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array:23 [ "pii" => "S2174204920301690" "issn" => "21742049" "doi" => "10.1016/j.repce.2019.03.014" "estado" => "S300" "fechaPublicacion" => "2020-04-01" "aid" => "1528" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2020;39:229-30" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S2174204920302130" "issn" => "21742049" "doi" => "10.1016/j.repce.2020.10.001" "estado" => "S300" "fechaPublicacion" => "2020-04-01" "aid" => "1520" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "prv" "cita" => "Rev Port Cardiol. 2020;39:231" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Recommended Article of the Month</span>" "titulo" => "Brief video comment on the Recommended Article of the Month" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "231" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Breve comentário vídeo ao Artigo Recomendado do Mês" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204920302130?idApp=UINPBA00004E" "url" => "/21742049/0000003900000004/v1_202010170736/S2174204920302130/v1_202010170736/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2174204920301744" "issn" => "21742049" "doi" => "10.1016/j.repce.2019.03.015" "estado" => "S300" "fechaPublicacion" => "2020-04-01" "aid" => "1533" "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. 2020;39:227.e1-227.e9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Whole-genome DNA sequencing: The key to detecting a sarcomeric mutation in a ‘false genotype-negative’ family with hypertrophic cardiomyopathy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "227.e1" "paginaFinal" => "227.e9" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Whole-genome DNA sequencing</span>: a chave para detetar uma mutação sarcomérica numa família com miocardiopatia hipertrófica e «genótipo falsamente negativo»" ] ] "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" => 1859 "Ancho" => 2985 "Tamanyo" => 188211 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Family pedigree. G+: genotype positive; G-: genotype negative. Arrow: proband.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Catarina Gomes, Pedro Santos Barbosa, Ana Coutinho, Inês Cruz, Maria Carmo-Fonseca, Luís Rocha Lopes" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Ana Catarina" "apellidos" => "Gomes" ] 1 => array:2 [ "nombre" => "Pedro Santos" "apellidos" => "Barbosa" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Coutinho" ] 3 => array:2 [ "nombre" => "Inês" "apellidos" => "Cruz" ] 4 => array:2 [ "nombre" => "Maria" "apellidos" => "Carmo-Fonseca" ] 5 => array:2 [ "nombre" => "Luís Rocha" "apellidos" => "Lopes" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204920301744?idApp=UINPBA00004E" "url" => "/21742049/0000003900000004/v1_202010170736/S2174204920301744/v1_202010170736/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Echocardiographic appearance of a rare condition – tracheobronchomegaly" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "229" "paginaFinal" => "230" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Helena Nascimento, Sara Maia, Marta Braga, Carla Sousa, Carla Damas, Maria Júlia Maciel, Filipe Macedo" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Helena" "apellidos" => "Nascimento" "email" => array:1 [ 0 => "helenamarinhonascimento@gmail.com" ] "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" => "Sara" "apellidos" => "Maia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Marta" "apellidos" => "Braga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Carla" "apellidos" => "Sousa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Carla" "apellidos" => "Damas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Maria Júlia" "apellidos" => "Maciel" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "Filipe" "apellidos" => "Macedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Cardiology Department, Centro Hospitalar Universitário de São João, Porto, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Pulmology Department, Centro Hospitalar Universitário de São João, Porto, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Aspeto ecocardiográfico de uma condição rara - traqueomegalia" ] ] "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" => 750 "Ancho" => 944 "Tamanyo" => 88411 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram: parasternal short-axis view (A); two-dimensional apical 4-chamber view (B) and three-dimensional 4-chamber view (C) revealing a very large circular retroatrial mass, with irregular hyperechoic borders and hypoechoic center (arrow); thoracic high-resolution computed tomography, axial planes (D and E), revealing tracheobronchomegaly (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 53-year-old-man, non-smoker, a cork worker with suberosis lung disease, was referred for echocardiography before lung transplantation. The transthoracic echocardiogram showed preserved biventricular systolic function, moderate pulmonary artery hypertension (38 mmHg) and no major valve disease. However, a very large circular retroatrial mass was observed with irregular hyperechoic borders, causing some acoustic shadowing (compatible with calcium) and hypoechoic interior, without flow. The findings were compatible with an extracardiac mass without significant cardiac compression (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A-C, arrow). The chest computed tomography scan was reassessed to clarify the clinical scenario and significant dilatation of the trachea was observed (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D and E, arrow). This extracardiac finding represents a rare condition known as tracheobronchomegaly, also known as Mounier-Kuhn syndrome. It is characterized by marked dilatation of the tracheobronchial tree, frequently accompanied by peripheral bronchiectasis and diverticula. Tracheobronchomegaly appears to be caused by a congenital deficiency of elastic and smooth-muscle tissue. However, several cases in the literature suggest that this condition can be acquired, mainly in association with lung inflammation or fibrosis. Clinical presentation varies widely, ranging from asymptomatic with preserved lung function to severe respiratory failure and death. This case highlights the invaluable role of transthoracic echocardiography in the identification of extracardiac findings. Moreover, the echocardiographic pattern of tracheobronchomegaly is an unforgettable feature of such a rare condition.</p><elsevierMultimedia ident="fig0005"></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" => "2018-12-18" "fechaAceptado" => "2019-03-10" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 750 "Ancho" => 944 "Tamanyo" => 88411 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram: parasternal short-axis view (A); two-dimensional apical 4-chamber view (B) and three-dimensional 4-chamber view (C) revealing a very large circular retroatrial mass, with irregular hyperechoic borders and hypoechoic center (arrow); thoracic high-resolution computed tomography, axial planes (D and E), revealing tracheobronchomegaly (arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003900000004/v1_202010170736/S2174204920301690/v1_202010170736/en/main.assets" "Apartado" => array:4 [ "identificador" => "28321" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image in Cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003900000004/v1_202010170736/S2174204920301690/v1_202010170736/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204920301690?idApp=UINPBA00004E" ]
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