Statistics

 array:25 [
  "pii" => "S2174204915001257"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2015.05.013"
  "estado" => "S300"
  "fechaPublicacion" => "2015-06-01"
  "aid" => "647"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2014"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Rev Port Cardiol. 2015;34:423.e1-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3871
    "formatos" => array:3 [
      "EPUB" => 176
      "HTML" => 3047
      "PDF" => 648
    ]
  ]
  "Traduccion" => array:1 [
    "pt" => array:20 [
      "pii" => "S0870255115001304"
      "issn" => "08702551"
      "doi" => "10.1016/j.repc.2014.11.021"
      "estado" => "S300"
      "fechaPublicacion" => "2015-06-01"
      "aid" => "647"
      "copyright" => "Sociedade Portuguesa de Cardiologia"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Rev Port Cardiol. 2015;34:423.e1-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 3074
        "formatos" => array:3 [
          "EPUB" => 170
          "HTML" => 2229
          "PDF" => 675
        ]
      ]
      "pt" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
        "titulo" => "Sopro de uma bala &#8211; les&#227;o antiga&#44; nova terap&#234;utica"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "tieneResumen" => array:2 [
          0 => "pt"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "423&#46;e1"
            "paginaFinal" => "423&#46;e3"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Murmur from a bullet&#58; Old lesion&#44; new treatment"
          ]
        ]
        "contieneResumen" => array:2 [
          "pt" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "pt" => true
        ]
        "contienePdf" => array:1 [
          "pt" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0020"
            "etiqueta" => "Figura 4"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr4.jpeg"
                "Alto" => 928
                "Ancho" => 950
                "Tamanyo" => 94802
              ]
            ]
            "descripcion" => array:1 [
              "pt" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">TC 2014 &#8211; seis anos p&#243;s&#8208;TEVAR&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "David Neves, Nuno Bettencourt, Pedro Braga, Vasco Gama"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "David"
                "apellidos" => "Neves"
              ]
              1 => array:2 [
                "nombre" => "Nuno"
                "apellidos" => "Bettencourt"
              ]
              2 => array:2 [
                "nombre" => "Pedro"
                "apellidos" => "Braga"
              ]
              3 => array:2 [
                "nombre" => "Vasco"
                "apellidos" => "Gama"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2174204915001257"
          "doi" => "10.1016/j.repce.2015.05.013"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001257?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001304?idApp=UINPBA00004E"
      "url" => "/08702551/0000003400000006/v1_201506170141/S0870255115001304/v1_201506170141/pt/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2174204915001361"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.06.002"
    "estado" => "S300"
    "fechaPublicacion" => "2015-06-01"
    "aid" => "641"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Cardiol. 2015;34:425&#46;e1-3"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4618
      "formatos" => array:3 [
        "EPUB" => 168
        "HTML" => 3984
        "PDF" => 466
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "An extremely rare malformation of an atrial septal defect closure device and use of a new corrective technique"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "425&#46;e1"
          "paginaFinal" => "425&#46;e3"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Uma malforma&#231;&#227;o extremamente rara do dispositivo de oclus&#227;o percut&#226;nea da comunica&#231;&#227;o interauricular e uso de uma t&#233;cnica terap&#234;utica nova"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "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" => 1326
              "Ancho" => 1400
              "Tamanyo" => 242488
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Concave deformation of the distal left atrial &#40;LA&#41; disc preventing full device recapture &#40;A&#41;&#59; the stiff and flat side of a 0&#46;038&#8221; J-wire guided through the sheath to the LA disc &#40;B&#41;&#59; concave deformity rectified by engaging the hub section&#44; and the device completely retracted into the sheath &#40;C&#41;&#59; final position of the 26 mm Cera device after implantation &#40;D&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Korhan Soylu, Murat Meri&#231;, Ufuk Y&#305;ld&#305;r&#305;m, Okan Gulel"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Korhan"
              "apellidos" => "Soylu"
            ]
            1 => array:2 [
              "nombre" => "Murat"
              "apellidos" => "Meri&#231;"
            ]
            2 => array:2 [
              "nombre" => "Ufuk"
              "apellidos" => "Y&#305;ld&#305;r&#305;m"
            ]
            3 => array:2 [
              "nombre" => "Okan"
              "apellidos" => "Gulel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0870255115001249"
        "doi" => "10.1016/j.repc.2014.11.019"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001249?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001361?idApp=UINPBA00004E"
    "url" => "/21742049/0000003400000006/v1_201506200223/S2174204915001361/v1_201506200223/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2174204915001129"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2014.11.007"
    "estado" => "S300"
    "fechaPublicacion" => "2015-06-01"
    "aid" => "610"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Cardiol. 2015;34:421&#46;e1-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4228
      "formatos" => array:3 [
        "EPUB" => 160
        "HTML" => 3219
        "PDF" => 849
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Recurrent constrictive pericarditis&#58; A diagnostic and therapeutic challenge"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "421&#46;e1"
          "paginaFinal" => "421&#46;e5"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Pericardite constritiva recorrente &#8211; um desafio diagn&#243;stico e terap&#234;utico"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 649
              "Ancho" => 1950
              "Tamanyo" => 133985
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Coronary angiography showing no coronary artery disease and marked calcification of the cardiac silhouette&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Raquel Ferreira, Anabela Gonzaga, Lu&#237;s Santos, Jos&#233; Ant&#243;nio Santos"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Raquel"
              "apellidos" => "Ferreira"
            ]
            1 => array:2 [
              "nombre" => "Anabela"
              "apellidos" => "Gonzaga"
            ]
            2 => array:2 [
              "nombre" => "Lu&#237;s"
              "apellidos" => "Santos"
            ]
            3 => array:2 [
              "nombre" => "Jos&#233; Ant&#243;nio"
              "apellidos" => "Santos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S0870255115000451"
        "doi" => "10.1016/j.repc.2014.11.009"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115000451?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001129?idApp=UINPBA00004E"
    "url" => "/21742049/0000003400000006/v1_201506200223/S2174204915001129/v1_201506200223/en/main.assets"
  ]
  "en" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Murmur from a bullet&#58; Old lesion&#44; new treatment"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "423&#46;e1"
        "paginaFinal" => "423&#46;e3"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "David Neves, Nuno Bettencourt, Pedro Braga, Vasco Gama"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "David"
            "apellidos" => "Neves"
            "email" => array:1 [
              0 => "dcneves25&#64;hotmail&#46;com"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Nuno"
            "apellidos" => "Bettencourt"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Pedro"
            "apellidos" => "Braga"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Vasco"
            "apellidos" => "Gama"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Hospital Esp&#237;rito Santo&#44; &#201;vora&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Centro Hospitalar de Vila Nova de Gaia&#44; Vila Nova de Gaia&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Sopro de uma bala &#8211; les&#227;o antiga&#44; nova terap&#234;utica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 700
            "Ancho" => 1163
            "Tamanyo" => 147495
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Computed tomography in 2006&#44; before thoracic endovascular aortic repair&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Aortic disease can be highly variable in terms of lesion morphology&#44; clinical presentation and etiology&#46; Pseudoaneurysm of the thoracic aorta is an uncommon condition&#44; the main predisposing factors for which are thoracic surgery and trauma&#46; Clinical presentation varies&#44; depending on size&#44; speed of development and involvement of adjacent structures&#44; ranging from a clinical picture suggesting acute aortic or coronary syndrome to sudden death&#44; or it may be completely asymptomatic&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">At the age of 12&#44; a young man had been accidentally shot in the anterior chest &#40;4th-5th intercostal space&#41;&#44; suffering spine injury that resulted in paraplegia&#46; He retained functional autonomy in a wheelchair&#46; At age 15 a mild cardiac murmur was detected during a routine consultation&#44; but he had no cardiovascular symptoms&#46; At the age of 25&#44; although he was still asymptomatic&#44; the murmur had worsened and become continuous&#44; and he was referred for cardiological consultation&#46; Chest X-ray during etiological study revealed a hypodensity in the left perihilar region&#46; This finding was investigated by computed tomography &#40;CT&#41;&#44; which revealed a pseudoaneurysm&#44; with fistulization to the left pulmonary artery &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1&#8211;3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Following joint medical and surgical evaluation&#44; in view of the risks of intervention and the patient&#39;s clinical stability&#44; it was decided to adopt a conservative strategy and to continue cardiology follow-up&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The patient remained active and working&#44; with no cardiac symptoms during outpatient follow-up&#46; In 2007&#44; at age 35&#44; left ventricular dilatation and systolic dysfunction &#40;ejection fraction 41&#37;&#41; were observed&#44; probably due to high output caused by the fistula&#46; The case was accordingly re-evaluated and it was decided to intervene&#46; A 28 mm&#215;100 mm Valiant Thoracic Stent Graft was implanted percutaneously&#59; the procedure was uneventful&#46; He continued to be monitored in cardiology follow-up consultations&#44; which showed good cardiovascular evolution&#44; with recovery of left ventricular function &#40;ejection fraction stable at 53&#37;&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Currently&#44; at age 41 and six years after the procedure&#44; he is well&#44; with no cardiovascular symptoms &#40;<a class="elsevierStyleCrossRefs" href="#fig0020">Figures 4 and 5</a>&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><elsevierMultimedia ident="fig0025"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion and conclusions</span><p id="par0035" class="elsevierStylePara elsevierViewall">This case illustrates the fact that several simple factors can make a significant difference to the outcome of a clinical case&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0040" class="elsevierStylePara elsevierViewall">The clinical picture&#44; in this case a murmur that subsequently developed new characteristics&#44; is of crucial importance in assessing a patient&#44; even when advanced technologies are available&#59;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0045" class="elsevierStylePara elsevierViewall">New technology that can help confirm or establish a diagnosis and aid in therapeutic decision-making &#40;in this case CT and magnetic resonance imaging&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">-</span><p id="par0050" class="elsevierStylePara elsevierViewall">Team work&#44; in this case leading to the initial decision not to intervene&#44; on the grounds that the benefits did not justify the risks&#59;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">-</span><p id="par0055" class="elsevierStylePara elsevierViewall">Thoracic endovascular aortic repair&#44; which is now increasingly used and was an excellent option for this patient&#46;</p></li></ul></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Ethical disclosures</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Protection of human and animal subjects</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this investigation&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Confidentiality of data</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appears in this article&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Right to privacy and informed consent</span><p id="par0070" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appears in this article&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflicts of interest</span><p id="par0075" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:9 [
        0 => array:3 [
          "identificador" => "xres525253"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec545490"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres525252"
          "titulo" => "Resumo"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec545491"
          "titulo" => "Palavras-chave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Case report"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Discussion and conclusions"
        ]
        7 => array:3 [
          "identificador" => "sec0020"
          "titulo" => "Ethical disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        8 => array:2 [
          "identificador" => "sec0040"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2014-09-15"
    "fechaAceptado" => "2014-11-15"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec545490"
          "palabras" => array:5 [
            0 => "Aorta"
            1 => "Thoracic endovascular aortic repair"
            2 => "Pseudoaneurysm"
            3 => "Fistula"
            4 => "Computed tomography"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec545491"
          "palabras" => array:5 [
            0 => "Aorta"
            1 => "Pr&#243;tese a&#243;rtica percut&#226;nea"
            2 => "Pseudoaneurisma"
            3 => "F&#237;stula"
            4 => "Tomografia computorizada"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Aortic disease can be highly variable in terms of lesion morphology&#44; clinical presentation and etiology&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">We present the case of a young man who suffered a gunshot injury at the age of 12&#44; resulting in paraplegia&#46; Later a murmur was detected and at age 25 a pseudoaneurysm was diagnosed&#44; with fistulization to the left pulmonary artery&#46; Given his good functional status&#44; he was initially managed by a conservative strategy&#44; with regular follow-up&#46; At age 35 left ventricular dilatation was observed with tachycardia and systolic dysfunction&#44; and he was referred for transcatheter aortic valve replacement&#46; Currently&#44; at age 41&#44; he is well in cardiovascular terms&#44; with a good procedural result and professionally active&#46;</p></span>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">A patologia da aorta &#233; muito variada no que diz respeito &#224; morfologia&#44; apresenta&#231;&#227;o cl&#237;nica e etiologia&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Apresenta-se o caso de um homem baleado aos 12 anos&#44; tendo ficado parapl&#233;gico&#46; Posteriormente foi detetado um sopro card&#237;aco e&#44; aos 25 anos&#44; um pseudoaneurisma da aorta tor&#225;cica descendente&#44; com fistuliza&#231;&#227;o para a art&#233;ria pulmonar esquerda&#46; Mantido inicialmente em seguimento&#44; com bom <span class="elsevierStyleItalic">status</span> funcional&#44; observa-se aos 35 anos aumento do volume do ventr&#237;culo esquerdo&#44; associado a taquicardia e diminui&#231;&#227;o da fun&#231;&#227;o sist&#243;lica&#46; Neste contexto&#44; foi decidida interven&#231;&#227;o percut&#226;nea&#44; com coloca&#231;&#227;o de pr&#243;tese a&#243;rtica percut&#226;nea &#40;TEVAR&#41;&#46; Atualmente&#44; com 41 anos&#44; permanece assintom&#225;tico do ponto de vista card&#237;aco&#44; mantendo-se bom resultado da implanta&#231;&#227;o da pr&#243;tese&#46;</p></span>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Neves D&#44; Bettencourt N&#44; Braga P&#44; et al&#46; Sopro de uma bala &#8211; les&#227;o antiga&#44; nova terap&#234;utica&#46; Rev Port Cardiol&#46; 2015&#59;34&#58;423&#46;e1&#8211;423&#46;e3&#46;</p>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1152
            "Ancho" => 1590
            "Tamanyo" => 160442
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Computed tomography in 2006&#44; before thoracic endovascular aortic repair&#46;</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" => 718
            "Ancho" => 1700
            "Tamanyo" => 159623
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Computed tomography in 2006&#44; before thoracic endovascular aortic repair&#46;</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" => 700
            "Ancho" => 1163
            "Tamanyo" => 147495
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Computed tomography in 2006&#44; before thoracic endovascular aortic repair&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "fig0020"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 928
            "Ancho" => 950
            "Tamanyo" => 88965
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Computed tomography in 2014&#44; six years after thoracic endovascular aortic repair&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "fig0025"
        "etiqueta" => "Figure 5"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr5.jpeg"
            "Alto" => 1149
            "Ancho" => 800
            "Tamanyo" => 100360
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Computed tomography in 2014&#44; six years after thoracic endovascular aortic repair&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003400000006/v1_201506200223/S2174204915001257/v1_201506200223/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9919"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003400000006/v1_201506200223/S2174204915001257/v1_201506200223/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001257?idApp=UINPBA00004E"
]