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=> "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118303299?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918301958?idApp=UINPBA00004E" "url" => "/21742049/0000003700000005/v1_201806100418/S2174204918301958/v1_201806100418/pt/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2174204918301715" "issn" => "21742049" "doi" => "10.1016/j.repce.2017.01.013" "estado" => "S300" "fechaPublicacion" => "2018-05-01" "aid" => "1191" "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. 2018;37:451-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 786 "formatos" => array:3 [ "EPUB" => 100 "HTML" => 486 "PDF" => 200 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Individual chamber segmentation in congenital heart disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "451" "paginaFinal" => "452" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Segmentação individual de câmaras cardíacas em cardiopatia congénita" ] ] "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" => 2125 "Ancho" => 2334 "Tamanyo" => 594569 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Normal heart (A-C). Chambers are color-coded; systemic chambers are red and subpulmonary chambers are blue. Atria baffles are indicated in images D to F (1, systemic baffle. 2, subpulmonary baffle. Image F, anterior and posterior view of both atria. Note the right ventricle as systemic on the whole heart rendering). In arterial switching, the abnormal position of the great vessel can be seen in images G to I (*: pulmonary artery. **: aortic root. Image I, anterior position of pulmonary artery and a subpulmonary right ventricle. Upper right, anterior view of great vessels and below, a posterior view of the subpulmonary chambers. Note the right pulmonary branch narrowing (#) between the ascending aorta and the superior vena cava).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Manuel Barreiro-Perez, Ana García-Martin, Elena Diaz-Pelaez, Luisa Garcia-Cuenllas, Enrique Maroto-Alvaro, Pedro L. Sanchez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Manuel" "apellidos" => "Barreiro-Perez" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "García-Martin" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "Diaz-Pelaez" ] 3 => array:2 [ "nombre" => "Luisa" "apellidos" => "Garcia-Cuenllas" ] 4 => array:2 [ "nombre" => "Enrique" "apellidos" => "Maroto-Alvaro" ] 5 => array:2 [ "nombre" => "Pedro L." "apellidos" => "Sanchez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255117300069" "doi" => "10.1016/j.repc.2017.01.016" "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/S0870255117300069?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918301715?idApp=UINPBA00004E" "url" => "/21742049/0000003700000005/v1_201806100418/S2174204918301715/v1_201806100418/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Rare forms of pediatric congenital right ventricular fistulae" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "453" "paginaFinal" => "454" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Natália Noronha, Pedro Pires Epifânio, Paula Martins, António Pires, António Marinho, Eduardo Castela" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Natália" "apellidos" => "Noronha" "email" => array:1 [ 0 => "natalianoronhaf@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Pedro Pires" "apellidos" => "Epifânio" ] 2 => array:2 [ "nombre" => "Paula" "apellidos" => "Martins" ] 3 => array:2 [ "nombre" => "António" "apellidos" => "Pires" ] 4 => array:2 [ "nombre" => "António" "apellidos" => "Marinho" ] 5 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Castela" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Serviço de Cardiologia Pediátrica, Hospital Pediátrico de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Fístulas congénitas pediátricas raras do ventrículo direito" ] ] "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" => 843 "Ancho" => 1251 "Tamanyo" => 82097 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cardiac computerized tomography scan showing a fistula between the ascending aorta and the right ventricle.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Abnormal vascular connections to the right ventricle (RV) are rare congenital malformations. The majority of cases are diagnosed incidentally, and most patients are asymptomatic. The authors present three cases of right ventricular fistulae of non-coronary origin.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case 1</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 2-year-old asymptomatic boy with a heart murmur underwent an echocardiogram which showed turbulent flow in the subaortic region. He was catheterized and the aortic angiogram revealed a hemodynamically insignificant fistulous tract between the right sinus of Valsalva and the RV (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Case 2</span><p id="par0015" class="elsevierStylePara elsevierViewall">A 3-year-old asymptomatic boy was referred due to a murmur suggestive of a ventricular septal defect. In the echocardiogram, a turbulent flow was evident in the proximal ascending aorta, as well as in the right ventricular wall. In order to clarify the morphology of this apparent fistulous tract, he underwent a cardiac computerized tomography scan, which confirmed the presence of a fistula between the ascending aorta and the RV (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Case 3</span><p id="par0020" class="elsevierStylePara elsevierViewall">A 19-day-old baby boy was admitted to a Pediatric Intensive Care Unit following cardiorespiratory arrest of unknown cause. Cardiac catheterization to rule out anomalous coronary artery anatomy was performed and the right ventricular angiogram revealed a fistulous tract between the RV and the pulmonary artery (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conclusions</span><p id="par0025" class="elsevierStylePara elsevierViewall">The majority of congenital fistulae to the RV originate in the coronary artery bed. Other sites of origin, such as those demonstrated in these cases, are exceedingly rare. To the best of our knowledge, few have been reported during infancy. As these fistulae were found accidentally, we opted for a conservative approach.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case 1" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Case 2" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Case 3" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Conclusions" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2017-01-06" "fechaAceptado" => "2017-01-31" "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" => 1231 "Ancho" => 1251 "Tamanyo" => 103564 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Aortography showing a fistula between the right sinus of Valsalva and the right ventricle.</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" => 843 "Ancho" => 1251 "Tamanyo" => 82097 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cardiac computerized tomography scan showing a fistula between the ascending aorta and the right ventricle.</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" => 1311 "Ancho" => 1251 "Tamanyo" => 100703 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Ventriculography showing a fistula between the RV and the main pulmonary artery.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003700000005/v1_201806100418/S2174204918301727/v1_201806100418/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/21742049/0000003700000005/v1_201806100418/S2174204918301727/v1_201806100418/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918301727?idApp=UINPBA00004E" ]
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