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The ventricles are normal in size and function. LA: left atrium; LV: left ventricle; RA: right atrium; RV: right ventricle.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Edison Muñoz Ortiz, Jairo Alfonso Gándara Ricardo, Edwin Arévalo Guerrero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Edison" "apellidos" => "Muñoz Ortiz" ] 1 => array:2 [ "nombre" => "Jairo Alfonso" "apellidos" => "Gándara Ricardo" ] 2 => array:2 [ "nombre" => "Edwin" "apellidos" => "Arévalo Guerrero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204921003160" "doi" => "10.1016/j.repce.2021.10.014" "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/S2174204921003160?idApp=UINPBA00004E" ] ] "EPUB" => 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patients undergoing cardiac surgery: a systematic review”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "807" "paginaFinal" => "808" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Carta ao editor relativa ao artigo «Eficácia de uma intervenção baseada em exercícios respiratórios em pessoas a aguardar cirurgia cardíaca: uma revisão sistemática da literatura»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Margarida Rodrigues, Inês Machado Vaz" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Margarida" "apellidos" => "Rodrigues" ] 1 => array:2 [ "nombre" => "Inês Machado" "apellidos" => "Vaz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255121003474" "doi" => "10.1016/j.repc.2021.05.008" "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/S0870255121003474?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204921003172?idApp=UINPBA00004E" "url" => "/21742049/0000004000000010/v1_202111300755/S2174204921003172/v1_202111300755/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2174204921003159" "issn" => "21742049" "doi" => "10.1016/j.repce.2021.10.013" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1793" "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. 2021;40:803-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Native mitral valve endocarditis complicated with abscess and fistulas: Diagnosis by three-dimensional transesophageal echocardiography" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "803" "paginaFinal" => "804" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Endocardite de válvula mitral nativa complicada por abcesso e fístulas: diagnóstico por ecocardiografía transesofágica 3D" ] ] "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" => 3213 "Ancho" => 2917 "Tamanyo" => 1047668 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Transesophageal echocardiography (TEE) of the mitral valve at 55°. Note the abscess at the anterolateral commissure of the mitral valve (arrow); (B) surgical specimen consisting of the mitral valve abscess; (C) TEE at 110° with three-dimensional (3D) reconstruction of the mitral valve (‘surgical’ view), showing perforation of the anterior leaflet at the A1 level and the abscess (asterisk); (D) TEE at 110° with 3D reconstruction of the mitral valve (‘surgical’ view), showing the other fistula directed toward the lateral wall of the left atrium and the abscess (asterisk); (E) TEE at 110° with 3D reconstruction of the mitral valve view from the ventricular side. Note the two fistulas in the same view; (F) TEE at 125° of the mitral valve with color Doppler showing the mitral regurgitation jets of both fistulas.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Gabaldón-Pérez, Rafael De la Espriella, Hector Merenciano-Gonzalez, Enrique Santas, Francisco J. Chorro" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Ana" "apellidos" => "Gabaldón-Pérez" ] 1 => array:2 [ "nombre" => "Rafael" "apellidos" => "De la Espriella" ] 2 => array:2 [ "nombre" => "Hector" "apellidos" => "Merenciano-Gonzalez" ] 3 => array:2 [ "nombre" => "Enrique" "apellidos" => "Santas" ] 4 => array:2 [ "nombre" => "Francisco J." "apellidos" => "Chorro" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255121003450" "doi" => "10.1016/j.repc.2020.06.023" "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/S0870255121003450?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204921003159?idApp=UINPBA00004E" "url" => "/21742049/0000004000000010/v1_202111300755/S2174204921003159/v1_202111300755/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "The biggest right atria in the world" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "805" "paginaFinal" => "806" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Edison Muñoz Ortiz, Jairo Alfonso Gándara Ricardo, Edwin Arévalo Guerrero" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Edison" "apellidos" => "Muñoz Ortiz" "email" => array:1 [ 0 => "edison.munoz@sanvicentefundacion.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0005" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Jairo Alfonso" "apellidos" => "Gándara Ricardo" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Edwin" "apellidos" => "Arévalo Guerrero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad Funcional Cardiopulmonar y Vascular Periférico, Hospital Universitario San Vicente Fundación, Medellín, Colombia" "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Sección Cardiología, Departamento de Medicina Interna, Universidad de Antioquia, Medellín, Colombia" "etiqueta" => "b" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "A maior aurícula direita do mundo" ] ] "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" => 864 "Ancho" => 900 "Tamanyo" => 140216 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Computed tomography showing giant right and left atria, the right atrium being much more dilated. The ventricles are normal in size and function. LA: left atrium; LV: left ventricle; RA: right atrium; RV: right ventricle.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 55-year-old woman arrived at the emergency room with dyspnea and generalized edema. The patient had as relevant medical history, a mechanical mitral valve, severe tricuspid regurgitation, pericardiectomy apparently due to recurrent pericardial effusion, atrial fibrillation and a pacemaker for complete atrioventricular block. Physical examination revealed signs of right-sided heart failure and tricuspid regurgitation. The chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>), echocardiography and computed tomography (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>) revealed a giant right atrium (18 cm×15.3 cm×16.3 cm) and giant left atrium (13.1 cm×9.6 cm×9.1 cm). Right and left ventricles had normal size and function. She also had severe tricuspid regurgitation and a normally functioning mitral prosthesis. The atria were so large that they were causing pulmonary restriction and dyspnea that was difficult to manage. The patient presented progressive deterioration during hospitalization and despite heart failure treatment she died.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">Primary funders: Hospital Universitario San Vicente Fundación and Universidad de Antioquia.</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">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:2 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-07-26" "fechaAceptado" => "2020-09-13" "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 744 "Ancho" => 900 "Tamanyo" => 41307 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray with giant cardiac silhouette, sternal suture and mechanical mitral valve.</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" => 864 "Ancho" => 900 "Tamanyo" => 140216 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Computed tomography showing giant right and left atria, the right atrium being much more dilated. The ventricles are normal in size and function. LA: left atrium; LV: left ventricle; RA: right atrium; RV: right ventricle.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000004000000010/v1_202111300755/S2174204921003160/v1_202111300755/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/21742049/0000004000000010/v1_202111300755/S2174204921003160/v1_202111300755/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204921003160?idApp=UINPBA00004E" ]
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