array:25 [
  "pii" => "S2174204916300290"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2015.09.027"
  "estado" => "S300"
  "fechaPublicacion" => "2016-06-01"
  "aid" => "737"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2015"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Rev Port Cardiol. 2016;35:373.e1-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4484
    "formatos" => array:3 [
      "EPUB" => 202
      "HTML" => 3586
      "PDF" => 696
    ]
  ]
  "Traduccion" => array:1 [
    "pt" => array:20 [
      "pii" => "S0870255115003169"
      "issn" => "08702551"
      "doi" => "10.1016/j.repc.2015.09.008"
      "estado" => "S300"
      "fechaPublicacion" => "2016-06-01"
      "aid" => "737"
      "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. 2016;35:373.e1-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4801
        "formatos" => array:3 [
          "EPUB" => 195
          "HTML" => 4053
          "PDF" => 553
        ]
      ]
      "pt" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
        "titulo" => "Pseudoaneurisma ventricular esquerdo &#8211; um desafio diagn&#243;stico"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "tieneResumen" => array:2 [
          0 => "pt"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "373&#46;e1"
            "paginaFinal" => "373&#46;e6"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Left ventricular pseudoaneurysm &#8211; a challenging diagnosis"
          ]
        ]
        "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" => "fig0015"
            "etiqueta" => "Figura 3"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr3.jpeg"
                "Alto" => 442
                "Ancho" => 1500
                "Tamanyo" => 180393
              ]
            ]
            "descripcion" => array:1 [
              "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Repara&#231;&#227;o do aneurisma &#40;A&#44; seta&#41; pelo procedimento de dor modificado&#46; Exclus&#227;o do pseudoaneurisma com <span class="elsevierStyleItalic">patch</span> de <span class="elsevierStyleItalic">dacron</span> &#40;B&#44; ponta de seta&#41; e sutura com bandas de <span class="elsevierStyleItalic">teflon</span>&#46; Resultado final &#40;D&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Mariana Faustino, Sara Ranchord&#225;s, Jo&#227;o Abecasis, Ant&#243;nio Freitas, Moradas Ferreira, Victor Gil, Carlos Morais, Jos&#233; Pedro Neves"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Mariana"
                "apellidos" => "Faustino"
              ]
              1 => array:2 [
                "nombre" => "Sara"
                "apellidos" => "Ranchord&#225;s"
              ]
              2 => array:2 [
                "nombre" => "Jo&#227;o"
                "apellidos" => "Abecasis"
              ]
              3 => array:2 [
                "nombre" => "Ant&#243;nio"
                "apellidos" => "Freitas"
              ]
              4 => array:2 [
                "nombre" => "Moradas"
                "apellidos" => "Ferreira"
              ]
              5 => array:2 [
                "nombre" => "Victor"
                "apellidos" => "Gil"
              ]
              6 => array:2 [
                "nombre" => "Carlos"
                "apellidos" => "Morais"
              ]
              7 => array:2 [
                "nombre" => "Jos&#233; Pedro"
                "apellidos" => "Neves"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2174204916300290"
          "doi" => "10.1016/j.repce.2015.09.027"
          "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/S2174204916300290?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115003169?idApp=UINPBA00004E"
      "url" => "/08702551/0000003500000006/v1_201606140033/S0870255115003169/v1_201606140033/pt/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2174204916300289"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.09.026"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "717"
    "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. 2016;35:375&#46;e1-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3525
      "formatos" => array:3 [
        "EPUB" => 182
        "HTML" => 2803
        "PDF" => 540
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Stunned myocardium after an anesthetic procedure in a pediatric patient &#8211; case report"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "375&#46;e1"
          "paginaFinal" => "375&#46;e5"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "S&#237;ndrome Takotsubo ap&#243;s procedimento anest&#233;sico em idade pedi&#225;trica &#8211; um caso cl&#237;nico"
        ]
      ]
      "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" => "fig0020"
          "etiqueta" => "Figure 4"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr4.jpeg"
              "Alto" => 1068
              "Ancho" => 3167
              "Tamanyo" => 489959
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Electrocardiogram showing sinus tachycardia and ST-segment depression in V4 and V5&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Joana Faleiro Oliveira, Susana Rebelo Pacheco, Marta Moniz, Pedro Nunes, Clara Abadesso, M&#243;nica Rebelo, Helena Loureiro, Helena Almeida"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "Joana Faleiro"
              "apellidos" => "Oliveira"
            ]
            1 => array:2 [
              "nombre" => "Susana Rebelo"
              "apellidos" => "Pacheco"
            ]
            2 => array:2 [
              "nombre" => "Marta"
              "apellidos" => "Moniz"
            ]
            3 => array:2 [
              "nombre" => "Pedro"
              "apellidos" => "Nunes"
            ]
            4 => array:2 [
              "nombre" => "Clara"
              "apellidos" => "Abadesso"
            ]
            5 => array:2 [
              "nombre" => "M&#243;nica"
              "apellidos" => "Rebelo"
            ]
            6 => array:2 [
              "nombre" => "Helena"
              "apellidos" => "Loureiro"
            ]
            7 => array:2 [
              "nombre" => "Helena"
              "apellidos" => "Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S0870255115002474"
        "doi" => "10.1016/j.repc.2015.09.003"
        "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/S0870255115002474?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300289?idApp=UINPBA00004E"
    "url" => "/21742049/0000003500000006/v2_201704050129/S2174204916300289/v2_201704050129/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2174204916300642"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.12.020"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "786"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "ssu"
    "cita" => "Rev Port Cardiol. 2016;35:359-71"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5702
      "formatos" => array:3 [
        "EPUB" => 189
        "HTML" => 4366
        "PDF" => 1147
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review article</span>"
      "titulo" => "Cardiotoxicity in anthracycline therapy&#58; Prevention strategies"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "359"
          "paginaFinal" => "371"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Cardiotoxicidade na terap&#234;utica com antraciclinas&#58; estrat&#233;gias de preven&#231;&#227;o"
        ]
      ]
      "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" => 2375
              "Ancho" => 2417
              "Tamanyo" => 282865
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Initiation of a regimen potentially associated with anthracycline-induced cardiotoxicity&#46; 2DE&#58; two-dimensional echocardiography&#59; 3DE&#58; three-dimensional echocardiography&#59; GLS&#58; global longitudinal strain&#59; LLN&#58; lower limit of normal&#59; LVEF&#58; left ventricular ejection fraction&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Margarida Cruz, Joana Duarte-Rodrigues, Manuel Campelo"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Margarida"
              "apellidos" => "Cruz"
            ]
            1 => array:2 [
              "nombre" => "Joana"
              "apellidos" => "Duarte-Rodrigues"
            ]
            2 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Campelo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S0870255116000627"
        "doi" => "10.1016/j.repc.2015.12.004"
        "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/S0870255116000627?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300642?idApp=UINPBA00004E"
    "url" => "/21742049/0000003500000006/v2_201704050129/S2174204916300642/v2_201704050129/en/main.assets"
  ]
  "en" => array:21 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Left ventricular pseudoaneurysm &#8211; a challenging diagnosis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "373&#46;e1"
        "paginaFinal" => "373&#46;e6"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Mariana Faustino, Sara Ranchord&#225;s, Jo&#227;o Abecasis, Ant&#243;nio Freitas, Moradas Ferreira, Victor Gil, Carlos Morais, Jos&#233; Pedro Neves"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Mariana"
            "apellidos" => "Faustino"
            "email" => array:1 [
              0 => "marianafaustino85&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Sara"
            "apellidos" => "Ranchord&#225;s"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Jo&#227;o"
            "apellidos" => "Abecasis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Ant&#243;nio"
            "apellidos" => "Freitas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Moradas"
            "apellidos" => "Ferreira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Victor"
            "apellidos" => "Gil"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Carlos"
            "apellidos" => "Morais"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Jos&#233; Pedro"
            "apellidos" => "Neves"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia&#44; Hospital Fernando Fonseca&#44; Amadora&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servi&#231;o de Cirurgia Card&#237;aca&#44; Hospital de Santa Cruz&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Unidade Cardiovascular&#44; Hospital dos Lus&#237;adas Lisboa&#44; Lisboa&#44; Portugal"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Pseudoaneurisma ventricular esquerdo &#8211; um desafio diagn&#243;stico"
      ]
    ]
    "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" => 737
            "Ancho" => 2500
            "Tamanyo" => 290630
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Repair of the pseudoaneurysm &#40;arrow&#41; by the modified Dor procedure&#59; &#40;B&#41; exclusion of the pseudoaneurysm with a Dacron patch &#40;arrowhead&#41; and Teflon strips&#59; &#40;C&#41; final result&#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">Left ventricular pseudoaneurysm is a rare mechanical complication of acute myocardial infarction that results from myocardial rupture contained by the adjacent pericardium&#44; and is associated with high mortality&#46; It can develop in individuals without previous clinical events and have a non-specific and insidious presentation&#46; Surgical repair can modify the course of the disease&#44; and so prompt diagnosis is of considerable clinical importance&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;2</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors present the case of a 65-year-old man&#44; hypertensive&#44; who was admitted to the emergency department with pleuritic left chest pain and nonproductive cough that had progressively worsened over the previous three months&#46; He was feverish&#44; tachycardic&#44; and polypneic&#44; with reduced breath sounds in the lower third of the left hemithorax&#46; There were no signs of pulmonary congestion&#44; abnormalities on cardiac auscultation&#44; or peripheral edema&#46; Laboratory tests revealed leukocytosis 11<span class="elsevierStyleHsp" style=""></span>000&#47;&#956;l&#44; C-reactive protein 10&#46;50 mg&#47;dl and troponin &#60;0&#46;02 &#956;g&#47;ml&#46; The chest X-ray showed a slight opacity of the lower third of the left lung&#44; suggesting pneumonia with pleural effusion&#46; This possibility was supported by thoracic computed tomography &#40;CT&#41;&#44; which revealed a left pleural effusion and thickening of the pleural membranes with high contrast uptake&#44; suggesting an inflammatory process associated with atelectasis or possible consolidation of the adjacent pulmonary parenchyma&#46; Thoracentesis produced a liquid with the appearance of exudate&#44; but cultures were negative&#46; Other microbiological studies were also negative&#44; including cultures from blood&#44; expectorate&#44; bronchoalveolar lavage and transbronchial pulmonary biopsy&#46; Despite multiple courses of antibiotics&#44; including tuberculostatics&#44; the patient&#39;s fever persisted and inflammatory markers remained elevated&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">From the time of admission&#44; the patient presented pathological Q waves and negative T waves in III and aVF on the electrocardiogram &#40;ECG&#41;&#44; suggesting inferior myocardial scarring&#46; Transthoracic echocardiography showed deformation of the inferior wall&#44; expanding in systole&#44; and apparent reduction in wall thickness&#44; together with a small pericardial effusion&#44; suggesting a pseudoaneurysm rather than a true aneurysm &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a> and Video 1&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Cardiac magnetic resonance imaging &#40;MRI&#41; confirmed a small pericardial effusion&#44; without hemodynamic compromise&#44; with increased signal intensity in the pericardial space in perfusion sequences&#44; thrombotic material adhering to the walls in early and late enhancement sequences and pericardial late enhancement&#46; These findings confirmed the diagnosis of pseudoaneurysm of the mid and basal segments of the inferior wall&#44; partially filled with thrombotic material &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a> and Video 2&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Coronary angiography revealed an 80&#37; lesion in the proximal circumflex artery and occlusion of the mid segment of the right coronary artery&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient underwent surgery&#44; which showed a large pseudoaneurysm with a thick fibrous neck&#44; containing thrombotic material and extending to the left inferior wall and pericardium&#46; It was repaired using the modified Dor procedure &#40;exclusion of the pseudoaneurysm and placement of a Dacron patch&#41; and aortocoronary venous bypass grafting to the first obtuse marginal&#44; which were uneventful &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>&#41;&#46; During the operation the patch was seen to be slightly above the neck&#44; which was very wide&#46; The patient&#39;s clinical course was favorable&#44; with remission of chest pain&#44; fever&#44; inflammatory markers and pleural effusion&#46; Control echocardiography showed persisting aneurysm of the inferior wall affecting various components of the ventricular wall &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a> and Video 3&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0035" class="elsevierStylePara elsevierViewall">Left ventricular pseudoaneurysm results from myocardial rupture in which the bleeding is contained by the pericardium&#44; preventing the development of cardiac tamponade&#46; The periphery of the hematoma organizes into fibrous tissue adhering to the adjacent pericardium&#44; forming a saccular structure with no muscle tissue&#44; containing organized thrombi and communicating with the ventricular chamber&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#8211;3</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Transmural myocardial infarction is the most common cause of left ventricular pseudoaneurysm &#40;55&#37;&#41;&#46; Less frequent causes include complications of cardiac surgery &#40;33&#37;&#41;&#44; chest trauma &#40;7&#37;&#41;&#44; endocarditis &#40;5&#37;&#41;&#44; and&#44; rarely&#44; as a consequence of purulent pericarditis or tumor infiltration&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;4</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Pseudoaneurysms are usually located in the inferior or posterior walls&#44; following occlusion of the right coronary or circumflex artery&#46; By contrast&#44; 80-90&#37; of true aneurysms are located in the apex or anterolateral wall&#44; due to occlusion of the anterior descending artery&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The surgical technique is generally similar for true aneurysms and pseudoaneurysms when repair is indicated due to their size or complications&#46; However&#44; true aneurysms contain muscle tissue&#44; making rupture extremely unlikely&#44; unlike pseudoaneurysms&#46; Differential diagnosis between the two entities is thus essential&#44; although not always easy&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">5</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">The risk of sudden death through pseudoaneurysm rupture is 30-45&#37;&#46; A significant proportion of patients are probably not diagnosed in the acute phase due to early and fatal rupture&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">2</span></a> The condition is mostly diagnosed in the chronic phase and can develop for many years without rupturing&#59; around 10&#37; of cases are completely asymptomatic&#46; There may be symptoms of heart failure due to left ventricular systolic dysfunction resulting from a large pseudoaneurysm&#44; as well as mitral regurgitation arising from dysfunction of the posterior papillary muscle and&#47;or changes in the morphology of the left ventricle caused by the pseudoaneurysm&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;4</span></a> Chest pain may be due to post-infarction myocardial ischemia or to pericardial inflammation resulting from rupture&#44; as appears to have been the case in our patient&#46; There may also be arrhythmias or systemic embolism of thrombotic material from the pseudoaneurysm&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">Clinical diagnosis can be difficult&#44; as clinical manifestations and physical exam tend to be non-specific&#46; The ECG and chest X-ray may also be inconclusive&#44; further hampering diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">In the case presented&#44; chest pain accompanied by cough and fever in a patient without relevant history did not raise suspicions of a pseudoaneurysm&#46; Moreover&#44; left pleural effusion with exudative characteristics&#44; although mentioned in several case reports in the literature&#44; led the diagnostic investigation further in the wrong direction&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">4&#44;8</span></a> It was the electrocardiographic alterations that led to the suspicion of a cardiogenic cause&#44; and imaging studies were crucial in confirming the diagnosis of pseudoaneurysm&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Echocardiography&#44; with or without contrast&#44; CT&#44; MRI and ventriculography can establish the diagnosis&#44; differentiating pseudoaneurysm from true aneurysm&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">3</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">Echocardiography is the first-line modality for identifying aneurysmal dilatation&#44; raising the suspicion of discontinuity in the ventricular endocardium&#44; and detecting a relatively narrow opening between the ventricular and aneurysmal cavities through which systolic and diastolic flow can be observed&#46; Although echocardiography detects abnormalities in up to 90&#37; of patients&#44; it can only provide a definitive diagnosis in 25-33&#37; of cases&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">9</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">The value of cardiac MRI has been established for characterizing pseudoaneurysms and identifying adjacent structures&#44; particularly the pericardium&#44; thrombi and discontinuity in the myocardium&#44; enabling differential diagnosis with true aneurysm&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">6</span></a> Perfusion study is particularly useful when there is pericardial effusion as shown by increased signal intensity&#44; suggesting communication with the ventricular chamber&#46; Furthermore&#44; as mentioned in the literature and seen in the case presented&#44; late enhancement of the adjacent pericardium due to the presence of blood components can help in diagnosing a contained rupture&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">10</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">Although ventriculography has been considered the method of choice for the diagnosis of pseudoaneurysm&#44; more recently the advantages of imaging methods such as echocardiography and MRI have been increasingly recognized&#44; since they are non-invasive and do not involve the use of nephrotoxic contrast or ionizing radiation&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;7</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">For this reason&#44; after the diagnosis in the case presented was confirmed by MRI&#44; it was decided not to perform ventriculography at the time of coronary angiography&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">As the risk of fatal rupture of pseudoaneurysms in the acute phase of myocardial infarction is very high &#40;50&#37;&#41;&#44; surgical repair is indicated in all cases&#44; even though this is also associated with high mortality &#40;23-28&#37;&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;4</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">There is disagreement concerning the best treatment of chronic cases&#46; It has been suggested that even long-lasting pseudoaneurysms are indicated for surgery&#44; since the risk of rupture and death tends to increase over time&#44; and there is also a risk of cerebral thromboembolism &#40;10&#37;&#47;year&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;2</span></a> However&#44; small series of patients have shown 90&#37; survival at one year and 75&#37; at four years&#44; and indicate that the risk of sudden death is proportional to the severity of heart failure&#44; degree of left ventricular dysfunction and extent of underlying coronary disease&#46; The risk of rupture is also higher in the first months after infarction and in cases of rapid expansion&#46;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">11&#44;12</span></a> According to this reasoning&#44; surgical repair should be reserved for symptomatic patients&#44; those diagnosed recently &#40;&#60;3 months&#41;&#44; and those with large &#40;&#62;3 cm&#41; or progressively expanding pseudoaneurysms&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">In our case&#44; the patient presented with a pseudoaneurysm of undetermined evolution and with significant symptoms for around three months&#44; basically caused by pericardial inflammation&#44; the inflammatory process extending to the pleura and resulting in a significant effusion&#46; It was therefore decided to perform urgent surgical repair of the pseudoaneurysm&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusion</span><p id="par0110" class="elsevierStylePara elsevierViewall">Pleuritic chest pain&#44; cough&#44; and signs of an ongoing inflammatory process led the diagnostic investigation to focus wrongly on a pulmonary process&#44; until it finally became clear that these phenomena were merely due to extension of pericardial and pleural inflammation arising from myocardial rupture&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Few and non-specific signs and symptoms have also been observed in other cases reported in the literature&#44; which highlights the need for a high index of suspicion&#46; Imaging techniques are crucial to establish the diagnosis&#44; and the information they provide is essential for early and appropriate surgical intervention&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Ethical disclosures</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Protection of human and animal subjects</span><p id="par0120" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Confidentiality of data</span><p id="par0125" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Right to privacy and informed consent</span><p id="par0130" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conflicts of interest</span><p id="par0135" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:11 [
        0 => array:3 [
          "identificador" => "xres824762"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec821220"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres824761"
          "titulo" => "Resumo"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec821219"
          "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"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Conclusion"
        ]
        8 => array:3 [
          "identificador" => "sec0025"
          "titulo" => "Ethical disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        9 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Conflicts of interest"
        ]
        10 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2015-05-15"
    "fechaAceptado" => "2015-09-13"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec821220"
          "palabras" => array:3 [
            0 => "Left ventricular pseudoaneurysm"
            1 => "Echocardiography"
            2 => "Cardiac magnetic resonance"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec821219"
          "palabras" => array:3 [
            0 => "Pseudoaneurisma do ventr&#237;culo esquerdo"
            1 => "Ecocardiografia"
            2 => "Resson&#226;ncia magn&#233;tica card&#237;aca"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Left ventricular pseudoaneurysm is a rare complication of acute myocardial infarction&#44; associated with high mortality&#46; However&#44; it can present in a non-specific manner&#44; complicating and delaying the diagnosis&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors present the case of a 65-year-old patient&#44; hypertensive&#44; with no other known relevant medical history&#44; who presented with chest pain&#44; cough and left pleural effusion&#44; initially attributed to a pulmonary process&#46; However&#44; these were in fact the result of a left ventricular pseudoaneurysm following silent acute myocardial infarction&#46; The diagnosis was suspected on echocardiography and confirmed by cardiac magnetic resonance imaging&#44; and the patient underwent successful surgical pseudoaneurysm repair&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This case illustrates an atypical presentation of a left ventricular pseudoaneurysm&#44; in which the manifestations resulted from pericardial and pleural extension of the inflammatory process associated with contained myocardial rupture&#46; The case demonstrates the need for a high index of suspicion&#44; and the value of imaging techniques to confirm it&#44; in order to proceed with appropriate surgical treatment&#44; and thus modify the course of the disease&#46;</p></span>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O pseudoaneurisma do ventr&#237;culo esquerdo &#233; uma complica&#231;&#227;o rara do enfarte agudo do mioc&#225;rdio&#44; associada a elevada mortalidade&#46; No entanto&#44; pode manifestar-se de modo inespec&#237;fico&#44; dificultando e atrasando o seu diagn&#243;stico&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam o caso de um doente de 65 anos&#44; hipertenso&#44; sem outros antecedentes relevantes conhecidos&#44; em que toracalgia&#44; tosse e derrame pleural esquerdo&#44; inicialmente atribu&#237;das a um processo pneumol&#243;gico&#44; foram as manifesta&#231;&#245;es de um pseudoaneurisma do ventr&#237;culo esquerdo&#44; ap&#243;s enfarte agudo do mioc&#225;rdio silencioso&#46; O diagn&#243;stico foi suspeitado por ecocardiografia&#44; confirmado por resson&#226;ncia magn&#233;tica card&#237;aca e o doente foi submetido a cirurgia de repara&#231;&#227;o do pseudoaneurisma com sucesso&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Este caso ilustra uma forma de apresenta&#231;&#227;o at&#237;pica de um pseudoaneurisma do ventr&#237;culo esquerdo&#44; em que as manifesta&#231;&#245;es resultaram da extens&#227;o peric&#225;rdico-pleural do processo inflamat&#243;rio associada &#224; rotura mioc&#225;rdica contida&#46; O caso demonstra a necessidade de suspeitar o diagn&#243;stico e o valor dos v&#225;rios exames de imagem para a confirma&#231;&#227;o do mesmo&#44; de modo a possibilitar a terap&#234;utica cir&#250;rgica adequada e assim modificar o curso da doen&#231;a&#46;</p></span>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Faustino M&#44; Ranchord&#225;s S&#44; Abecasis J&#44; et al&#46; Pseudoaneurisma ventricular esquerdo &#8211; um desafio diagn&#243;stico&#46; Rev Port Cardiol&#46; 2016&#59;35&#58;373&#46;e1&#8211;373e6&#46;</p>"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0145" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary material"
            "identificador" => "sec0055"
          ]
        ]
      ]
    ]
    "multimedia" => array:6 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1908
            "Ancho" => 2500
            "Tamanyo" => 296620
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiograms suggestive of pseudoaneurysm of the inferior wall &#40;arrow&#41;&#46; &#40;A and B&#41; Apical 2-chamber view shows aneurysm of the inferior wall with reduced wall thickness and color Doppler suggesting flow between the ventricle and the aneurysm&#59; transverse section&#44; parasternal short-axis view in basal &#40;C&#41; and subcostal &#40;D&#41; planes&#46; Small pericardial effusion &#40;&#42;&#41;&#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" => 1497
            "Ancho" => 3000
            "Tamanyo" => 407763
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Cardiac magnetic resonance imaging&#46; Steady-state free precession sequences in 2-chamber long-axis &#40;A&#41; and short-axis &#40;B&#41; view of the left ventricle&#44; revealing pseudoaneurysm of the inferior wall &#40;arrowhead&#41; and a small pericardial effusion&#59; &#40;C and D&#41; early enhancement images showing evidence of thrombus &#40;&#42;&#41; partially filling the pseudoaneurysm&#59; transmural late enhancement involving the basal and mid segments of the inferior septum and the mid segment of the lateral wall&#46; The basal inferior segment of the left ventricular wall is composed of thrombus &#40;&#42;&#41;&#44; infarct scar &#40;arrow&#41; and pericardium &#40;arrowhead&#41;&#59; &#40;E and F&#41; late enhancement is clearly seen on the pericardial membrane&#44; confirming the diagnosis of pseudoaneurysm&#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" => 737
            "Ancho" => 2500
            "Tamanyo" => 290630
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Repair of the pseudoaneurysm &#40;arrow&#41; by the modified Dor procedure&#59; &#40;B&#41; exclusion of the pseudoaneurysm with a Dacron patch &#40;arrowhead&#41; and Teflon strips&#59; &#40;C&#41; final result&#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" => 973
            "Ancho" => 2500
            "Tamanyo" => 116101
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Postoperative control echocardiogram&#44; showing aneurysm of the left ventricular inferior wall&#44; with no continuity with the pericardium&#46;</p>"
        ]
      ]
      4 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 3665528
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:2 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
            ]
          ]
        ]
      ]
      5 => array:5 [
        "identificador" => "upi0010"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc2.mp4"
          "ficheroTamanyo" => 2083798
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc2.flv"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:2 [
              "fichero" => "mmc2.m4v"
              "poster" => "mmc2.jpg"
            ]
          ]
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudo-aneurisma ventricular esquerdo&#46; Relato de um Caso e revis&#227;o da literatura"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "O&#46; Gaffr&#233;e"
                            1 => "O&#46; Wender"
                            2 => "J&#46; Saadi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "1987"
                        "volumen" => "48"
                        "paginaInicial" => "245"
                        "paginaFinal" => "248"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3328596"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudoaneurysm of left ventricle"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Jacob"
                            1 => "G&#46; Buzelli"
                            2 => "N&#46; Machado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2007"
                        "volumen" => "89"
                        "paginaInicial" => "e1"
                        "paginaFinal" => "e2"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17768573"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic left ventricular pseudoaneurism of undetermined etiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "G&#46; Fialho"
                            1 => "C&#46; Fischer"
                            2 => "A&#46; Cordovil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2010"
                        "volumen" => "94"
                        "paginaInicial" => "e4"
                        "paginaFinal" => "e6"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20414517"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Giant post-infarction pseudoaneurysm of the left ventricle manifesting as severe heart failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Bla&#380;ejewski"
                            1 => "W&#46; Sinkiewicz"
                            2 => "R&#46; Bujak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Kardiol Pol"
                        "fecha" => "2012"
                        "volumen" => "70"
                        "paginaInicial" => "85"
                        "paginaFinal" => "87"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22267436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular aneurysm and differential diagnosis with pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Aguiara"
                            1 => "M&#46; Barba"
                            2 => "J&#46; Gil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.repc.2012.04.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Port Cardiol"
                        "fecha" => "2012"
                        "volumen" => "31"
                        "paginaInicial" => "459"
                        "paginaFinal" => "462"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22626969"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Silent left ventricular pseudoaneurysm and rupture to a second pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "G&#46; Marcos-G&#243;mez"
                            1 => "A&#46; Merch&#225;n-Herrera"
                            2 => "J&#46; G&#243;mez-Barrado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Cardiol"
                        "fecha" => "2005"
                        "volumen" => "58"
                        "paginaInicial" => "1127"
                        "paginaFinal" => "1129"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16185626"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular pseudoaneurysm associated to severe mitral insufficiency&#44; complicating inferolaterodorsal acute myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Falc&#227;o"
                            1 => "S&#46; Falc&#227;o"
                            2 => "M&#46; Garcia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "/S0066-782X2005000600011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2005"
                        "volumen" => "84"
                        "paginaInicial" => "488"
                        "paginaFinal" => "491"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16007316"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular pseudoaneurysm&#58; echocardiographic and intraoperative images"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "D&#46; Tallarico"
                            1 => "P&#46; Chiavari"
                            2 => "P&#46; Mollo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/01.CIR.0000153815.87329.1D"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2005"
                        "volumen" => "111"
                        "paginaInicial" => "e35"
                        "paginaFinal" => "e36"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15687117"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Frances"
                            1 => "A&#46; Romero"
                            2 => "D&#46; Grady"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Coll Cardiol"
                        "fecha" => "1998"
                        "volumen" => "32"
                        "paginaInicial" => "557"
                        "paginaFinal" => "561"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9741493"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0022347614000870"
                          "estado" => "S300"
                          "issn" => "00223476"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cardiovascular magnetic resonance in pericardial diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Bogaert"
                            1 => "M&#46; Francone"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1532-429X-11-14"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Cardiovasc Magn Reson"
                        "fecha" => "2009"
                        "volumen" => "11"
                        "paginaInicial" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19413898"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long term outcome of patients with postinfarction left ventricular pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Moreno"
                            1 => "E&#46; Gordillo"
                            2 => "J&#46; Zamorano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart"
                        "fecha" => "2003"
                        "volumen" => "89"
                        "paginaInicial" => "1144"
                        "paginaFinal" => "11446"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12975400"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46; Yeo"
                            1 => "J&#46; Malouf"
                            2 => "J&#46; Oh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1998"
                        "volumen" => "128"
                        "paginaInicial" => "299"
                        "paginaFinal" => "305"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9471934"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003500000006/v2_201704050129/S2174204916300290/v2_201704050129/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/21742049/0000003500000006/v2_201704050129/S2174204916300290/v2_201704050129/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300290?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Case report
Left ventricular pseudoaneurysm – a challenging diagnosis
Pseudoaneurisma ventricular esquerdo – um desafio diagnóstico
Mariana Faustinoa,
Corresponding author
marianafaustino85@gmail.com

Corresponding author.
, Sara Ranchordásb, João Abecasisc, António Freitasa, Moradas Ferreirab, Victor Gila,c, Carlos Moraisa, José Pedro Nevesb
a Serviço de Cardiologia, Hospital Fernando Fonseca, Amadora, Portugal
b Serviço de Cirurgia Cardíaca, Hospital de Santa Cruz, Carnaxide, Portugal
c Unidade Cardiovascular, Hospital dos Lusíadas Lisboa, Lisboa, Portugal
Read
11844
Times
was read the article
2341
Total PDF
9503
Total HTML
Share statistics
 array:25 [
  "pii" => "S2174204916300290"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2015.09.027"
  "estado" => "S300"
  "fechaPublicacion" => "2016-06-01"
  "aid" => "737"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2015"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Rev Port Cardiol. 2016;35:373&#46;e1-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4484
    "formatos" => array:3 [
      "EPUB" => 202
      "HTML" => 3586
      "PDF" => 696
    ]
  ]
  "Traduccion" => array:1 [
    "pt" => array:20 [
      "pii" => "S0870255115003169"
      "issn" => "08702551"
      "doi" => "10.1016/j.repc.2015.09.008"
      "estado" => "S300"
      "fechaPublicacion" => "2016-06-01"
      "aid" => "737"
      "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. 2016;35:373&#46;e1-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4801
        "formatos" => array:3 [
          "EPUB" => 195
          "HTML" => 4053
          "PDF" => 553
        ]
      ]
      "pt" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
        "titulo" => "Pseudoaneurisma ventricular esquerdo &#8211; um desafio diagn&#243;stico"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "tieneResumen" => array:2 [
          0 => "pt"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "373&#46;e1"
            "paginaFinal" => "373&#46;e6"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Left ventricular pseudoaneurysm &#8211; a challenging diagnosis"
          ]
        ]
        "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" => "fig0015"
            "etiqueta" => "Figura 3"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr3.jpeg"
                "Alto" => 442
                "Ancho" => 1500
                "Tamanyo" => 180393
              ]
            ]
            "descripcion" => array:1 [
              "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Repara&#231;&#227;o do aneurisma &#40;A&#44; seta&#41; pelo procedimento de dor modificado&#46; Exclus&#227;o do pseudoaneurisma com <span class="elsevierStyleItalic">patch</span> de <span class="elsevierStyleItalic">dacron</span> &#40;B&#44; ponta de seta&#41; e sutura com bandas de <span class="elsevierStyleItalic">teflon</span>&#46; Resultado final &#40;D&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Mariana Faustino, Sara Ranchord&#225;s, Jo&#227;o Abecasis, Ant&#243;nio Freitas, Moradas Ferreira, Victor Gil, Carlos Morais, Jos&#233; Pedro Neves"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Mariana"
                "apellidos" => "Faustino"
              ]
              1 => array:2 [
                "nombre" => "Sara"
                "apellidos" => "Ranchord&#225;s"
              ]
              2 => array:2 [
                "nombre" => "Jo&#227;o"
                "apellidos" => "Abecasis"
              ]
              3 => array:2 [
                "nombre" => "Ant&#243;nio"
                "apellidos" => "Freitas"
              ]
              4 => array:2 [
                "nombre" => "Moradas"
                "apellidos" => "Ferreira"
              ]
              5 => array:2 [
                "nombre" => "Victor"
                "apellidos" => "Gil"
              ]
              6 => array:2 [
                "nombre" => "Carlos"
                "apellidos" => "Morais"
              ]
              7 => array:2 [
                "nombre" => "Jos&#233; Pedro"
                "apellidos" => "Neves"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2174204916300290"
          "doi" => "10.1016/j.repce.2015.09.027"
          "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/S2174204916300290?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115003169?idApp=UINPBA00004E"
      "url" => "/08702551/0000003500000006/v1_201606140033/S0870255115003169/v1_201606140033/pt/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2174204916300289"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.09.026"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "717"
    "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. 2016;35:375&#46;e1-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3525
      "formatos" => array:3 [
        "EPUB" => 182
        "HTML" => 2803
        "PDF" => 540
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Stunned myocardium after an anesthetic procedure in a pediatric patient &#8211; case report"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "375&#46;e1"
          "paginaFinal" => "375&#46;e5"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "S&#237;ndrome Takotsubo ap&#243;s procedimento anest&#233;sico em idade pedi&#225;trica &#8211; um caso cl&#237;nico"
        ]
      ]
      "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" => "fig0020"
          "etiqueta" => "Figure 4"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr4.jpeg"
              "Alto" => 1068
              "Ancho" => 3167
              "Tamanyo" => 489959
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Electrocardiogram showing sinus tachycardia and ST-segment depression in V4 and V5&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Joana Faleiro Oliveira, Susana Rebelo Pacheco, Marta Moniz, Pedro Nunes, Clara Abadesso, M&#243;nica Rebelo, Helena Loureiro, Helena Almeida"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "Joana Faleiro"
              "apellidos" => "Oliveira"
            ]
            1 => array:2 [
              "nombre" => "Susana Rebelo"
              "apellidos" => "Pacheco"
            ]
            2 => array:2 [
              "nombre" => "Marta"
              "apellidos" => "Moniz"
            ]
            3 => array:2 [
              "nombre" => "Pedro"
              "apellidos" => "Nunes"
            ]
            4 => array:2 [
              "nombre" => "Clara"
              "apellidos" => "Abadesso"
            ]
            5 => array:2 [
              "nombre" => "M&#243;nica"
              "apellidos" => "Rebelo"
            ]
            6 => array:2 [
              "nombre" => "Helena"
              "apellidos" => "Loureiro"
            ]
            7 => array:2 [
              "nombre" => "Helena"
              "apellidos" => "Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S0870255115002474"
        "doi" => "10.1016/j.repc.2015.09.003"
        "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/S0870255115002474?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300289?idApp=UINPBA00004E"
    "url" => "/21742049/0000003500000006/v2_201704050129/S2174204916300289/v2_201704050129/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2174204916300642"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.12.020"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "786"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "ssu"
    "cita" => "Rev Port Cardiol. 2016;35:359-71"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5702
      "formatos" => array:3 [
        "EPUB" => 189
        "HTML" => 4366
        "PDF" => 1147
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review article</span>"
      "titulo" => "Cardiotoxicity in anthracycline therapy&#58; Prevention strategies"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "359"
          "paginaFinal" => "371"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Cardiotoxicidade na terap&#234;utica com antraciclinas&#58; estrat&#233;gias de preven&#231;&#227;o"
        ]
      ]
      "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" => 2375
              "Ancho" => 2417
              "Tamanyo" => 282865
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Initiation of a regimen potentially associated with anthracycline-induced cardiotoxicity&#46; 2DE&#58; two-dimensional echocardiography&#59; 3DE&#58; three-dimensional echocardiography&#59; GLS&#58; global longitudinal strain&#59; LLN&#58; lower limit of normal&#59; LVEF&#58; left ventricular ejection fraction&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Margarida Cruz, Joana Duarte-Rodrigues, Manuel Campelo"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Margarida"
              "apellidos" => "Cruz"
            ]
            1 => array:2 [
              "nombre" => "Joana"
              "apellidos" => "Duarte-Rodrigues"
            ]
            2 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Campelo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S0870255116000627"
        "doi" => "10.1016/j.repc.2015.12.004"
        "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/S0870255116000627?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300642?idApp=UINPBA00004E"
    "url" => "/21742049/0000003500000006/v2_201704050129/S2174204916300642/v2_201704050129/en/main.assets"
  ]
  "en" => array:21 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Left ventricular pseudoaneurysm &#8211; a challenging diagnosis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "373&#46;e1"
        "paginaFinal" => "373&#46;e6"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Mariana Faustino, Sara Ranchord&#225;s, Jo&#227;o Abecasis, Ant&#243;nio Freitas, Moradas Ferreira, Victor Gil, Carlos Morais, Jos&#233; Pedro Neves"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Mariana"
            "apellidos" => "Faustino"
            "email" => array:1 [
              0 => "marianafaustino85&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Sara"
            "apellidos" => "Ranchord&#225;s"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Jo&#227;o"
            "apellidos" => "Abecasis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Ant&#243;nio"
            "apellidos" => "Freitas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Moradas"
            "apellidos" => "Ferreira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Victor"
            "apellidos" => "Gil"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Carlos"
            "apellidos" => "Morais"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Jos&#233; Pedro"
            "apellidos" => "Neves"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia&#44; Hospital Fernando Fonseca&#44; Amadora&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servi&#231;o de Cirurgia Card&#237;aca&#44; Hospital de Santa Cruz&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Unidade Cardiovascular&#44; Hospital dos Lus&#237;adas Lisboa&#44; Lisboa&#44; Portugal"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Pseudoaneurisma ventricular esquerdo &#8211; um desafio diagn&#243;stico"
      ]
    ]
    "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" => 737
            "Ancho" => 2500
            "Tamanyo" => 290630
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Repair of the pseudoaneurysm &#40;arrow&#41; by the modified Dor procedure&#59; &#40;B&#41; exclusion of the pseudoaneurysm with a Dacron patch &#40;arrowhead&#41; and Teflon strips&#59; &#40;C&#41; final result&#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">Left ventricular pseudoaneurysm is a rare mechanical complication of acute myocardial infarction that results from myocardial rupture contained by the adjacent pericardium&#44; and is associated with high mortality&#46; It can develop in individuals without previous clinical events and have a non-specific and insidious presentation&#46; Surgical repair can modify the course of the disease&#44; and so prompt diagnosis is of considerable clinical importance&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;2</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors present the case of a 65-year-old man&#44; hypertensive&#44; who was admitted to the emergency department with pleuritic left chest pain and nonproductive cough that had progressively worsened over the previous three months&#46; He was feverish&#44; tachycardic&#44; and polypneic&#44; with reduced breath sounds in the lower third of the left hemithorax&#46; There were no signs of pulmonary congestion&#44; abnormalities on cardiac auscultation&#44; or peripheral edema&#46; Laboratory tests revealed leukocytosis 11<span class="elsevierStyleHsp" style=""></span>000&#47;&#956;l&#44; C-reactive protein 10&#46;50 mg&#47;dl and troponin &#60;0&#46;02 &#956;g&#47;ml&#46; The chest X-ray showed a slight opacity of the lower third of the left lung&#44; suggesting pneumonia with pleural effusion&#46; This possibility was supported by thoracic computed tomography &#40;CT&#41;&#44; which revealed a left pleural effusion and thickening of the pleural membranes with high contrast uptake&#44; suggesting an inflammatory process associated with atelectasis or possible consolidation of the adjacent pulmonary parenchyma&#46; Thoracentesis produced a liquid with the appearance of exudate&#44; but cultures were negative&#46; Other microbiological studies were also negative&#44; including cultures from blood&#44; expectorate&#44; bronchoalveolar lavage and transbronchial pulmonary biopsy&#46; Despite multiple courses of antibiotics&#44; including tuberculostatics&#44; the patient&#39;s fever persisted and inflammatory markers remained elevated&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">From the time of admission&#44; the patient presented pathological Q waves and negative T waves in III and aVF on the electrocardiogram &#40;ECG&#41;&#44; suggesting inferior myocardial scarring&#46; Transthoracic echocardiography showed deformation of the inferior wall&#44; expanding in systole&#44; and apparent reduction in wall thickness&#44; together with a small pericardial effusion&#44; suggesting a pseudoaneurysm rather than a true aneurysm &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a> and Video 1&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Cardiac magnetic resonance imaging &#40;MRI&#41; confirmed a small pericardial effusion&#44; without hemodynamic compromise&#44; with increased signal intensity in the pericardial space in perfusion sequences&#44; thrombotic material adhering to the walls in early and late enhancement sequences and pericardial late enhancement&#46; These findings confirmed the diagnosis of pseudoaneurysm of the mid and basal segments of the inferior wall&#44; partially filled with thrombotic material &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a> and Video 2&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Coronary angiography revealed an 80&#37; lesion in the proximal circumflex artery and occlusion of the mid segment of the right coronary artery&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient underwent surgery&#44; which showed a large pseudoaneurysm with a thick fibrous neck&#44; containing thrombotic material and extending to the left inferior wall and pericardium&#46; It was repaired using the modified Dor procedure &#40;exclusion of the pseudoaneurysm and placement of a Dacron patch&#41; and aortocoronary venous bypass grafting to the first obtuse marginal&#44; which were uneventful &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>&#41;&#46; During the operation the patch was seen to be slightly above the neck&#44; which was very wide&#46; The patient&#39;s clinical course was favorable&#44; with remission of chest pain&#44; fever&#44; inflammatory markers and pleural effusion&#46; Control echocardiography showed persisting aneurysm of the inferior wall affecting various components of the ventricular wall &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a> and Video 3&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0035" class="elsevierStylePara elsevierViewall">Left ventricular pseudoaneurysm results from myocardial rupture in which the bleeding is contained by the pericardium&#44; preventing the development of cardiac tamponade&#46; The periphery of the hematoma organizes into fibrous tissue adhering to the adjacent pericardium&#44; forming a saccular structure with no muscle tissue&#44; containing organized thrombi and communicating with the ventricular chamber&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#8211;3</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Transmural myocardial infarction is the most common cause of left ventricular pseudoaneurysm &#40;55&#37;&#41;&#46; Less frequent causes include complications of cardiac surgery &#40;33&#37;&#41;&#44; chest trauma &#40;7&#37;&#41;&#44; endocarditis &#40;5&#37;&#41;&#44; and&#44; rarely&#44; as a consequence of purulent pericarditis or tumor infiltration&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;4</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Pseudoaneurysms are usually located in the inferior or posterior walls&#44; following occlusion of the right coronary or circumflex artery&#46; By contrast&#44; 80-90&#37; of true aneurysms are located in the apex or anterolateral wall&#44; due to occlusion of the anterior descending artery&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The surgical technique is generally similar for true aneurysms and pseudoaneurysms when repair is indicated due to their size or complications&#46; However&#44; true aneurysms contain muscle tissue&#44; making rupture extremely unlikely&#44; unlike pseudoaneurysms&#46; Differential diagnosis between the two entities is thus essential&#44; although not always easy&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">5</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">The risk of sudden death through pseudoaneurysm rupture is 30-45&#37;&#46; A significant proportion of patients are probably not diagnosed in the acute phase due to early and fatal rupture&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">2</span></a> The condition is mostly diagnosed in the chronic phase and can develop for many years without rupturing&#59; around 10&#37; of cases are completely asymptomatic&#46; There may be symptoms of heart failure due to left ventricular systolic dysfunction resulting from a large pseudoaneurysm&#44; as well as mitral regurgitation arising from dysfunction of the posterior papillary muscle and&#47;or changes in the morphology of the left ventricle caused by the pseudoaneurysm&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;4</span></a> Chest pain may be due to post-infarction myocardial ischemia or to pericardial inflammation resulting from rupture&#44; as appears to have been the case in our patient&#46; There may also be arrhythmias or systemic embolism of thrombotic material from the pseudoaneurysm&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">Clinical diagnosis can be difficult&#44; as clinical manifestations and physical exam tend to be non-specific&#46; The ECG and chest X-ray may also be inconclusive&#44; further hampering diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">In the case presented&#44; chest pain accompanied by cough and fever in a patient without relevant history did not raise suspicions of a pseudoaneurysm&#46; Moreover&#44; left pleural effusion with exudative characteristics&#44; although mentioned in several case reports in the literature&#44; led the diagnostic investigation further in the wrong direction&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">4&#44;8</span></a> It was the electrocardiographic alterations that led to the suspicion of a cardiogenic cause&#44; and imaging studies were crucial in confirming the diagnosis of pseudoaneurysm&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Echocardiography&#44; with or without contrast&#44; CT&#44; MRI and ventriculography can establish the diagnosis&#44; differentiating pseudoaneurysm from true aneurysm&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">3</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">Echocardiography is the first-line modality for identifying aneurysmal dilatation&#44; raising the suspicion of discontinuity in the ventricular endocardium&#44; and detecting a relatively narrow opening between the ventricular and aneurysmal cavities through which systolic and diastolic flow can be observed&#46; Although echocardiography detects abnormalities in up to 90&#37; of patients&#44; it can only provide a definitive diagnosis in 25-33&#37; of cases&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">9</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">The value of cardiac MRI has been established for characterizing pseudoaneurysms and identifying adjacent structures&#44; particularly the pericardium&#44; thrombi and discontinuity in the myocardium&#44; enabling differential diagnosis with true aneurysm&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">6</span></a> Perfusion study is particularly useful when there is pericardial effusion as shown by increased signal intensity&#44; suggesting communication with the ventricular chamber&#46; Furthermore&#44; as mentioned in the literature and seen in the case presented&#44; late enhancement of the adjacent pericardium due to the presence of blood components can help in diagnosing a contained rupture&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">10</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">Although ventriculography has been considered the method of choice for the diagnosis of pseudoaneurysm&#44; more recently the advantages of imaging methods such as echocardiography and MRI have been increasingly recognized&#44; since they are non-invasive and do not involve the use of nephrotoxic contrast or ionizing radiation&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;7</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">For this reason&#44; after the diagnosis in the case presented was confirmed by MRI&#44; it was decided not to perform ventriculography at the time of coronary angiography&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">As the risk of fatal rupture of pseudoaneurysms in the acute phase of myocardial infarction is very high &#40;50&#37;&#41;&#44; surgical repair is indicated in all cases&#44; even though this is also associated with high mortality &#40;23-28&#37;&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;4</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">There is disagreement concerning the best treatment of chronic cases&#46; It has been suggested that even long-lasting pseudoaneurysms are indicated for surgery&#44; since the risk of rupture and death tends to increase over time&#44; and there is also a risk of cerebral thromboembolism &#40;10&#37;&#47;year&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#44;2</span></a> However&#44; small series of patients have shown 90&#37; survival at one year and 75&#37; at four years&#44; and indicate that the risk of sudden death is proportional to the severity of heart failure&#44; degree of left ventricular dysfunction and extent of underlying coronary disease&#46; The risk of rupture is also higher in the first months after infarction and in cases of rapid expansion&#46;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">11&#44;12</span></a> According to this reasoning&#44; surgical repair should be reserved for symptomatic patients&#44; those diagnosed recently &#40;&#60;3 months&#41;&#44; and those with large &#40;&#62;3 cm&#41; or progressively expanding pseudoaneurysms&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">In our case&#44; the patient presented with a pseudoaneurysm of undetermined evolution and with significant symptoms for around three months&#44; basically caused by pericardial inflammation&#44; the inflammatory process extending to the pleura and resulting in a significant effusion&#46; It was therefore decided to perform urgent surgical repair of the pseudoaneurysm&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusion</span><p id="par0110" class="elsevierStylePara elsevierViewall">Pleuritic chest pain&#44; cough&#44; and signs of an ongoing inflammatory process led the diagnostic investigation to focus wrongly on a pulmonary process&#44; until it finally became clear that these phenomena were merely due to extension of pericardial and pleural inflammation arising from myocardial rupture&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Few and non-specific signs and symptoms have also been observed in other cases reported in the literature&#44; which highlights the need for a high index of suspicion&#46; Imaging techniques are crucial to establish the diagnosis&#44; and the information they provide is essential for early and appropriate surgical intervention&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Ethical disclosures</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Protection of human and animal subjects</span><p id="par0120" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Confidentiality of data</span><p id="par0125" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Right to privacy and informed consent</span><p id="par0130" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conflicts of interest</span><p id="par0135" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:11 [
        0 => array:3 [
          "identificador" => "xres824762"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec821220"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres824761"
          "titulo" => "Resumo"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec821219"
          "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"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Conclusion"
        ]
        8 => array:3 [
          "identificador" => "sec0025"
          "titulo" => "Ethical disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        9 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Conflicts of interest"
        ]
        10 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2015-05-15"
    "fechaAceptado" => "2015-09-13"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec821220"
          "palabras" => array:3 [
            0 => "Left ventricular pseudoaneurysm"
            1 => "Echocardiography"
            2 => "Cardiac magnetic resonance"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec821219"
          "palabras" => array:3 [
            0 => "Pseudoaneurisma do ventr&#237;culo esquerdo"
            1 => "Ecocardiografia"
            2 => "Resson&#226;ncia magn&#233;tica card&#237;aca"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Left ventricular pseudoaneurysm is a rare complication of acute myocardial infarction&#44; associated with high mortality&#46; However&#44; it can present in a non-specific manner&#44; complicating and delaying the diagnosis&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors present the case of a 65-year-old patient&#44; hypertensive&#44; with no other known relevant medical history&#44; who presented with chest pain&#44; cough and left pleural effusion&#44; initially attributed to a pulmonary process&#46; However&#44; these were in fact the result of a left ventricular pseudoaneurysm following silent acute myocardial infarction&#46; The diagnosis was suspected on echocardiography and confirmed by cardiac magnetic resonance imaging&#44; and the patient underwent successful surgical pseudoaneurysm repair&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This case illustrates an atypical presentation of a left ventricular pseudoaneurysm&#44; in which the manifestations resulted from pericardial and pleural extension of the inflammatory process associated with contained myocardial rupture&#46; The case demonstrates the need for a high index of suspicion&#44; and the value of imaging techniques to confirm it&#44; in order to proceed with appropriate surgical treatment&#44; and thus modify the course of the disease&#46;</p></span>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O pseudoaneurisma do ventr&#237;culo esquerdo &#233; uma complica&#231;&#227;o rara do enfarte agudo do mioc&#225;rdio&#44; associada a elevada mortalidade&#46; No entanto&#44; pode manifestar-se de modo inespec&#237;fico&#44; dificultando e atrasando o seu diagn&#243;stico&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam o caso de um doente de 65 anos&#44; hipertenso&#44; sem outros antecedentes relevantes conhecidos&#44; em que toracalgia&#44; tosse e derrame pleural esquerdo&#44; inicialmente atribu&#237;das a um processo pneumol&#243;gico&#44; foram as manifesta&#231;&#245;es de um pseudoaneurisma do ventr&#237;culo esquerdo&#44; ap&#243;s enfarte agudo do mioc&#225;rdio silencioso&#46; O diagn&#243;stico foi suspeitado por ecocardiografia&#44; confirmado por resson&#226;ncia magn&#233;tica card&#237;aca e o doente foi submetido a cirurgia de repara&#231;&#227;o do pseudoaneurisma com sucesso&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Este caso ilustra uma forma de apresenta&#231;&#227;o at&#237;pica de um pseudoaneurisma do ventr&#237;culo esquerdo&#44; em que as manifesta&#231;&#245;es resultaram da extens&#227;o peric&#225;rdico-pleural do processo inflamat&#243;rio associada &#224; rotura mioc&#225;rdica contida&#46; O caso demonstra a necessidade de suspeitar o diagn&#243;stico e o valor dos v&#225;rios exames de imagem para a confirma&#231;&#227;o do mesmo&#44; de modo a possibilitar a terap&#234;utica cir&#250;rgica adequada e assim modificar o curso da doen&#231;a&#46;</p></span>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Faustino M&#44; Ranchord&#225;s S&#44; Abecasis J&#44; et al&#46; Pseudoaneurisma ventricular esquerdo &#8211; um desafio diagn&#243;stico&#46; Rev Port Cardiol&#46; 2016&#59;35&#58;373&#46;e1&#8211;373e6&#46;</p>"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0145" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary material"
            "identificador" => "sec0055"
          ]
        ]
      ]
    ]
    "multimedia" => array:6 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1908
            "Ancho" => 2500
            "Tamanyo" => 296620
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiograms suggestive of pseudoaneurysm of the inferior wall &#40;arrow&#41;&#46; &#40;A and B&#41; Apical 2-chamber view shows aneurysm of the inferior wall with reduced wall thickness and color Doppler suggesting flow between the ventricle and the aneurysm&#59; transverse section&#44; parasternal short-axis view in basal &#40;C&#41; and subcostal &#40;D&#41; planes&#46; Small pericardial effusion &#40;&#42;&#41;&#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" => 1497
            "Ancho" => 3000
            "Tamanyo" => 407763
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Cardiac magnetic resonance imaging&#46; Steady-state free precession sequences in 2-chamber long-axis &#40;A&#41; and short-axis &#40;B&#41; view of the left ventricle&#44; revealing pseudoaneurysm of the inferior wall &#40;arrowhead&#41; and a small pericardial effusion&#59; &#40;C and D&#41; early enhancement images showing evidence of thrombus &#40;&#42;&#41; partially filling the pseudoaneurysm&#59; transmural late enhancement involving the basal and mid segments of the inferior septum and the mid segment of the lateral wall&#46; The basal inferior segment of the left ventricular wall is composed of thrombus &#40;&#42;&#41;&#44; infarct scar &#40;arrow&#41; and pericardium &#40;arrowhead&#41;&#59; &#40;E and F&#41; late enhancement is clearly seen on the pericardial membrane&#44; confirming the diagnosis of pseudoaneurysm&#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" => 737
            "Ancho" => 2500
            "Tamanyo" => 290630
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Repair of the pseudoaneurysm &#40;arrow&#41; by the modified Dor procedure&#59; &#40;B&#41; exclusion of the pseudoaneurysm with a Dacron patch &#40;arrowhead&#41; and Teflon strips&#59; &#40;C&#41; final result&#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" => 973
            "Ancho" => 2500
            "Tamanyo" => 116101
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Postoperative control echocardiogram&#44; showing aneurysm of the left ventricular inferior wall&#44; with no continuity with the pericardium&#46;</p>"
        ]
      ]
      4 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 3665528
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:2 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
            ]
          ]
        ]
      ]
      5 => array:5 [
        "identificador" => "upi0010"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc2.mp4"
          "ficheroTamanyo" => 2083798
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc2.flv"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:2 [
              "fichero" => "mmc2.m4v"
              "poster" => "mmc2.jpg"
            ]
          ]
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudo-aneurisma ventricular esquerdo&#46; Relato de um Caso e revis&#227;o da literatura"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "O&#46; Gaffr&#233;e"
                            1 => "O&#46; Wender"
                            2 => "J&#46; Saadi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "1987"
                        "volumen" => "48"
                        "paginaInicial" => "245"
                        "paginaFinal" => "248"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3328596"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudoaneurysm of left ventricle"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Jacob"
                            1 => "G&#46; Buzelli"
                            2 => "N&#46; Machado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2007"
                        "volumen" => "89"
                        "paginaInicial" => "e1"
                        "paginaFinal" => "e2"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17768573"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic left ventricular pseudoaneurism of undetermined etiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "G&#46; Fialho"
                            1 => "C&#46; Fischer"
                            2 => "A&#46; Cordovil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2010"
                        "volumen" => "94"
                        "paginaInicial" => "e4"
                        "paginaFinal" => "e6"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20414517"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Giant post-infarction pseudoaneurysm of the left ventricle manifesting as severe heart failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Bla&#380;ejewski"
                            1 => "W&#46; Sinkiewicz"
                            2 => "R&#46; Bujak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Kardiol Pol"
                        "fecha" => "2012"
                        "volumen" => "70"
                        "paginaInicial" => "85"
                        "paginaFinal" => "87"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22267436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular aneurysm and differential diagnosis with pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Aguiara"
                            1 => "M&#46; Barba"
                            2 => "J&#46; Gil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.repc.2012.04.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Port Cardiol"
                        "fecha" => "2012"
                        "volumen" => "31"
                        "paginaInicial" => "459"
                        "paginaFinal" => "462"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22626969"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Silent left ventricular pseudoaneurysm and rupture to a second pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "G&#46; Marcos-G&#243;mez"
                            1 => "A&#46; Merch&#225;n-Herrera"
                            2 => "J&#46; G&#243;mez-Barrado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Cardiol"
                        "fecha" => "2005"
                        "volumen" => "58"
                        "paginaInicial" => "1127"
                        "paginaFinal" => "1129"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16185626"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular pseudoaneurysm associated to severe mitral insufficiency&#44; complicating inferolaterodorsal acute myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Falc&#227;o"
                            1 => "S&#46; Falc&#227;o"
                            2 => "M&#46; Garcia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "/S0066-782X2005000600011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2005"
                        "volumen" => "84"
                        "paginaInicial" => "488"
                        "paginaFinal" => "491"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16007316"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular pseudoaneurysm&#58; echocardiographic and intraoperative images"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "D&#46; Tallarico"
                            1 => "P&#46; Chiavari"
                            2 => "P&#46; Mollo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/01.CIR.0000153815.87329.1D"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2005"
                        "volumen" => "111"
                        "paginaInicial" => "e35"
                        "paginaFinal" => "e36"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15687117"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left ventricular pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Frances"
                            1 => "A&#46; Romero"
                            2 => "D&#46; Grady"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Coll Cardiol"
                        "fecha" => "1998"
                        "volumen" => "32"
                        "paginaInicial" => "557"
                        "paginaFinal" => "561"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9741493"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0022347614000870"
                          "estado" => "S300"
                          "issn" => "00223476"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cardiovascular magnetic resonance in pericardial diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Bogaert"
                            1 => "M&#46; Francone"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1532-429X-11-14"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Cardiovasc Magn Reson"
                        "fecha" => "2009"
                        "volumen" => "11"
                        "paginaInicial" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19413898"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long term outcome of patients with postinfarction left ventricular pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Moreno"
                            1 => "E&#46; Gordillo"
                            2 => "J&#46; Zamorano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart"
                        "fecha" => "2003"
                        "volumen" => "89"
                        "paginaInicial" => "1144"
                        "paginaFinal" => "11446"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12975400"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46; Yeo"
                            1 => "J&#46; Malouf"
                            2 => "J&#46; Oh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1998"
                        "volumen" => "128"
                        "paginaInicial" => "299"
                        "paginaFinal" => "305"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9471934"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003500000006/v2_201704050129/S2174204916300290/v2_201704050129/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/21742049/0000003500000006/v2_201704050129/S2174204916300290/v2_201704050129/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300290?idApp=UINPBA00004E"
]
Article information
ISSN: 21742049
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 10 5 15
2024 October 101 32 133
2024 September 100 26 126
2024 August 64 26 90
2024 July 71 31 102
2024 June 58 23 81
2024 May 49 25 74
2024 April 39 28 67
2024 March 67 31 98
2024 February 53 51 104
2024 January 68 48 116
2023 December 76 27 103
2023 November 130 24 154
2023 October 101 16 117
2023 September 95 21 116
2023 August 71 27 98
2023 July 88 26 114
2023 June 64 23 87
2023 May 110 33 143
2023 April 72 11 83
2023 March 99 24 123
2023 February 80 25 105
2023 January 102 12 114
2022 December 87 17 104
2022 November 108 23 131
2022 October 82 24 106
2022 September 84 44 128
2022 August 80 30 110
2022 July 115 34 149
2022 June 103 21 124
2022 May 96 32 128
2022 April 103 30 133
2022 March 88 43 131
2022 February 104 32 136
2022 January 151 49 200
2021 December 80 37 117
2021 November 108 46 154
2021 October 159 40 199
2021 September 99 31 130
2021 August 134 31 165
2021 July 114 35 149
2021 June 101 36 137
2021 May 99 62 161
2021 April 269 77 346
2021 March 189 23 212
2021 February 177 44 221
2021 January 102 26 128
2020 December 119 29 148
2020 November 142 16 158
2020 October 93 16 109
2020 September 292 31 323
2020 August 100 18 118
2020 July 143 10 153
2020 June 102 16 118
2020 May 103 12 115
2020 April 90 19 109
2020 March 92 14 106
2020 February 203 19 222
2020 January 95 20 115
2019 December 95 20 115
2019 November 96 18 114
2019 October 77 13 90
2019 September 86 16 102
2019 August 78 14 92
2019 July 85 12 97
2019 June 82 23 105
2019 May 68 7 75
2019 April 77 21 98
2019 March 46 15 61
2019 February 70 8 78
2019 January 43 15 58
2018 December 58 16 74
2018 November 149 16 165
2018 October 361 15 376
2018 September 109 18 127
2018 August 73 9 82
2018 July 59 11 70
2018 June 60 8 68
2018 May 112 17 129
2018 April 59 17 76
2018 March 84 18 102
2018 February 64 10 74
2018 January 103 10 113
2017 December 125 7 132
2017 November 73 16 89
2017 October 52 17 69
2017 September 45 19 64
2017 August 59 19 78
2017 July 84 25 109
2017 June 60 21 81
2017 May 71 23 94
2017 April 40 10 50
2017 March 52 45 97
2017 February 104 6 110
2017 January 52 11 63
2016 December 66 10 76
2016 November 81 11 92
2016 October 56 11 67
2016 September 41 10 51
2016 August 14 2 16
2016 July 54 19 73
2016 June 6 30 36
Show all

Follow this link to access the full text of the article

Idiomas
Revista Portuguesa de Cardiologia (English edition)
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email revista@spc.pt. I declare for all purposes that the information provided herein is accurate and correct.