Image in Cardiology
Pulmonary artery sling: An incidental finding
Sling da artéria pulmonar: um achado acidental
Joana O. Miranda
, José Monterroso, Jorge Moreira, Maria João Baptista
Autor para correspondência
Serviço de Cardiologia Pediátrica, Centro Hospitalar São João, Porto, Portugal
Lido
6997
Vezesque se leu este artigo
1860
Total PDF
5137
Total HTML
Compartilhar estatísticas
array:24 [ "pii" => "S0870255114001607" "issn" => "08702551" "doi" => "10.1016/j.repc.2014.01.022" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "493" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2014" "documento" => "article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2014;33:479-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3322 "formatos" => array:3 [ "EPUB" => 159 "HTML" => 2464 "PDF" => 699 ] ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S2174204914001858" "issn" => "21742049" "doi" => "10.1016/j.repce.2014.01.019" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "493" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2014;33:479-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2726 "formatos" => array:3 [ "EPUB" => 148 "HTML" => 2097 "PDF" => 481 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Pulmonary artery sling: An incidental finding" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "479" "paginaFinal" => "480" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Sling</span> da artéria pulmonar: um achado acidental" ] ] "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" => 1056 "Ancho" => 1632 "Tamanyo" => 107501 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomographic angiography reveals anomalous origin of the LPA from the posterior aspect of the RPA. The aberrant LPA (black arrow) runs behind the trachea as it courses to the left pulmonary hilum, causing a mild compression of the origin of the LPA.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Joana O. Miranda, José Monterroso, Jorge Moreira, Maria João Baptista" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Joana O." "apellidos" => "Miranda" ] 1 => array:2 [ "nombre" => "José" "apellidos" => "Monterroso" ] 2 => array:2 [ "nombre" => "Jorge" "apellidos" => "Moreira" ] 3 => array:2 [ "nombre" => "Maria João" "apellidos" => "Baptista" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255114001607" "doi" => "10.1016/j.repc.2014.01.022" "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/S0870255114001607?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914001858?idApp=UINPBA00004E" "url" => "/21742049/0000003300000078/v2_201411090043/S2174204914001858/v2_201411090043/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0870255114001590" "issn" => "08702551" "doi" => "10.1016/j.repc.2014.02.019" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "492" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2014;33:481-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2965 "formatos" => array:3 [ "EPUB" => 183 "HTML" => 2161 "PDF" => 621 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Ventricular tachycardia revealing cardiac infiltration by mycosis fungoides" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "481" "paginaFinal" => "482" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Taquicardia ventricular: apresentação de linfoma com infiltração cardíaca" ] ] "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" => 1371 "Ancho" => 1900 "Tamanyo" => 431648 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Telemetry tracing showing monomorphic ventricular tachycardia; (B) transthoracic echocardiogram revealing left ventricular (LV) concentric hypertrophy; (C) transesophageal echocardiogram showing LV concentric hypertrophy; (D) cardiac magnetic resonance imaging revealing infiltration of the myocardium and pericardium (arrow); (E) diffuse myocardial infiltration on macroscopic post-mortem examination; (F) histologic examination (hematoxylin & eosin, ×200) revealing infiltration of the myocardium by lymphocytes; (G) histologic examination (CD3, ×200) showing CD3-positive lymphocytes; (H) histologic examination (Ki-67, ×200) revealing a high proliferative index.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pedro Carrilho-Ferreira, Marco Ferreira, Cristina Ferreira, Maria José Correia, António Nunes Diogo, Luís Brás Rosário" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Pedro" "apellidos" => "Carrilho-Ferreira" ] 1 => array:2 [ "nombre" => "Marco" "apellidos" => "Ferreira" ] 2 => array:2 [ "nombre" => "Cristina" "apellidos" => "Ferreira" ] 3 => array:2 [ "nombre" => "Maria José" "apellidos" => "Correia" ] 4 => array:2 [ "nombre" => "António" "apellidos" => "Nunes Diogo" ] 5 => array:2 [ "nombre" => "Luís" "apellidos" => "Brás Rosário" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204914001846" "doi" => "10.1016/j.repce.2014.02.018" "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/S2174204914001846?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114001590?idApp=UINPBA00004E" "url" => "/08702551/0000003300000078/v4_201411060056/S0870255114001590/v4_201411060056/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0870255114001541" "issn" => "08702551" "doi" => "10.1016/j.repc.2014.01.021" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "487" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2014;33:477-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3357 "formatos" => array:3 [ "EPUB" => 231 "HTML" => 2515 "PDF" => 611 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Active fixation pacemaker lead perforating cardiac wall" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "477" "paginaFinal" => "478" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Elétrodo de fixação ativa do <span class="elsevierStyleItalic">pacemaker</span> perfurando parede cardíaca" ] ] "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" => 1400 "Ancho" => 1400 "Tamanyo" => 390868 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Transthoracic echocardiography, subcostal view, showing the pacemaker lead perforating the right ventricle (arrow); (B) and (C) cardiac computed tomography showing the entire pacemaker lead and the perforation through the right ventricle; (D) chest X-ray at discharge showing the two leads (arrows). Black arrow: new lead, yellow arrow: old lead perforating the cardiac wall.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Elena Velasco, María Martín, Vicente Barriales, Elena Díaz, Federico Pun, María Isabel Soto" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Elena" "apellidos" => "Velasco" ] 1 => array:2 [ "nombre" => "María" "apellidos" => "Martín" ] 2 => array:2 [ "nombre" => "Vicente" "apellidos" => "Barriales" ] 3 => array:2 [ "nombre" => "Elena" "apellidos" => "Díaz" ] 4 => array:2 [ "nombre" => "Federico" "apellidos" => "Pun" ] 5 => array:2 [ "nombre" => "María Isabel" "apellidos" => "Soto" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204914001792" "doi" => "10.1016/j.repce.2014.01.018" "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/S2174204914001792?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114001541?idApp=UINPBA00004E" "url" => "/08702551/0000003300000078/v4_201411060056/S0870255114001541/v4_201411060056/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Pulmonary artery sling: An incidental finding" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "479" "paginaFinal" => "480" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Joana O. Miranda, José Monterroso, Jorge Moreira, Maria João Baptista" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Joana O." "apellidos" => "Miranda" "email" => array:1 [ 0 => "joanam@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "José" "apellidos" => "Monterroso" ] 2 => array:2 [ "nombre" => "Jorge" "apellidos" => "Moreira" ] 3 => array:2 [ "nombre" => "Maria João" "apellidos" => "Baptista" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Serviço de Cardiologia Pediátrica, Centro Hospitalar São João, Porto, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Sling</span> da artéria pulmonar: um achado acidental" ] ] "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" => 1056 "Ancho" => 1626 "Tamanyo" => 107829 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomographic angiography reveals anomalous origin of the LPA from the posterior aspect of the RPA. The aberrant LPA (black arrow) runs behind the trachea as it courses to the left pulmonary hilum, causing a mild compression of the origin of the LPA.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A previously healthy one-month infant was referred to our institution due to a heart murmur. The transthoracic echocardiogram showed the pulmonary trunk giving rise to the right pulmonary artery (RPA), but the left pulmonary artery (LPA) was not identified in its usual location. Instead the LPA was arising from the RPA and coursing leftward behind the trachea, with a turbulent flow (peak velocity 1.5 m/s) (Video 1). An associated ostium secundum atrial septal defect was diagnosed. The suspected diagnosis of pulmonary artery sling was confirmed by computed tomographic angiography. The LPA was seen originating from the posterior aspect of the RPA and coursing over the right mainstem bronchus and then from right to left, posterior to the trachea and anterior to the esophagus, to reach the hilum of the left lung, and causing a mild compression of the origin of the LPA (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). Besides the pulmonary artery sling and the atrial septal defect, a partial anomalous pulmonary venous return was identified, with the left superior pulmonary vein draining in the left brachiocephalic vein (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The anomalous origin of the LPA known as pulmonary artery sling is a rare form of vascular ring. In the vast majority of patients it is associated with respiratory symptoms in the first year of life, due to tracheal stenosis, and with a high mortality rate if there is no surgical intervention. In our case, the heart murmur led to early medical attention. The findings on echocardiography and computed tomographic angiography allowed an early non-invasive diagnosis, avoiding a potentially severe and life-threatening acute presentation.</p><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflict of interest to declare.</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Ethical disclosures</span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Protection of human and animal subjects</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Confidentiality of data</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0045" "titulo" => "Conflict of interest" ] 1 => array:3 [ "identificador" => "sec0050" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0055" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0060" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0065" "titulo" => "Right to privacy and informed consent" ] ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-01-02" "fechaAceptado" => "2014-01-27" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0050" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0075" ] ] ] ] "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" => 1056 "Ancho" => 1626 "Tamanyo" => 107829 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomographic angiography reveals anomalous origin of the LPA from the posterior aspect of the RPA. The aberrant LPA (black arrow) runs behind the trachea as it courses to the left pulmonary hilum, causing a mild compression of the origin of the LPA.</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" => 709 "Ancho" => 998 "Tamanyo" => 88937 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Computed tomographic angiography reveals partial anomalous pulmonary venous return consisting of left superior pulmonary vein (white arrow) draining in the left brachiocephalic vein.</p>" ] ] 2 => array:7 [ "identificador" => "upi0005" "etiqueta" => "Video 1" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1146280 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiography (parasternal short-axis, 2D and color Doppler) shows the pulmonary trunk in continuity with the RPA and this branch giving rise to the LPA, which courses around the trachea, creating a pulmonary artery sling.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003300000078/v4_201411060056/S0870255114001607/v4_201411060056/en/main.assets" "Apartado" => array:4 [ "identificador" => "29264" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imagens em Cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003300000078/v4_201411060056/S0870255114001607/v4_201411060056/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114001607?idApp=UINPBA00004E" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 12 | 6 | 18 |
| 2024 Outubro | 42 | 26 | 68 |
| 2024 Setembro | 53 | 25 | 78 |
| 2024 Agosto | 62 | 26 | 88 |
| 2024 Julho | 49 | 31 | 80 |
| 2024 Junho | 56 | 24 | 80 |
| 2024 Maio | 42 | 20 | 62 |
| 2024 Abril | 45 | 28 | 73 |
| 2024 Maro | 65 | 27 | 92 |
| 2024 Fevereiro | 47 | 44 | 91 |
| 2024 Janeiro | 42 | 39 | 81 |
| 2023 Dezembro | 42 | 24 | 66 |
| 2023 Novembro | 50 | 16 | 66 |
| 2023 Outubro | 63 | 15 | 78 |
| 2023 Setembro | 44 | 16 | 60 |
| 2023 Agosto | 35 | 21 | 56 |
| 2023 Julho | 63 | 7 | 70 |
| 2023 Junho | 42 | 10 | 52 |
| 2023 Maio | 68 | 24 | 92 |
| 2023 Abril | 41 | 9 | 50 |
| 2023 Maro | 39 | 22 | 61 |
| 2023 Fevereiro | 38 | 21 | 59 |
| 2023 Janeiro | 39 | 13 | 52 |
| 2022 Dezembro | 43 | 17 | 60 |
| 2022 Novembro | 61 | 23 | 84 |
| 2022 Outubro | 39 | 15 | 54 |
| 2022 Setembro | 53 | 20 | 73 |
| 2022 Agosto | 56 | 34 | 90 |
| 2022 Julho | 45 | 21 | 66 |
| 2022 Junho | 35 | 18 | 53 |
| 2022 Maio | 40 | 28 | 68 |
| 2022 Abril | 38 | 39 | 77 |
| 2022 Maro | 29 | 31 | 60 |
| 2022 Fevereiro | 40 | 21 | 61 |
| 2022 Janeiro | 39 | 18 | 57 |
| 2021 Dezembro | 29 | 32 | 61 |
| 2021 Novembro | 34 | 29 | 63 |
| 2021 Outubro | 36 | 38 | 74 |
| 2021 Setembro | 30 | 33 | 63 |
| 2021 Agosto | 32 | 20 | 52 |
| 2021 Julho | 34 | 31 | 65 |
| 2021 Junho | 41 | 14 | 55 |
| 2021 Maio | 45 | 21 | 66 |
| 2021 Abril | 80 | 58 | 138 |
| 2021 Maro | 133 | 7 | 140 |
| 2021 Fevereiro | 95 | 18 | 113 |
| 2021 Janeiro | 45 | 7 | 52 |
| 2020 Dezembro | 56 | 4 | 60 |
| 2020 Novembro | 43 | 11 | 54 |
| 2020 Outubro | 23 | 11 | 34 |
| 2020 Setembro | 48 | 14 | 62 |
| 2020 Agosto | 31 | 3 | 34 |
| 2020 Julho | 50 | 2 | 52 |
| 2020 Junho | 49 | 8 | 57 |
| 2020 Maio | 46 | 5 | 51 |
| 2020 Abril | 49 | 4 | 53 |
| 2020 Maro | 41 | 7 | 48 |
| 2020 Fevereiro | 145 | 14 | 159 |
| 2020 Janeiro | 33 | 7 | 40 |
| 2019 Dezembro | 42 | 8 | 50 |
| 2019 Novembro | 28 | 4 | 32 |
| 2019 Outubro | 23 | 3 | 26 |
| 2019 Setembro | 57 | 4 | 61 |
| 2019 Agosto | 32 | 8 | 40 |
| 2019 Julho | 41 | 12 | 53 |
| 2019 Junho | 29 | 5 | 34 |
| 2019 Maio | 46 | 17 | 63 |
| 2019 Abril | 39 | 21 | 60 |
| 2019 Maro | 102 | 15 | 117 |
| 2019 Fevereiro | 27 | 7 | 34 |
| 2019 Janeiro | 39 | 8 | 47 |
| 2018 Dezembro | 37 | 23 | 60 |
| 2018 Novembro | 58 | 12 | 70 |
| 2018 Outubro | 143 | 18 | 161 |
| 2018 Setembro | 38 | 11 | 49 |
| 2018 Agosto | 39 | 14 | 53 |
| 2018 Julho | 35 | 8 | 43 |
| 2018 Junho | 48 | 9 | 57 |
| 2018 Maio | 52 | 12 | 64 |
| 2018 Abril | 53 | 2 | 55 |
| 2018 Maro | 55 | 9 | 64 |
| 2018 Fevereiro | 43 | 5 | 48 |
| 2018 Janeiro | 53 | 11 | 64 |
| 2017 Dezembro | 57 | 18 | 75 |
| 2017 Novembro | 37 | 9 | 46 |
| 2017 Outubro | 18 | 11 | 29 |
| 2017 Setembro | 47 | 5 | 52 |
| 2017 Agosto | 41 | 5 | 46 |
| 2017 Julho | 17 | 6 | 23 |
| 2017 Junho | 40 | 16 | 56 |
| 2017 Maio | 39 | 11 | 50 |
| 2017 Abril | 21 | 6 | 27 |
| 2017 Maro | 24 | 12 | 36 |
| 2017 Fevereiro | 18 | 5 | 23 |
| 2017 Janeiro | 22 | 7 | 29 |
| 2016 Dezembro | 14 | 8 | 22 |
| 2016 Novembro | 15 | 7 | 22 |
| 2016 Outubro | 20 | 6 | 26 |
| 2016 Setembro | 15 | 3 | 18 |
| 2016 Agosto | 11 | 4 | 15 |
| 2016 Julho | 9 | 7 | 16 |
| 2016 Junho | 1 | 5 | 6 |
| 2016 Maio | 4 | 8 | 12 |
| 2016 Abril | 19 | 2 | 21 |
| 2016 Maro | 32 | 8 | 40 |
| 2016 Fevereiro | 41 | 25 | 66 |
| 2016 Janeiro | 35 | 18 | 53 |
| 2015 Dezembro | 40 | 11 | 51 |
| 2015 Novembro | 35 | 5 | 40 |
| 2015 Outubro | 33 | 5 | 38 |
| 2015 Setembro | 35 | 19 | 54 |
| 2015 Agosto | 40 | 8 | 48 |
| 2015 Julho | 33 | 10 | 43 |
| 2015 Junho | 21 | 7 | 28 |
| 2015 Maio | 19 | 5 | 24 |
| 2015 Abril | 48 | 14 | 62 |
| 2015 Maro | 25 | 11 | 36 |
| 2015 Fevereiro | 23 | 13 | 36 |
| 2015 Janeiro | 23 | 14 | 37 |
| 2014 Dezembro | 26 | 21 | 47 |
| 2014 Novembro | 25 | 11 | 36 |
| 2014 Outubro | 39 | 25 | 64 |
| 2014 Setembro | 71 | 46 | 117 |
Mostrar tudo
