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Metal artifacts caused by spinal surgical procedure (S) can also be seen.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sara P. Magalhães, Nuno Moreno, Nuno Alves, Fernanda Reis" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Sara" "apellidos" => "P. 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(B) right coronary angiography demonstrating coronary fistula from the conus branch to the pulmonary artery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mehmet Burak Özen, Tahir Durmaz, Hüseyin Ayhan, Mehmet Erdoğan" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Mehmet Burak" "apellidos" => "Özen" ] 1 => array:2 [ "nombre" => "Tahir" "apellidos" => "Durmaz" ] 2 => array:2 [ "nombre" => "Hüseyin" "apellidos" => "Ayhan" ] 3 => array:2 [ "nombre" => "Mehmet" "apellidos" => "Erdoğan" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255116303936" "doi" => "10.1016/j.repc.2016.03.011" "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/S0870255116303936?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204917300338?idApp=UINPBA00004E" "url" => "/21742049/0000003600000002/v1_201702240018/S2174204917300338/v1_201702240018/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2174204917300375" "issn" => "21742049" "doi" => "10.1016/j.repce.2017.02.013" "estado" => "S300" "fechaPublicacion" => "2017-02-01" "aid" => "932" "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. 2017;36:145.e1-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1819 "formatos" => array:3 [ "EPUB" => 140 "HTML" => 1388 "PDF" => 291 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Left ventricular rigid body rotation in a diffuse large B-cell lymphoma patient with cardiac involvement: A case from the three-dimensional speckle-tracking echocardiographic MAGYAR-Path Study" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "145.e1" "paginaFinal" => "145.e5" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "«Rotação corporal rígida» ventricular esquerda num doente com linfoma difuso de células B e envolvimento cardíaco. Um caso de ecocardiografia tridimensional de <span class="elsevierStyleItalic">speckle-tracking</span> – estudo <span class="elsevierStyleItalic">MAGYAR-Path</span>" ] ] "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" => 2063 "Ancho" => 2500 "Tamanyo" => 488148 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Positron emission tomography/computed tomography image of the patient with diffuse large B-cell lymphoma showing dorsal focal <span class="elsevierStyleSup">18</span>F-fluorodeoxyglucose accumulation in the myocardium (white arrows).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Dóra Földeák, Anita Kalapos, Péter Domsik, Mária Sinkó, Nóra Szeleczki, Enikő Bagdi, László Krenács, Tamás Forster, Zita Borbényi, Attila Nemes" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Dóra" "apellidos" => "Földeák" ] 1 => array:2 [ "nombre" => "Anita" "apellidos" => "Kalapos" ] 2 => array:2 [ "nombre" => "Péter" "apellidos" => "Domsik" ] 3 => array:2 [ "nombre" => "Mária" "apellidos" => "Sinkó" ] 4 => array:2 [ "nombre" => "Nóra" "apellidos" => "Szeleczki" ] 5 => array:2 [ "nombre" => "Enikő" "apellidos" => "Bagdi" ] 6 => array:2 [ "nombre" => "László" "apellidos" => "Krenács" ] 7 => array:2 [ "nombre" => "Tamás" "apellidos" => "Forster" ] 8 => array:2 [ "nombre" => "Zita" "apellidos" => "Borbényi" ] 9 => array:2 [ "nombre" => "Attila" "apellidos" => "Nemes" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255116303845" "doi" => "10.1016/j.repc.2016.04.015" "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/S0870255116303845?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204917300375?idApp=UINPBA00004E" "url" => "/21742049/0000003600000002/v1_201702240018/S2174204917300375/v1_201702240018/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Mid-aortic syndrome in a patient with neurofibromatosis type 1" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "147" "paginaFinal" => "148" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Sara P. Magalhães, Nuno Moreno, Nuno Alves, Fernanda Reis" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Sara" "apellidos" => "P. Magalhães" "email" => array:1 [ 0 => "sarapintomagalhaes@sapo.pt" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Nuno" "apellidos" => "Moreno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Nuno" "apellidos" => "Alves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Fernanda" "apellidos" => "Reis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Serviço de Radiologia do Centro Hospitalar do Porto, Porto, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Serviço de Cardiologia do Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Síndrome da aorta média em paciente com neurofibromatose tipo 1" ] ] "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" => 1317 "Ancho" => 1500 "Tamanyo" => 191266 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Axial computed tomography scan showing atrophy of the left kidney caused by subtotal renal artery stenosis (arrow) and a left simple renal cyst (star).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mid-aortic syndrome is an uncommon condition characterized by constriction of the distal thoracic and/or abdominal aorta and its branches.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 43-year-old male patient with a history of neurofibromatosis type 1 (NF-1) was referred to our hospital for resistant arterial hypertension. At physical examination he presented asymmetric elevated blood pressure in the extremities, higher in the upper limbs. An echocardiogram was performed and showed moderate left ventricular hypertrophy, without signs of coarctation of the aorta. As a part of workup for hypertension, computed tomography (CT) was performed, which showed an abnormal aorta with severe narrowing and a saccular aneurysm at the level of the renal arteries (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>). There was extensive collateral blood flow through hypertrophic lumbar, epigastric and mesenteric arteries and the left renal artery showed subtotal stenosis at its origin, causing atrophy of the left kidney (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>). Additional angiographic study enabled a final diagnosis. There were also subcutaneous and retroperitoneal neurofibromas.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Mid-aortic syndrome usually presents with arterial hypertension and is commonly diagnosed in children or young adults. It can be associated with Williams syndrome, Takayasu arteritis, NF-1, Alagille syndrome and Moyamoya disease. Surgery is the primary treatment when it is associated with renovascular hypertension and visceral artery stenosis. Endovascular therapy can be performed in patients with discrete aortic stenosis; however, due to inherent arterial wall anomalies, vascular complications increase after percutaneous procedures, thus making them poor options. Our patient refused surgical procedures and has been treated with medical therapy. Prognosis is generally good, but the syndrome may have high morbidity and mortality if left untreated.</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="par0020" 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="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0035" 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" => "sec0035" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-01-16" "fechaAceptado" => "2016-07-26" "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" => 1667 "Ancho" => 1134 "Tamanyo" => 200350 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sagittal plane reformation showing severe narrowing of the aorta (arrow) and a saccular aneurysm (star) at the level of the renal arteries. Metal artifacts caused by spinal surgical procedure (S) can also be seen.</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" => 2560 "Ancho" => 1500 "Tamanyo" => 202631 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Three-dimensional angiographic sequences demonstrating collateral circulation with engorged vessels (CC), a saccular aneurysm (star) and aortic stenosis (arrow).</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" => 1317 "Ancho" => 1500 "Tamanyo" => 191266 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Axial computed tomography scan showing atrophy of the left kidney caused by subtotal renal artery stenosis (arrow) and a left simple renal cyst (star).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003600000002/v1_201702240018/S2174204917300326/v1_201702240018/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/21742049/0000003600000002/v1_201702240018/S2174204917300326/v1_201702240018/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204917300326?idApp=UINPBA00004E" ]
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