que se leu este artigo
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vegetation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "189" "paginaFinal" => "190" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Rita Ferreira, Rui Baptista, Sílvia Monteiro, Mariano Pego" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ana Rita" "apellidos" => "Ferreira" "email" => array:1 [ 0 => "ritafmup@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Rui" "apellidos" => "Baptista" ] 2 => array:2 [ "nombre" => "Sílvia" "apellidos" => "Monteiro" ] 3 => array:2 [ "nombre" => "Mariano" "apellidos" => "Pego" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospitais da Universidade de Coimbra, Coimbra, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Uma localização rara de vegetação na parede da aorta" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 732 "Ancho" => 975 "Tamanyo" => 245123 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopathological study showing granulocyte infiltration.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 69-year-old man was admitted to the emergency room due to acute pulmonary edema. He had no known history of cardiovascular disease. The physical exam was notable for a harsh, grade IV/VI aortic systolic murmur and diffuse lung crackles. A transthoracic echocardiogram showed severe aortic stenosis, with normal biventricular systolic function. Coronary angiography was performed, as aortic valve surgery was envisioned. The next day the patient presented with fever and no other symptoms. Empirical antibiotic therapy was started. Blood cultures were drawn and methicillin-sensitive <span class="elsevierStyleItalic">Staphylococcus aureus</span> was identified, prompting a change in antibiotic therapy to vancomycin and gentamicin. Endocarditis was suspected and a transesophageal echocardiogram was performed. The exam showed a 14 mm pedunculated and highly mobile mass attached to the intima, protruding from the posterior wall of the ascending aorta, at the level of the sinotubular junction (<a class="elsevierStyleCrossRef" href="#fig0005">Figures 1 and 2</a>). Given the high embolic risk and to avoid the development of a mycotic aneurysm, the case was discussed with the cardiac surgeon and the patient was operated the next day. An inflamed ascending aorta was detected in the operating theater; the mass was excised and the ascending aorta and aortic valve were replaced. The histopathology was notable for aortic endarteritis, with granulocyte infiltration (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 3</a>). After the operation, antibiotics were continued to complete an eight-week course. The patient was discharged thereafter. Our case illustrates a very rare location of a vegetation implanted in the aortic root, probably secondary to intimal trauma from prior coronary catheterization.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0015" 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="sec0020" 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="sec0025" 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="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">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:3 [ "identificador" => "sec0010" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0025" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-06-22" "fechaAceptado" => "2015-09-13" "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figures 1 and 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1v2.jpeg" "Alto" => 1260 "Ancho" => 975 "Tamanyo" => 122681 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Transesophageal echocardiogram showing a 14 mm pedunculated and highly mobile mass attached to the intima, at the level of the sinotubular junction.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 732 "Ancho" => 975 "Tamanyo" => 245123 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopathological study showing granulocyte infiltration.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003500000003/v1_201603080050/S0870255116000196/v1_201603080050/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/08702551/0000003500000003/v1_201603080050/S0870255116000196/v1_201603080050/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116000196?idApp=UINPBA00004E" ]
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2023 Maio | 30 | 19 | 49 |
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2022 Outubro | 21 | 26 | 47 |
2022 Setembro | 21 | 28 | 49 |
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2021 Novembro | 23 | 31 | 54 |
2021 Outubro | 37 | 35 | 72 |
2021 Setembro | 44 | 31 | 75 |
2021 Agosto | 23 | 27 | 50 |
2021 Julho | 17 | 22 | 39 |
2021 Junho | 23 | 18 | 41 |
2021 Maio | 21 | 31 | 52 |
2021 Abril | 28 | 28 | 56 |
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2020 Dezembro | 23 | 11 | 34 |
2020 Novembro | 35 | 14 | 49 |
2020 Outubro | 24 | 19 | 43 |
2020 Setembro | 49 | 10 | 59 |
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2020 Junho | 29 | 9 | 38 |
2020 Maio | 20 | 2 | 22 |
2020 Abril | 25 | 17 | 42 |
2020 Maro | 42 | 6 | 48 |
2020 Fevereiro | 60 | 16 | 76 |
2020 Janeiro | 32 | 7 | 39 |
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2019 Novembro | 45 | 9 | 54 |
2019 Outubro | 76 | 15 | 91 |
2019 Setembro | 28 | 3 | 31 |
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2018 Dezembro | 87 | 13 | 100 |
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2018 Outubro | 120 | 20 | 140 |
2018 Setembro | 28 | 17 | 45 |
2018 Agosto | 21 | 13 | 34 |
2018 Julho | 27 | 4 | 31 |
2018 Junho | 22 | 5 | 27 |
2018 Maio | 31 | 4 | 35 |
2018 Abril | 48 | 8 | 56 |
2018 Maro | 49 | 6 | 55 |
2018 Fevereiro | 34 | 5 | 39 |
2018 Janeiro | 20 | 10 | 30 |
2017 Dezembro | 39 | 13 | 52 |
2017 Novembro | 21 | 11 | 32 |
2017 Outubro | 22 | 7 | 29 |
2017 Setembro | 27 | 7 | 34 |
2017 Agosto | 29 | 11 | 40 |
2017 Julho | 25 | 6 | 31 |
2017 Junho | 37 | 10 | 47 |
2017 Maio | 28 | 9 | 37 |
2017 Abril | 23 | 3 | 26 |
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2017 Fevereiro | 21 | 3 | 24 |
2017 Janeiro | 22 | 3 | 25 |
2016 Dezembro | 28 | 7 | 35 |
2016 Novembro | 17 | 10 | 27 |
2016 Outubro | 14 | 8 | 22 |
2016 Setembro | 14 | 10 | 24 |
2016 Agosto | 11 | 10 | 21 |
2016 Julho | 5 | 9 | 14 |
2016 Junho | 8 | 11 | 19 |
2016 Maio | 6 | 34 | 40 |
2016 Abril | 40 | 7 | 47 |
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