was read the article
array:25 [ "pii" => "S217420491630160X" "issn" => "21742049" "doi" => "10.1016/j.repce.2016.02.004" "estado" => "S300" "fechaPublicacion" => "2016-10-01" "aid" => "869" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2016" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Cardiol. 2016;35:545.e1-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2929 "formatos" => array:3 [ "EPUB" => 170 "HTML" => 2247 "PDF" => 512 ] ] "Traduccion" => array:1 [ "en" => array:20 [ "pii" => "S0870255116301780" "issn" => "08702551" "doi" => "10.1016/j.repc.2016.02.005" "estado" => "S300" "fechaPublicacion" => "2016-10-01" "aid" => "869" "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;35:545.e1-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3307 "formatos" => array:3 [ "EPUB" => 205 "HTML" => 2507 "PDF" => 595 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Congenital left ventricular apical aneurysm presenting as ventricular tachycardia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "545.e1" "paginaFinal" => "545.e4" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Aneurisma apical do ventrículo esquerdo congénito manifestado por taquicardia ventricular" ] ] "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" => 946 "Ancho" => 850 "Tamanyo" => 84184 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">(A) Three-dimensional electroanatomic image of the left ventricle acquired during electrophysiological study. It can be seen that the ventricular tachycardia was localized to the apical aneurysm and the radiofrequency applications; (B) diastolic potentials at the ablation catheter (MAP), and interruption of ventricular tachycardia during radiofrequency applications.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Amado, Nuno Marques, Rui Candeias, Paula Gago, Ilídio de Jesus" "autores" => array:5 [ 0 => array:2 [ "nombre" => "José" "apellidos" => "Amado" ] 1 => array:2 [ "nombre" => "Nuno" "apellidos" => "Marques" ] 2 => array:2 [ "nombre" => "Rui" "apellidos" => "Candeias" ] 3 => array:2 [ "nombre" => "Paula" "apellidos" => "Gago" ] 4 => array:2 [ "nombre" => "Ilídio" "apellidos" => "de Jesus" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S217420491630160X" "doi" => "10.1016/j.repce.2016.02.004" "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/S217420491630160X?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301780?idApp=UINPBA00004E" "url" => "/08702551/0000003500000010/v1_201609231322/S0870255116301780/v1_201609231322/en/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2174204916301611" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.11.040" "estado" => "S300" "fechaPublicacion" => "2016-10-01" "aid" => "864" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2016;35:547-50" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2271 "formatos" => array:3 [ "EPUB" => 139 "HTML" => 1741 "PDF" => 391 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Cardiac chondromyxoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "547" "paginaFinal" => "550" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Condromixoma cardíaco" ] ] "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" => 1866 "Ancho" => 2509 "Tamanyo" => 398519 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">(a and b) Transthoracic echocardiogram (modified 4-chamber view) showing a left intraventricular mass measuring 59 mm×35 mm protruding into the left ventricular outflow tract, extending to the pericardium and infiltrating the left ventricular wall; (c and d) computed tomography angiography showing an intracardiac mass occupying the entire left atrium and part of the left ventricle, extending to the pericardium and compressing the inferior vena cava.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andreia Fernandes, Ana Catarina Faustino, Lina Carvalho, Manuel Antunes, Marco Costa, Lino Gonçalves" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Andreia" "apellidos" => "Fernandes" ] 1 => array:2 [ "nombre" => "Ana Catarina" "apellidos" => "Faustino" ] 2 => array:2 [ "nombre" => "Lina" "apellidos" => "Carvalho" ] 3 => array:2 [ "nombre" => "Manuel" "apellidos" => "Antunes" ] 4 => array:2 [ "nombre" => "Marco" "apellidos" => "Costa" ] 5 => array:2 [ "nombre" => "Lino" "apellidos" => "Gonçalves" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255116301731" "doi" => "10.1016/j.repc.2015.11.032" "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/S0870255116301731?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916301611?idApp=UINPBA00004E" "url" => "/21742049/0000003500000010/v1_201610140050/S2174204916301611/v1_201610140050/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2174204916301593" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.12.024" "estado" => "S300" "fechaPublicacion" => "2016-10-01" "aid" => "868" "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;35:543.e1-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2738 "formatos" => array:3 [ "EPUB" => 174 "HTML" => 2114 "PDF" => 450 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Complex left main coronary stent restenosis treated through radial approach using a sheathless catheter" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "543.e1" "paginaFinal" => "543.e5" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Reestenose complexa de <span class="elsevierStyleItalic">stent</span> coronário no tronco comum tratada por abordagem radial utilizando um cateter sem bainha" ] ] "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" => 1713 "Ancho" => 2921 "Tamanyo" => 494686 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Left: initial angiography showing severe stenosis in the ostium of the left anterior descending artery; right: optical coherence tomography imaging of proximal circumflex and left main bifurcation, both free from atherosclerotic disease.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sergio García-Blas, Luis Mainar, Juan Sanchis, Julio Núñez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Sergio" "apellidos" => "García-Blas" ] 1 => array:2 [ "nombre" => "Luis" "apellidos" => "Mainar" ] 2 => array:2 [ "nombre" => "Juan" "apellidos" => "Sanchis" ] 3 => array:2 [ "nombre" => "Julio" "apellidos" => "Núñez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255116301779" "doi" => "10.1016/j.repc.2015.12.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301779?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916301593?idApp=UINPBA00004E" "url" => "/21742049/0000003500000010/v1_201610140050/S2174204916301593/v1_201610140050/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Congenital left ventricular apical aneurysm presenting as ventricular tachycardia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "545.e1" "paginaFinal" => "545.e4" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José Amado, Nuno Marques, Rui Candeias, Paula Gago, Ilídio de Jesus" "autores" => array:5 [ 0 => array:4 [ "nombre" => "José" "apellidos" => "Amado" "email" => array:1 [ 0 => "pina_amado@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Nuno" "apellidos" => "Marques" ] 2 => array:2 [ "nombre" => "Rui" "apellidos" => "Candeias" ] 3 => array:2 [ "nombre" => "Paula" "apellidos" => "Gago" ] 4 => array:2 [ "nombre" => "Ilídio" "apellidos" => "de Jesus" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cardiology Department, Centro Hospitalar do Algarve, Faro, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Aneurisma apical do ventrículo esquerdo congénito manifestado por taquicardia ventricular" ] ] "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" => 1784 "Ancho" => 2382 "Tamanyo" => 305063 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Multimodality imaging of the left ventricular apical aneurysm. (A) Echocardiogram, 4-chamber view, showing no remarkable changes; (B) cardiac magnetic resonance imaging with late gadolinium enhancement depicting myocardial delayed enhancement restricted to the wall of the left ventricular apical aneurysm; (C) cardiac magnetic resonance imaging at end-systole demonstrating the lack of systolic thickening of the left ventricular apical aneurysm wall; (D) computed tomography image of the left ventricle clearly showing the thinning of the left ventricular aneurysm wall compared to the surrounding myocardium.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Congenital left ventricular aneurysm (LVA) was first described in 1816.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> It is a rare cardiac malformation, defined as a protrusion from the ventricular cavity with a wide connection (ratio of the connection to the body of the anomaly >1) and without contractility, which may present with an akinetic or dyskinetic movement during systole.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> Ohlow et al.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> reported the prevalence of congenital left ventricular aneurysms and diverticulum as 0.76% in a coronary angiogram population.</p><p id="par0010" class="elsevierStylePara elsevierViewall">According to a recent review congenital left ventricular aneurysms are asymptomatic in 41.8% of patients,<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a> but can be associated with heart failure, arrhythmias, systemic embolization and sudden death due to ventricular rupture.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2,5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Ventricular tachycardia may be present in 18.4% of patients with LVA,<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> but few data are available concerning these patients’ clinical outcome. Treatment of ventricular tachycardia (VT) in patients with congenital aneurysms can be difficult, and surgical and electrophysiological strategies have been described.<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">6–8</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Our case documents a rare case of monomorphic VT in a young patient with a congenital left ventricular apical aneurysm, diagnosed by a multimodality imaging study, and our treatment options.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case report</span><p id="par0025" class="elsevierStylePara elsevierViewall">A 34-year-old male, a regular sports player, presented to our department due to palpitations that had started while playing tennis. He had a past history of Hodgkin lymphoma treated by chemotherapy eight years before, with no evidence of recurring disease.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Previous to the documented episode the patient described two episodes of self-limited palpitations, the first four years previously while playing table tennis, and another eight weeks before the described episode during an argument. He had no family history of sudden death, syncope, ventricular arrhythmias or cardiomyopathy.</p><p id="par0035" class="elsevierStylePara elsevierViewall">On the day that he presented to our department an electrocardiogram (ECG) was performed (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>), which revealed monomorphic ventricular tachycardia with right bundle branch block morphology and superior axis, with a ventricular rate of 256 bpm. As the patient was stable, amiodarone infusion was started, achieving sinus rhythm. His ECG in sinus rhythm showed no changes (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>). The echocardiogram (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>A) revealed no structural abnormalities and the physical examination and laboratory tests showed no remarkable findings.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">In order to exclude structural cardiac abnormalities it was decided to perform cardiac magnetic resonance imaging (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>B and C) that exhibited a left ventricular apical aneurysm: “a saccular apical formation with a thin wall on late gadolinium enhancement, without any scarring of the surrounding myocardium”. He underwent computed tomography coronary angiography that excluded coronary disease and described the same left ventricular apical formation (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>D).</p><p id="par0045" class="elsevierStylePara elsevierViewall">After the diagnosis it was decided to perform an electrophysiological study to determine the origin of the VT and to perform catheter ablation. It was possible to induce VT similar to the clinical VT during the electrophysiological study, and electroanatomical mapping was performed (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>). The reentry circuit and exit point of the tachycardia were inside the aneurysm. Radiofrequency applications were performed with an open-irrigated ablation catheter, targeting diastolic potentials during VT, the tachycardia being terminated during applications. Additional radiofrequency applications were performed in sinus rhythm targeting the exit point of the clinical VT with pace mapping. Radiofrequency applications were limited to 30 W, with a total time of 7 min. At the end of the procedure VT was no longer inducible. Despite this success, it was decided to place a subcutaneous implantable cardioverter-defibrillator (ICD).</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">Eight months after the ablation procedure the patient presented to the emergency department complaining of ICD shocks, due to ventricular tachycardia. He was put on amiodarone 100 mg and bisoprolol 5 mg once daily. The amiodarone dosage was increased and the possibility of performing an aneurysm resection or a reablation procedure was discussed with the patient.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0055" class="elsevierStylePara elsevierViewall">Diagnosis and treatment of VT are often a challenge. This case describes a patient with a left ventricular apical aneurysm with no coronary disease, and late gadolinium enhancement on the aneurysm wall suggesting a fibrotic wall. Fibrotic apical congenital aneurysms have been described previously, being the most probable diagnosis in this case.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a> Radiofrequency ablation was the treatment selected for this patient's VT. Successful use of this technique was reported by Haegeli et al. in two of three patients.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> ICD implantation is recommended in patients with VT and structural cardiac abnormalities, and so, despite the good acute result of radiofrequency ablation in this case, a subcutaneous ICD was implanted. This choice was made considering that this was a young patient who had undergone VT ablation and that recurrence of ventricular arrhythmias was likely. However, the question arises whether the advantages of a subcutaneous device in a young patient, particularly the lower risk of long-term complications related to intravascular lead complications,<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> outweigh the benefits of antitachycardia pacing with a conventional ICD. Our patient was symptom-free for eight months after the ablation and then needed two appropriate ICD shocks due to VT.</p><p id="par0060" class="elsevierStylePara elsevierViewall">As surgical resection of ventricular aneurysms has been described, with good results, as an alternative treatment for patients with recurrent symptoms, we are considering this option for this patient.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">The authors consider this case relevant due to the rarity of the condition and because there are few cases described in the literature of patients treated with electrophysiological study and ICD implantation. To our knowledge this is the first case in which a subcutaneous ICD was implanted. There is a lack of evidence concerning the management of congenital LVA and more data are needed in this field.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Ethical disclosures</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Protection of human and animal subjects</span><p id="par0070" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Confidentiality of data</span><p id="par0075" 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="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Right to privacy and informed consent</span><p id="par0080" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflicts of interest</span><p id="par0085" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:10 [ 0 => array:3 [ "identificador" => "xres740765" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec744969" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres740766" "titulo" => "Resumo" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec744970" "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:3 [ "identificador" => "sec0020" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0025" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0030" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0035" "titulo" => "Right to privacy and informed consent" ] ] ] 8 => array:2 [ "identificador" => "sec0040" "titulo" => "Conflicts of interest" ] 9 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-11-05" "fechaAceptado" => "2016-02-06" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec744969" "palabras" => array:3 [ 0 => "Congenital left ventricular aneurysm" 1 => "Ventricular tachycardia" 2 => "Catheter ablation" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec744970" "palabras" => array:3 [ 0 => "Aneurisma congénito do ventrículo esquerdo" 1 => "Taquicardia ventricular" 2 => "Ablação por cateter" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The authors present the case of a 34-year-old male patient seen in our department due to palpitations. On the electrocardiogram monomorphic ventricular tachycardia (VT) was documented, treated successfully with amiodarone. The subsequent study revealed a normal echocardiogram and an apical aneurysm of the left ventricle on magnetic resonance imaging, confirmed by computed tomography coronary angiography that also excluded coronary disease.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">He underwent an electrophysiological study to determine the origin of the VT and to perform catheter ablation using electroanatomical mapping. VT was induced and radiofrequency applications were performed in the left ventricular aneurysm area. VT was no longer inducible, with acute success. Despite this it was decided to implant a subcutaneous implantable cardioverter-defibrillator (ICD). Eight months after the ablation the patient was admitted again due to VT, treated by the ICD.</p></span>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam o caso de um doente do sexo masculino, com 34 anos de idade, que recorreu ao serviço de urgência por palpitações. No eletrocardiograma inicial foi documentada uma taquicardia ventricular (TV) monomórfica. O estudo subsequente revelou um ecocardiograma sem alterações, tendo sido observado um aneurisma apical do ventrículo esquerdo na ressonância magnética cardíaca e confirmado na angiografia coronária por tomografia computorizada que excluiu doença coronária.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O doente foi submetido a estudo eletrofisiológico com o objetivo de ser determinada a origem da TV e realizar ablação por cateter recorrendo a mapeamento eletroanatómico. Foi possível induzir TV e efetuar aplicações de radiofrequência na área do aneurisma do ventrículo esquerdo. No final do procedimento a TV deixou de ser induzível. Apesar do sucesso agudo, foi decidido implantar um cardioversor desfibrilhador subcutâneo. Aos oito meses após ablação, o doente foi novamente admitido em internamento por TV, tratada com choques de CDI.</p></span>" ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 817 "Ancho" => 2493 "Tamanyo" => 225398 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Electrocardiogram of clinical ventricular tachycardia (256 bpm).</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" => 1393 "Ancho" => 2334 "Tamanyo" => 289451 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Resting electrocardiogram exhibiting sinus rhythm (60 bpm) and nonspecific repolarization changes.</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" => 1784 "Ancho" => 2382 "Tamanyo" => 305063 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Multimodality imaging of the left ventricular apical aneurysm. (A) Echocardiogram, 4-chamber view, showing no remarkable changes; (B) cardiac magnetic resonance imaging with late gadolinium enhancement depicting myocardial delayed enhancement restricted to the wall of the left ventricular apical aneurysm; (C) cardiac magnetic resonance imaging at end-systole demonstrating the lack of systolic thickening of the left ventricular apical aneurysm wall; (D) computed tomography image of the left ventricle clearly showing the thinning of the left ventricular aneurysm wall compared to the surrounding myocardium.</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" => 1703 "Ancho" => 1530 "Tamanyo" => 183739 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">(A) Three-dimensional electroanatomic image of the left ventricle acquired during electrophysiological study. It can be seen that the ventricular tachycardia was localized to the apical aneurysm and the radiofrequency applications; (B) diastolic potentials at the ablation catheter (MAP), and interruption of ventricular tachycardia during radiofrequency applications.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Über die Zufälle und Unterscheidungsmerkmale der Verdickung, Verdu¿nnung und Mu¿rbheit des Herzens" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Kreysig" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:3 [ "titulo" => "Die Krankheiten des Herzens" "paginaInicial" => "464" "serieFecha" => "1816" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0060" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Congenital left ventricular aneurysms and diverticula – definition, pathophysiology, clinical relevance and treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.A. Ohlow" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000092634" "Revista" => array:6 [ "tituloSerie" => "Cardiology" "fecha" => "2006" "volumen" => "106" "paginaInicial" => "63" "paginaFinal" => "72" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16612072" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0065" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence and outcome of congenital left ventricular aneurysms and diverticula in an adult population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.A. Ohlow" 1 => "M.A. Secknus" 2 => "J.C. Geller" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000159122" "Revista" => array:6 [ "tituloSerie" => "Cardiology" "fecha" => "2009" "volumen" => "112" "paginaInicial" => "287" "paginaFinal" => "293" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18832824" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0070" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characteristics and outcome of congenital left ventricular aneurysm and diverticulum: analysis of 809 cases published since 1816" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.-A. Ohlow" 1 => "H. von Korn" 2 => "B. Lauer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijcard.2015.03.050" "Revista" => array:6 [ "tituloSerie" => "Int J Cardiol" "fecha" => "2015" "volumen" => "185" "paginaInicial" => "34" "paginaFinal" => "45" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25782048" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0075" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Arrhythmic manifestations in patients with congenital left ventricular aneurysms and diverticula" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "L.M. Haegeli" 1 => "E. Ercin" 2 => "T. Wolber" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Cardiol" "fecha" => "2011" "volumen" => "7" "paginaInicial" => "1826" "paginaFinal" => "1830" "itemHostRev" => array:3 [ "pii" => "S0735109705004675" "estado" => "S300" "issn" => "07351097" ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0080" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ventricular dysrhythmias associated with left ventricular aneurysms" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "C.L. Fellows" 1 => "G.H. Bardy" 2 => "T.D. Ivey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Cardiol" "fecha" => "1986" "volumen" => "57" "paginaInicial" => "997" "paginaFinal" => "999" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3962899" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0085" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ventricular tachycardia with congenital ventricular diverticulum" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "E.N. Shen" 1 => "O. Fukuyama" 2 => "J. Herre" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1991" "volumen" => "100" "paginaInicial" => "283" "paginaFinal" => "285" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1905617" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0090" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Two cases of ventricular tachycardia with congenital left ventricular malformation in an adult" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S. Yamashiro" 1 => "Y. Kuniyoshi" 2 => "K. Miyagi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Cardiovasc Surg" "fecha" => "2004" "volumen" => "10" "paginaInicial" => "42" "paginaFinal" => "46" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15008699" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0095" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "653.e1–6" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Incidence and prognosis of ventricular arrhythmias in patients with congenital left ventricular aneurysms or diverticula" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "L.M. Haegeli" 1 => "E. Ercin" 2 => "J. Steffel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Am J Med" "fecha" => "2015" "volumen" => "128" "itemHostRev" => array:3 [ "pii" => "S0735109705004845" "estado" => "S300" "issn" => "07351097" ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0100" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The subcutaneous ICD – current evidence and challenges" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K.H.K. Patel" 1 => "P.D. Lambiase" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3978/j.issn.2223-3652.2014.12.02" "Revista" => array:7 [ "tituloSerie" => "Cardiovasc Diagn Ther" "fecha" => "2014" "volumen" => "4" "paginaInicial" => "449" "paginaFinal" => "459" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25610802" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0735109708022262" "estado" => "S300" "issn" => "07351097" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003500000010/v1_201610140050/S217420491630160X/v1_201610140050/en/main.assets" "Apartado" => array:4 [ "identificador" => "9914" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case report" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003500000010/v1_201610140050/S217420491630160X/v1_201610140050/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491630160X?idApp=UINPBA00004E" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 6 | 2 | 8 |
2024 October | 35 | 26 | 61 |
2024 September | 44 | 22 | 66 |
2024 August | 31 | 34 | 65 |
2024 July | 33 | 32 | 65 |
2024 June | 34 | 25 | 59 |
2024 May | 35 | 20 | 55 |
2024 April | 31 | 32 | 63 |
2024 March | 47 | 27 | 74 |
2024 February | 31 | 38 | 69 |
2024 January | 39 | 29 | 68 |
2023 December | 33 | 32 | 65 |
2023 November | 57 | 29 | 86 |
2023 October | 21 | 13 | 34 |
2023 September | 32 | 27 | 59 |
2023 August | 41 | 20 | 61 |
2023 July | 29 | 11 | 40 |
2023 June | 42 | 16 | 58 |
2023 May | 57 | 19 | 76 |
2023 April | 44 | 1 | 45 |
2023 March | 54 | 22 | 76 |
2023 February | 46 | 20 | 66 |
2023 January | 34 | 21 | 55 |
2022 December | 59 | 29 | 88 |
2022 November | 71 | 27 | 98 |
2022 October | 48 | 19 | 67 |
2022 September | 28 | 33 | 61 |
2022 August | 41 | 41 | 82 |
2022 July | 55 | 34 | 89 |
2022 June | 35 | 23 | 58 |
2022 May | 27 | 29 | 56 |
2022 April | 43 | 22 | 65 |
2022 March | 33 | 46 | 79 |
2022 February | 31 | 17 | 48 |
2022 January | 27 | 20 | 47 |
2021 December | 28 | 33 | 61 |
2021 November | 36 | 41 | 77 |
2021 October | 38 | 50 | 88 |
2021 September | 32 | 33 | 65 |
2021 August | 71 | 26 | 97 |
2021 July | 32 | 23 | 55 |
2021 June | 39 | 26 | 65 |
2021 May | 54 | 42 | 96 |
2021 April | 85 | 65 | 150 |
2021 March | 64 | 20 | 84 |
2021 February | 44 | 24 | 68 |
2021 January | 31 | 17 | 48 |
2020 December | 44 | 9 | 53 |
2020 November | 46 | 18 | 64 |
2020 October | 59 | 15 | 74 |
2020 September | 54 | 26 | 80 |
2020 August | 24 | 9 | 33 |
2020 July | 54 | 10 | 64 |
2020 June | 40 | 22 | 62 |
2020 May | 72 | 5 | 77 |
2020 April | 42 | 11 | 53 |
2020 March | 62 | 11 | 73 |
2020 February | 170 | 48 | 218 |
2020 January | 41 | 8 | 49 |
2019 December | 30 | 5 | 35 |
2019 November | 57 | 8 | 65 |
2019 October | 57 | 5 | 62 |
2019 September | 98 | 7 | 105 |
2019 August | 43 | 8 | 51 |
2019 July | 44 | 6 | 50 |
2019 June | 41 | 27 | 68 |
2019 May | 51 | 11 | 62 |
2019 April | 60 | 29 | 89 |
2019 March | 110 | 10 | 120 |
2019 February | 61 | 12 | 73 |
2019 January | 79 | 11 | 90 |
2018 December | 136 | 12 | 148 |
2018 November | 106 | 15 | 121 |
2018 October | 175 | 16 | 191 |
2018 September | 53 | 9 | 62 |
2018 August | 49 | 15 | 64 |
2018 July | 31 | 7 | 38 |
2018 June | 37 | 7 | 44 |
2018 May | 37 | 8 | 45 |
2018 April | 70 | 5 | 75 |
2018 March | 48 | 8 | 56 |
2018 February | 37 | 8 | 45 |
2018 January | 25 | 8 | 33 |
2017 December | 70 | 5 | 75 |
2017 November | 17 | 15 | 32 |
2017 October | 20 | 15 | 35 |
2017 September | 22 | 8 | 30 |
2017 August | 27 | 7 | 34 |
2017 July | 26 | 10 | 36 |
2017 June | 40 | 13 | 53 |
2017 May | 32 | 11 | 43 |
2017 April | 22 | 9 | 31 |
2017 March | 40 | 33 | 73 |
2017 February | 29 | 18 | 47 |
2017 January | 29 | 8 | 37 |
2016 December | 53 | 21 | 74 |
2016 November | 38 | 18 | 56 |
2016 October | 46 | 19 | 65 |