Image in Cardiology
A rare case of congenital aneurysm of the right atrium
Um caso raro de aneurisma congénito da aurícula direita
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"Ancho" => 3000 "Tamanyo" => 452727 ] ] "descripcion" => array:1 [ "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Coronária direita (projeção OAE 45°; CAUD 10°): lesão proximal de 60% e lesão de 70% no ramo póstero‐lateral. (B) Coronária esquerda (projeção OAD 30°; CAUD 10°): sem lesões significativas, revelando a presença de uma agulha de costura no hemitórax esquerdo. (C) Agulha de costura ampliada (projeção AP 0° 0°). (D) TC torácica (plano sagital): agulha de costura em topografia subpleural, posterior ao segmento apical do lobo inferior esquerdo. (E) TC torácica (janela pulmonar, plano coronal): agulha de costura, medindo 40<span class="elsevierStyleHsp" style=""></span>mm, orientada no sentido crânio‐caudal. 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"idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Cardiac metastasis from colorectal cancer: To be or not to be…" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "569" "paginaFinal" => "570" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Metástase cardíaca do cancro colorretal: ser ou não ser…" ] ] "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" => 1979 "Ancho" => 2500 "Tamanyo" => 346359 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Transthoracic echocardiography, apical 4-chamber view, showing a homogenous ovoid mass; (b) transthoracic echocardiography, subcostal view, showing the mass extending from the inferior vena cava to the right atrium; (c) transesophageal echocardiography, off-axis bicaval view, showing invasion of the inferior vena cava; (d) transesophageal echocardiography, bicaval view, showing the thin attachment of the mass to the right atrial inferoposterior wall.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Daniele Pontillo, Giordano Zampi, Amedeo Pergolini, Vincenzo Polizzi, Denitza Tinti, Paolo Spadaccia" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Daniele" "apellidos" => "Pontillo" ] 1 => array:2 [ "nombre" => "Giordano" "apellidos" => "Zampi" ] 2 => array:2 [ "nombre" => "Amedeo" "apellidos" => "Pergolini" ] 3 => array:2 [ "nombre" => "Vincenzo" "apellidos" => "Polizzi" ] 4 => array:2 [ "nombre" => "Denitza" "apellidos" => "Tinti" ] 5 => array:2 [ "nombre" => "Paolo" "apellidos" => "Spadaccia" ] ] ] ] ] 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array:4 [ "autoresLista" => "Alexandra da Silva Castro, Nuno Ferreira, Ricardo Ferraz, Nuno Bettencourt, João Carlos Mota, Vasco Gama Ribeiro" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Alexandra" "apellidos" => "da Silva Castro" "email" => array:1 [ 0 => "alexecas@hotmail.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" => "Nuno" "apellidos" => "Ferreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Ricardo" "apellidos" => "Ferraz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Nuno" "apellidos" => "Bettencourt" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "João Carlos" "apellidos" => "Mota" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "Vasco" "apellidos" => "Gama Ribeiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Cardiology Department, Tâmega Sousa Hospital Centre, Penafiel, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Vila Nova de Gaia, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Cardiothoracic Surgery Department, Vila Nova de Gaia/Espinho Hospital Centre, Vila Nova de Gaia, Portugal" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Um caso raro de aneurisma congénito da aurícula direita" ] ] "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" => 877 "Ancho" => 1658 "Tamanyo" => 157319 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Intraoperative photograph (surgeon's view) revealing the right atrial aneurysm (RAA).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 58-year-old hypertensive man referred for a cardiology consultation due to atypical chest pain. The clinical examination was unremarkable. An electrocardiogram demonstrated sinus rhythm and incomplete right bundle branch block. He had an ambulatory echocardiogram that was described as normal. An exercise test was negative for ischemia and showed intermittent complete right bundle branch block. To exclude coronary disease a contrast computed tomography (CT) scan was performed that revealed a saccular aneurysm of the lateral free wall of the right atrium measuring 45 mm×45 mm×43 mm (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>). There was no evidence of coronary disease. Given the CT findings, transthoracic echocardiography was repeated and revealed a cystic, pulsatile structure in continuity with the free wall of the right atrium through a narrow neck (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>) permitting low-speed two-way flow, subsequently confirmed by injection of Sonovue<span class="elsevierStyleSup">®</span> contrast. No cardiac thrombi were visualized. The tricuspid valvular apparatus and right ventricle were morphologically normal, as was biventricular systolic function. Similar findings were visualized on the transesophageal echocardiogram.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Right atrium aneurysm is a rare congenital heart malformation. It occurs in all age groups. Supraventricular arrhythmias and embolic events are the most common reported symptoms. Major complications such as rhythm disturbances, thromboembolic events and aneurysm rupture may occur. Although the best treatment, particularly in asymptomatic patients, has not been established, the patient was started on oral anticoagulation and proposed for surgical aneurysmectomy. He underwent successful resection of the aneurysm (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>) with an uneventful post-operative period.</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" 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="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" 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 id="sec0135" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0330" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0135" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-01-19" "fechaAceptado" => "2014-02-02" "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" => 1669 "Ancho" => 1658 "Tamanyo" => 308626 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomography (CT) scan, axial view. LA: left atrium; LV: left ventricle; RA: right atrium; RAA: right atrial aneurysm; RV: right ventricle.</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" => 1670 "Ancho" => 1658 "Tamanyo" => 255626 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">CT scan: three-dimensional reconstruction of the right atrial aneurysm (RAA).</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" => 1120 "Ancho" => 1660 "Tamanyo" => 152485 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram, apical 4-chamber view. LA: left atrium; LV: left ventricle; RA: right atrium; RAA: right atrial aneurysm; RV: right ventricle.</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" => 877 "Ancho" => 1658 "Tamanyo" => 157319 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Intraoperative photograph (surgeon's view) revealing the right atrial aneurysm (RAA).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003300000009/v1_201410010215/S0870255114001887/v1_201410010215/en/main.assets" "Apartado" => array:4 [ "identificador" => "357" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Imagens em cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003300000009/v1_201410010215/S0870255114001887/v1_201410010215/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114001887?idApp=UINPBA00004E" ]
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| 2020 Setembro | 55 | 8 | 63 |
| 2020 Agosto | 22 | 1 | 23 |
| 2020 Julho | 48 | 8 | 56 |
| 2020 Junho | 37 | 5 | 42 |
| 2020 Maio | 22 | 4 | 26 |
| 2020 Abril | 32 | 9 | 41 |
| 2020 Maro | 44 | 2 | 46 |
| 2020 Fevereiro | 96 | 15 | 111 |
| 2020 Janeiro | 44 | 10 | 54 |
| 2019 Dezembro | 36 | 6 | 42 |
| 2019 Novembro | 24 | 5 | 29 |
| 2019 Outubro | 35 | 7 | 42 |
| 2019 Setembro | 51 | 5 | 56 |
| 2019 Agosto | 21 | 10 | 31 |
| 2019 Julho | 37 | 11 | 48 |
| 2019 Junho | 27 | 8 | 35 |
| 2019 Maio | 39 | 11 | 50 |
| 2019 Abril | 28 | 14 | 42 |
| 2019 Maro | 49 | 8 | 57 |
| 2019 Fevereiro | 53 | 7 | 60 |
| 2019 Janeiro | 47 | 3 | 50 |
| 2018 Dezembro | 69 | 10 | 79 |
| 2018 Novembro | 84 | 8 | 92 |
| 2018 Outubro | 134 | 26 | 160 |
| 2018 Setembro | 43 | 9 | 52 |
| 2018 Agosto | 37 | 14 | 51 |
| 2018 Julho | 28 | 4 | 32 |
| 2018 Junho | 39 | 6 | 45 |
| 2018 Maio | 51 | 6 | 57 |
| 2018 Abril | 82 | 12 | 94 |
| 2018 Maro | 71 | 9 | 80 |
| 2018 Fevereiro | 47 | 5 | 52 |
| 2018 Janeiro | 37 | 6 | 43 |
| 2017 Dezembro | 61 | 11 | 72 |
| 2017 Novembro | 57 | 15 | 72 |
| 2017 Outubro | 36 | 10 | 46 |
| 2017 Setembro | 39 | 7 | 46 |
| 2017 Agosto | 50 | 14 | 64 |
| 2017 Julho | 40 | 11 | 51 |
| 2017 Junho | 58 | 5 | 63 |
| 2017 Maio | 54 | 8 | 62 |
| 2017 Abril | 31 | 2 | 33 |
| 2017 Maro | 66 | 43 | 109 |
| 2017 Fevereiro | 132 | 5 | 137 |
| 2017 Janeiro | 32 | 6 | 38 |
| 2016 Dezembro | 45 | 14 | 59 |
| 2016 Novembro | 31 | 12 | 43 |
| 2016 Outubro | 66 | 6 | 72 |
| 2016 Setembro | 77 | 9 | 86 |
| 2016 Agosto | 71 | 3 | 74 |
| 2016 Julho | 10 | 3 | 13 |
| 2016 Junho | 8 | 8 | 16 |
| 2016 Maio | 5 | 0 | 5 |
| 2016 Abril | 28 | 3 | 31 |
| 2016 Maro | 34 | 7 | 41 |
| 2016 Fevereiro | 56 | 21 | 77 |
| 2016 Janeiro | 51 | 8 | 59 |
| 2015 Dezembro | 55 | 5 | 60 |
| 2015 Novembro | 39 | 11 | 50 |
| 2015 Outubro | 49 | 11 | 60 |
| 2015 Setembro | 50 | 7 | 57 |
| 2015 Agosto | 46 | 10 | 56 |
| 2015 Julho | 66 | 5 | 71 |
| 2015 Junho | 31 | 2 | 33 |
| 2015 Maio | 38 | 5 | 43 |
| 2015 Abril | 42 | 12 | 54 |
| 2015 Maro | 30 | 3 | 33 |
| 2015 Fevereiro | 41 | 8 | 49 |
| 2015 Janeiro | 37 | 10 | 47 |
| 2014 Dezembro | 38 | 21 | 59 |
| 2014 Novembro | 51 | 19 | 70 |
| 2014 Outubro | 118 | 70 | 188 |
Mostrar tudo
