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"total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "The assessment of coronary microvascular dysfunction: An integral part of risk-stratification in Takotsubo cardiomyopathy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "357" "paginaFinal" => "358" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Avaliação da disfunção coronária microvascular: uma parte integrante da estratificação de risco na miocardiopatia de Takotsubo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Kenan Yalta, Muhammet Gurdogan, Gokay Taylan" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Kenan" "apellidos" => "Yalta" ] 1 => array:2 [ "nombre" => "Muhammet" "apellidos" => "Gurdogan" ] 2 => array:2 [ "nombre" => "Gokay" "apellidos" 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"tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "353" "paginaFinal" => "355" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Lisete Lopes, Helena Andrade, António Pires" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Lisete" "apellidos" => "Lopes" "email" => array:1 [ 0 => "lisete.pediatria@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Helena" "apellidos" => "Andrade" ] 2 => array:2 [ "nombre" => "António" "apellidos" => "Pires" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Pediatrico de Coimbra, Serviço de Cardiologia Pediátrica, Coimbra, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Um caso raro e isolado de origem anómala do ramo esquerdo da artéria pulmonar" ] ] "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" => 1059 "Ancho" => 1667 "Tamanyo" => 117325 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Aortic angiography demonstrating anomalous origin of the left pulmonary artery from the descending thoracic aorta.</p> <p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">LPA: left pulmonary artery; DAo: descending Aorta.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Anomalous origin of a pulmonary artery branch from the aorta is a rare congenital cardiac malformation. We report the case of a neonate with this rare entity.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case study</span><p id="par0010" class="elsevierStylePara elsevierViewall">A full-term asymptomatic female neonate with a systolic murmur was referred to our department for a cardiology review.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The echocardiogram failed to show the left pulmonary artery branch. The remaining examination was normal. For clarification, a computed tomography angiogram was performed. It showed the left pulmonary artery branch arising from the anterior aspect of the proximal descending thoracic aorta (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>), 13<span class="elsevierStyleHsp" style=""></span>mm below the area from which the left subclavian artery arises. A diagnosis of anomalous origin of the left pulmonary artery was made.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">To quantify pulmonary pressure, the patient underwent cardiac catheterization (<a class="elsevierStyleCrossRefs" href="#fig0015">Figures 3 and 4</a>) at one year of age, which excluded pulmonary arterial hypertension.</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">To the best of our knowledge, only two other cases with the same anatomical features have been reported in the literature. In the majority of cases, the right pulmonary artery branch is involved and usually arises from the posterolateral aspect of the ascending aorta.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">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:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case study" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-06-01" "fechaAceptado" => "2020-02-22" "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" => 1867 "Ancho" => 2917 "Tamanyo" => 203920 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial view computed tomography angiography showing the left pulmonary artery branch arising from the descending aorta.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Ao: aorta; LPA: left pulmonary artery; MPA: main pulmonary artery; RPA: right pulmonary artery.</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" => 1570 "Ancho" => 1667 "Tamanyo" => 171156 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Posterolateral view of three-dimensional computed tomography angiography reconstruction showing the left pulmonary artery branch arising from the anterior aspect of the proximal descending thoracic aorta.</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">AAo: ascending aorta; LPA: left pulmonary artery; DAo: descending aorta.</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" => 1058 "Ancho" => 1667 "Tamanyo" => 113901 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Pulmonary angiography showing the absence of the left pulmonary artery branch.</p> <p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">RPA: right pulmonary artery; MPA: main pulmonary artery.</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" => 1059 "Ancho" => 1667 "Tamanyo" => 117325 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Aortic angiography demonstrating anomalous origin of the left pulmonary artery from the descending thoracic aorta.</p> <p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">LPA: left pulmonary artery; DAo: descending Aorta.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003900000006/v1_202012131841/S2174204920302580/v1_202012131841/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/21742049/0000003900000006/v1_202012131841/S2174204920302580/v1_202012131841/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204920302580?idApp=UINPBA00004E" ]
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