images acquired using black blood, cine or angiographic techniques.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The type of aortic arch could be classified in 59 of the 77 consecutive patients with corrected CoA. Those with recoarctation or other significant aortic arch abnormalities, such as arch hypoplasia in the context of hypoplastic left heart syndrome, were excluded. The results showed the following distribution of types: romanesque (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>22; <a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>), gothic (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>20; <a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>) and crenel (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>17; <a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>), which is similar to the distribution described for international series reported in the literature.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A significant proportion of our series of patients with corrected CoA had aortic arch geometry that predisposes to hypertension at rest or during exercise. Besides screening for anatomical and physiological signs of recoarctation, magnetic resonance study after aortic coarctation repair should also assess aortic arch geometry, since this has a significant impact on the management and prognosis of these patients.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2011-10-26" "fechaAceptado" => "2011-10-31" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Martins, JD. Geometria do arco aórtico em coarctações da aorta corrigidas: estudo sistemático por ressonância magnética numa série consecutiva de doentes. Rev Port Cardiol. 2012. <span class="elsevierStyleInterRef" href="doi:10.1016/j.repce.2012.03.006">doi:10.1016/j.repce.2012.03.006</span></p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1582 "Ancho" => 1587 "Tamanyo" => 121854 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Romanesque arch geometry.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1593 "Ancho" => 1585 "Tamanyo" => 138099 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Gothic arch geometry.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1588 "Ancho" => 1580 "Tamanyo" => 123672 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Crenel geometry.</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" => "Late systemic hypertension and aortic arch geometry after successful repair of coarctation of the aorta" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "P. Ou" 1 => "D. Bonnet" 2 => "L. Auriacombe" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ehj.2004.07.021" "Revista" => array:6 [ "tituloSerie" => "Eur Heart J" "fecha" => "2004" "volumen" => "25" "paginaInicial" => "1853" "paginaFinal" => "1859" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15474701" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Angular (gothic) aortic arch leads to enhanced systolic wave reflection, central aortic stiffness, and increased left ventricular mass late after aortic coarctation repair: evaluation with magnetic resonance flow mapping" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Ou" 1 => "D.S. Celermajer" 2 => "O.J. Raisky" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jtcvs.2007.03.059" "Revista" => array:6 [ "tituloSerie" => "J Thorac Cardiovasc Surg" "fecha" => "2008" "volumen" => "135" "paginaInicial" => "62" "paginaFinal" => "68" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18179920" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003100000005/v1_201305151729/S2174204912000451/v1_201305151729/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003100000005/v1_201305151729/S2174204912000451/v1_201305151729/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912000451?idApp=UINPBA00004E" ]
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| 2014 January | 93 | 23 | 116 |
| 2013 December | 66 | 16 | 82 |
| 2013 November | 64 | 20 | 84 |
| 2013 October | 58 | 16 | 74 |
| 2013 September | 76 | 15 | 91 |
| 2013 August | 80 | 32 | 112 |
| 2013 July | 99 | 20 | 119 |
| 2013 June | 67 | 16 | 83 |
| 2013 May | 58 | 18 | 76 |
| 2013 April | 80 | 31 | 111 |
| 2013 March | 84 | 30 | 114 |
| 2013 February | 86 | 26 | 112 |
| 2013 January | 102 | 27 | 129 |
| 2012 December | 64 | 19 | 83 |
| 2012 November | 56 | 24 | 80 |
| 2012 October | 65 | 16 | 81 |
| 2012 September | 29 | 5 | 34 |
Show all
