was read the article
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"cita" => "Rev Port Cardiol. 2015;34:703-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2186 "formatos" => array:3 [ "EPUB" => 150 "HTML" => 1652 "PDF" => 384 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Diagnosis and management of pulmonary embolism in critical situations: A cardiac challenge" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "703" "paginaFinal" => "704" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Embolia pulmonar em pacientes críticos: desafio cardíaco" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0025" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 751 "Ancho" => 764 "Tamanyo" => 138333 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Pre- (A) and post-intervention (B) angiography of the right pulmonary artery. 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Chest radiograph (D) showed wedge-shaped pleural based opacities (“Hampton's hump”).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Caro-Codón, Teresa López-Fernández, Ángel Sánchez-Recalde, Silvia Valbuena-López, Raúl Moreno, José Luis López-Sendón" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Caro-Codón" ] 1 => array:2 [ "nombre" => "Teresa" "apellidos" => "López-Fernández" ] 2 => array:2 [ "nombre" => "Ángel" "apellidos" => "Sánchez-Recalde" ] 3 => array:2 [ "nombre" => "Silvia" "apellidos" => "Valbuena-López" ] 4 => array:2 [ "nombre" => "Raúl" "apellidos" => "Moreno" ] 5 => array:2 [ "nombre" => "José Luis" "apellidos" => "López-Sendón" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255115002486" "doi" => "10.1016/j.repc.2015.06.009" "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/S0870255115002486?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915002627?idApp=UINPBA00004E" "url" => "/21742049/0000003400000011/v2_201703180236/S2174204915002627/v2_201703180236/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S217420491500207X" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.09.002" "estado" => "S300" "fechaPublicacion" => "2015-11-01" "aid" => "704" "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. 2015;34:697-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3544 "formatos" => array:3 [ "EPUB" => 174 "HTML" => 2772 "PDF" => 598 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Evidenced-Based Cardiology</span>" "titulo" => "Cochrane Corner: Colchicine in acute and recurrent pericarditis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "697" "paginaFinal" => "699" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Cochrane Corner</span>: colchicina na pericardite aguda e recorrente" ] ] "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" => 1801 "Ancho" => 3103 "Tamanyo" => 229964 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Effects of colchicine in patients with acute or recurrent pericarditis (adapted from Alabed et al.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a>). AEs: adverse effects; AP: acute pericarditis; CI: confidence interval; HR: hazard ratio; RCTs: randomized controlled trials; RP: recurrent pericarditis; RR: relative risk.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Daniel Caldeira, António Vaz-Carneiro, João Costa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Daniel" "apellidos" => "Caldeira" ] 1 => array:2 [ "nombre" => "António" "apellidos" => "Vaz-Carneiro" ] 2 => array:2 [ "nombre" => "João" "apellidos" => "Costa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S0870255115002346" "doi" => "10.1016/j.repc.2015.03.023" "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/S0870255115002346?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491500207X?idApp=UINPBA00004E" "url" => "/21742049/0000003400000011/v2_201703180236/S217420491500207X/v2_201703180236/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Giant right coronary aneurysm untreatable by percutaneous intervention" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "701" "paginaFinal" => "702" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Bruno Marmelo, Anne Delgado, Davide Moreira, João Pipa, Pedro Ferreira, Oliveira Santos" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Bruno" "apellidos" => "Marmelo" "email" => array:1 [ 0 => "brunomarmelo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Anne" "apellidos" => "Delgado" ] 2 => array:2 [ "nombre" => "Davide" "apellidos" => "Moreira" ] 3 => array:2 [ "nombre" => "João" "apellidos" => "Pipa" ] 4 => array:2 [ "nombre" => "Pedro" "apellidos" => "Ferreira" ] 5 => array:2 [ "nombre" => "Oliveira" "apellidos" => "Santos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Serviço de Cardiologia, Centro Hospitalar Tondela-Viseu, Viseu, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Aneurisma gigante e intratável percutaneamente da coronária direita" ] ] "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" => 700 "Tamanyo" => 75548 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The guide wire crossed the side mesh of the stent, but the balloon could not be advanced.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old man went to the emergency room of the nearest hospital to his holiday location due to general malaise and jaw pain of four hours duration and was diagnosed with inferior myocardial infarction (MI). He had suffered an MI four years previously in France, when stents had been implanted in the right coronary and circumflex arteries. Since the center had no facilities for percutaneous coronary intervention (PCI), fibrinolysis was performed within 30 min and he was then transferred to a PCI-capable center. Coronary angiography revealed a giant aneurysm of the mid segment of the right coronary artery involving the proximal portion of the stent, with a recanalized thrombus (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). PCI to exclude the aneurysm was attempted but it proved impossible to cross the stent with the guide wires employed. The proximal portion of the stent appeared to be occluded, with flow through the side mesh. A further attempt at PCI was made a few days later, which revealed an organized thrombus (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>). The side mesh of the stent was crossed but the balloon could not be advanced (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>). <a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a> shows the final result.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">This case highlights the value of prompt fibrinolysis, which proved to be the ideal treatment. The aneurysm was four times larger than the caliber of the reference vessel, thus meeting the definition of a giant aneurysm. Good flow, inability to treat percutaneously and uncertainty as to its evolution called into question the need for, and appropriate timing of, surgical repair. The patient was discharged under dual antiplatelet therapy and was event-free at six-month follow-up.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this investigation.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appears in this article.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appears in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-12-16" "fechaAceptado" => "2015-02-12" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Marmelo B, Delgado A, Moreira D, et al. Aneurisma gigante e intratável percutaneamente da coronária direita. Rev Port Cardiol. 2015;34:701–702.</p>" ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 700 "Ancho" => 700 "Tamanyo" => 76975 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Giant aneurysm in the mid segment of the right coronary artery, involving the proximal portion of the stent, with a luminal thrombus.</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" => 700 "Ancho" => 700 "Tamanyo" => 88747 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Visualization of an organized thrombus and flow through the stent mesh one week after the acute event.</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" => 700 "Tamanyo" => 75548 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The guide wire crossed the side mesh of the stent, but the balloon could not be advanced.</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" => 700 "Ancho" => 700 "Tamanyo" => 72575 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Final result.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003400000011/v2_201703180236/S2174204915002068/v2_201703180236/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/21742049/0000003400000011/v2_201703180236/S2174204915002068/v2_201703180236/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915002068?idApp=UINPBA00004E" ]
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