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array:24 [ "pii" => "S2174204918302757" "issn" => "21742049" "doi" => "10.1016/j.repce.2017.05.014" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1251" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2018;37:719-21" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 891 "formatos" => array:3 [ "EPUB" => 122 "HTML" => 550 "PDF" => 219 ] ] "itemSiguiente" => array:19 [ "pii" => "S2174204918302769" "issn" => "21742049" "doi" => "10.1016/j.repce.2017.04.014" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1252" "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;37:723-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 787 "formatos" => array:3 [ "EPUB" => 89 "HTML" => 468 "PDF" => 230 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Utility of catheter extension devices in coronary artery anomalies" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "723" "paginaFinal" => "724" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Utilidade dos extensores do cateter em anomalias coronárias" ] ] "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" => 2068 "Ancho" => 2250 "Tamanyo" => 218892 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Right coronary angiography showing an anomalous origin and severe stenosis in the middle segment (arrow). (B) Right coronary catheterization using the catheter extension device. (C) Stent delivery. (D) Final angiographic result.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Eva Rumiz, Ernesto Valero, Juan Vicente Vilar, Pablo Almela, Javier Haba" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Eva" "apellidos" => "Rumiz" ] 1 => array:2 [ "nombre" => "Ernesto" "apellidos" => "Valero" ] 2 => array:2 [ "nombre" => "Juan Vicente" "apellidos" => "Vilar" ] 3 => array:2 [ "nombre" => "Pablo" "apellidos" => "Almela" ] 4 => array:2 [ "nombre" => "Javier" "apellidos" => "Haba" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918302769?idApp=UINPBA00004E" "url" => "/21742049/0000003700000008/v1_201808120420/S2174204918302769/v1_201808120420/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2174204918302745" "issn" => "21742049" "doi" => "10.1016/j.repce.2017.05.013" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1250" "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. 2018;37:717.e1-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1327 "formatos" => array:3 [ "EPUB" => 117 "HTML" => 936 "PDF" => 274 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "18F-FDG PET/CT in the diagnosis of prosthetic valve endocarditis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "717.e1" "paginaFinal" => "717.e5" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "18F-FDG PET/CT no diagnóstico da endocardite das próteses valvulares" ] ] "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" => 709 "Ancho" => 2000 "Tamanyo" => 117006 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Transesophageal echocardiography which shows (A) thickening of the mitral valve, and (B) normal function of the aortic prosthesis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Verónica Vidal, Cristina Albiach, Josep Gradolí, José Leandro Pérez, Vicente Montagud, Joaquina Belchí, Salvador Morell, Lorenzo Fácila" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Verónica" "apellidos" => "Vidal" ] 1 => array:2 [ "nombre" => "Cristina" "apellidos" => "Albiach" ] 2 => array:2 [ "nombre" => "Josep" "apellidos" => "Gradolí" ] 3 => array:2 [ "nombre" => "José Leandro" "apellidos" => "Pérez" ] 4 => array:2 [ "nombre" => "Vicente" "apellidos" => "Montagud" ] 5 => array:2 [ "nombre" => "Joaquina" "apellidos" => "Belchí" ] 6 => array:2 [ "nombre" => "Salvador" "apellidos" => "Morell" ] 7 => array:2 [ "nombre" => "Lorenzo" "apellidos" => "Fácila" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918302745?idApp=UINPBA00004E" "url" => "/21742049/0000003700000008/v1_201808120420/S2174204918302745/v1_201808120420/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Device entrapped in subvalvular apparatus: A surprising result" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "719" "paginaFinal" => "721" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Marta Madeira, Liliana Reis, Rogério Teixeira, Paulo Dinis, Marco Costa, Lino Gonçalves" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Marta" "apellidos" => "Madeira" "email" => array:1 [ 0 => "marta.jesus.madeira@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Liliana" "apellidos" => "Reis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Rogério" "apellidos" => "Teixeira" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Paulo" "apellidos" => "Dinis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Marco" "apellidos" => "Costa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Lino" "apellidos" => "Gonçalves" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Dispositivo retido no aparelho subvalvular: um resultado surpreendente" ] ] "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" => 879 "Ancho" => 2333 "Tamanyo" => 155593 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Reduction of paravalvular leak without functional compromise of mechanical prosthesis and confirmation of its stability (A: fluoroscopy; B: transesophageal echocardiography).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 72-year old woman with a history of mechanical aortic prosthesis since 2010 and early infective prosthetic endocarditis (medical treatment) was hospitalized for acute heart failure in February 2015. Transesophageal echocardiography showed a severe paravalvular leak in the posterior portion of the aortic prosthesis (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A, arrow) and a pseudoaneurysm with fistulization to the left ventricle (LV) and aorta (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B, arrow), moderate mitral regurgitation and mild LV systolic dysfunction. Surgery was considered high risk and percutaneous closure of the paravalvular leak was attempted. The procedure was guided by fluoroscopy and transesophageal echocardiography. After confirming the stability of the device (Amplatzer<span class="elsevierStyleSup">®</span> Vascular Plug II 12 mm/9 mm) and reduction of the paravalvular leak without functional compromise of the mechanical prosthesis (<a class="elsevierStyleCrossRef" href="#fig0010">Figures 2A and 2B</a>, arrow), the device was released. Minutes after deployment, the device migrated into the LV (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>A, arrow and <a class="elsevierStyleCrossRef" href="#sec0015">Supplementary data online, Movie S1</a>). The device could not be retrieved (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>B, arrow). Echocardiography images showed the device lodged beneath the posterior mitral leaflet, entrapped in the subvalvular mitral apparatus, with no significant compromise of mitral valve function (<a class="elsevierStyleCrossRef" href="#fig0020">Figures 4A, arrow and 4B</a>, arrow and <a class="elsevierStyleCrossRef" href="#sec0015">Supplementary data online, Movie S2</a>). Follow-up echocardiographies showed the device still in the same position. The patient died of sepsis due to a <span class="elsevierStyleItalic">Clostridium difficile</span> infection 58 days after admission (one month after the procedure). This case illustrates a rare and dramatic complication of percutaneous leak closure, but without significant hemodynamic impact on mitral valve and LV function.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2017-02-26" "fechaAceptado" => "2017-05-03" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall">The following are the supplementary material to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary material" "identificador" => "sec0015" ] ] ] ] "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" => 1797 "Ancho" => 2333 "Tamanyo" => 232693 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Severe paravalvular leak in the posterior portion of the aortic prosthesis (A, arrow) and pseudoaneurysm with fistulization to the left ventricle and aorta (B, arrow).</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" => 879 "Ancho" => 2333 "Tamanyo" => 155593 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Reduction of paravalvular leak without functional compromise of mechanical prosthesis and confirmation of its stability (A: fluoroscopy; B: transesophageal echocardiography).</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" => 926 "Ancho" => 2333 "Tamanyo" => 173803 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Migration of the device into the left ventricle (A) and attempt to retrieve it with a snare (B).</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" => 1020 "Ancho" => 2500 "Tamanyo" => 207435 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Device entrapped in the subvalvular mitral apparatus (A), with no significant compromise of mitral valve function (B).</p>" ] ] 4 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 157288 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] 5 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 116595 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003700000008/v1_201808120420/S2174204918302757/v1_201808120420/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/21742049/0000003700000008/v1_201808120420/S2174204918302757/v1_201808120420/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918302757?idApp=UINPBA00004E" ]
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