was read the article
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patent ductus arteriosus closure: left, a continuous flow can be seen from the aorta to the pulmonary artery (yellow arrow); center, during device placement (yellow arrow); right, after the procedure the device is properly positioned with no residual shunt (yellow arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miryan Cassandra, Inês Almeida, Rogério Teixeira, Joana Trigo, Marco Costa, Lino Gonçalves" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Miryan" "apellidos" => "Cassandra" ] 1 => array:2 [ "nombre" => "Inês" "apellidos" => "Almeida" ] 2 => array:2 [ "nombre" => "Rogério" "apellidos" => "Teixeira" ] 3 => array:2 [ "nombre" => "Joana" "apellidos" => "Trigo" ] 4 => array:2 [ "nombre" => "Marco" "apellidos" => "Costa" ] 5 => array:2 [ "nombre" => "Lino" "apellidos" => "Gonçalves" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255116300087" "doi" => "10.1016/j.repc.2015.11.018" "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/S0870255116300087?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300411?idApp=UINPBA00004E" "url" => "/21742049/0000003500000005/v3_201704120129/S2174204916300411/v3_201704120129/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Hoarseness" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "315" "paginaFinal" => "316" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Sofia Lázaro Mendes, Domingos Ramos, Mariano Pêgo" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Sofia Lázaro" "apellidos" => "Mendes" "email" => array:1 [ 0 => "sofialazaromendes@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Domingos" "apellidos" => "Ramos" ] 2 => array:2 [ "nombre" => "Mariano" "apellidos" => "Pêgo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cardiology Department, Coimbra University Hospital and Medical School, Coimbra, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Disfonia" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 601 "Ancho" => 697 "Tamanyo" => 65546 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced thoracic computed tomography with frontal reconstruction, showing a saccular aneurysm of the aortic arch.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 63-year-old man presented to the hospital with gradual-onset hoarseness of three months’ duration. He had a history of smoking assessed at 58 pack-years, and no other symptoms such as cough, dyspnea or weight loss. His heart rate was 60 beats/min and blood pressure was 159/67 mmHg; the cardiac exam revealed a diastolic murmur in the aortic area. Indirect laryngoscopy revealed a paralyzed left vocal cord in paramedian position. The chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>) showed a slight mediastinal bulge adjacent to the aortic knuckle but no pulmonary mass.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Contrast-enhanced thoracic computed tomography with frontal and sagittal reconstruction (<a class="elsevierStyleCrossRefs" href="#fig0010">Figures 2 and 3</a>) was performed and revealed a saccular aneurysm of the aortic arch with dilatation up to 6.9 cm and partial thrombosis of the wall.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">There was no tumor along the intrathoracic route of the left recurrent laryngeal nerve (RLN). The transthoracic echocardiography was normal.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The patient underwent aneurysmectomy and his postoperative course was excellent and uncomplicated, but 12 months after surgery he has not yet recovered from RLN palsy.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Thoracic saccular aortic aneurysm is an important consideration in the differential diagnosis of RLN palsy.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-07-29" "fechaAceptado" => "2015-11-21" "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 600 "Ancho" => 670 "Tamanyo" => 45100 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray, showing a slight mediastinal bulge adjacent to the aortic knuckle.</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" => 601 "Ancho" => 697 "Tamanyo" => 65546 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced thoracic computed tomography with frontal reconstruction, showing a saccular aneurysm of the aortic arch.</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" => 608 "Ancho" => 602 "Tamanyo" => 50643 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced thoracic computed tomography with sagittal reconstruction, showing a saccular aneurysm of the aortic arch.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003500000005/v3_201704120129/S2174204916300423/v3_201704120129/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003500000005/v3_201704120129/S2174204916300423/v3_201704120129/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916300423?idApp=UINPBA00004E" ]
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