Estatísticas

 array:25 [
  "pii" => "S0870255116303286"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2017.04.008"
  "estado" => "S300"
  "fechaPublicacion" => "2018-06-01"
  "aid" => "1204"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Rev Port Cardiol. 2018;37:539.e1-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2166
    "formatos" => array:3 [
      "EPUB" => 120
      "HTML" => 1711
      "PDF" => 335
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S2174204918302071"
      "issn" => "21742049"
      "doi" => "10.1016/j.repce.2017.04.013"
      "estado" => "S300"
      "fechaPublicacion" => "2018-06-01"
      "aid" => "1204"
      "copyright" => "Sociedade Portuguesa de Cardiologia"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Rev Port Cardiol. 2018;37:539.e1-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 2038
        "formatos" => array:3 [
          "EPUB" => 105
          "HTML" => 1685
          "PDF" => 248
        ]
      ]
      "en" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
        "titulo" => "Left atrium and pulmonary artery compression due to aortic aneurysm causing heart failure symptoms"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "pt"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "539&#46;e1"
            "paginaFinal" => "539&#46;e3"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Compress&#227;o do &#225;trio esquerdo e art&#233;ria pulmonar por um aneurisma da aorta causando sintomas de insufici&#234;ncia card&#237;aca"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "pt" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "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" => 1189
                "Ancho" => 1584
                "Tamanyo" => 135215
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Venous computed tomography angiography of the chest&#46;</p> <p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">DAo&#58; descending thoracic aorta&#59; PAT&#58; pulmonary artery truncus&#59; RPA&#58; right pulmonary artery&#59; SVC&#58; superior vena cava&#59; TAA&#58; thoracic aortic aneurysm&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Antonio Jos&#233; Lagoeiro Jorge, Wolney de Andrade Martins, Victor M&#46; Moutinho, Juliano M&#46; Rezende, Patricia Y&#46; Alves, Humberto Villacorta, Pedro F&#46; Silveira, Antonio A&#46; Couto"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Antonio Jos&#233; Lagoeiro"
                "apellidos" => "Jorge"
              ]
              1 => array:2 [
                "nombre" => "Wolney de Andrade"
                "apellidos" => "Martins"
              ]
              2 => array:2 [
                "nombre" => "Victor M&#46;"
                "apellidos" => "Moutinho"
              ]
              3 => array:2 [
                "nombre" => "Juliano M&#46;"
                "apellidos" => "Rezende"
              ]
              4 => array:2 [
                "nombre" => "Patricia Y&#46;"
                "apellidos" => "Alves"
              ]
              5 => array:2 [
                "nombre" => "Humberto"
                "apellidos" => "Villacorta"
              ]
              6 => array:2 [
                "nombre" => "Pedro F&#46;"
                "apellidos" => "Silveira"
              ]
              7 => array:2 [
                "nombre" => "Antonio A&#46;"
                "apellidos" => "Couto"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0870255116303286"
          "doi" => "10.1016/j.repc.2017.04.008"
          "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/S0870255116303286?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918302071?idApp=UINPBA00004E"
      "url" => "/21742049/0000003700000006/v3_201807150625/S2174204918302071/v3_201807150625/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0870255117309459"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2018.02.007"
    "estado" => "S300"
    "fechaPublicacion" => "2018-06-01"
    "aid" => "1201"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Cardiol. 2018;37:541&#46;e1-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2406
      "formatos" => array:3 [
        "EPUB" => 107
        "HTML" => 1939
        "PDF" => 360
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Patient-specific 3D printing simulation to guide complex coronary intervention"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "541&#46;e1"
          "paginaFinal" => "541&#46;e4"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Interven&#231;&#227;o coron&#225;ria complexa guiada por simula&#231;&#227;o espec&#237;fica com impress&#227;o 3D"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 1698
              "Ancho" => 3167
              "Tamanyo" => 433902
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Side-by-side display of matched angiographic appearance &#40;Panel A&#41; and OCT imaging &#40;Panel B&#41; of patient-specific simulated procedure and actual procedure for comparative purposes&#46; &#40;Panel A&#41; Angiographic images depicting the sequential procedural steps from diagnosis to final surgical result&#46; &#40;Panel B&#41; OCT still frames of minimal luminal area before intervention and the final result after stent implantation&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Manuel Oliveira-Santos, Eduardo Oliveira Santos, Ana Vera Marinho, Lu&#237;s Leite, Jorge Guardado, V&#237;tor Matos, Guilherme Mariano Pego, Jo&#227;o Silva Marques"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Oliveira-Santos"
            ]
            1 => array:2 [
              "nombre" => "Eduardo"
              "apellidos" => "Oliveira Santos"
            ]
            2 => array:2 [
              "nombre" => "Ana Vera"
              "apellidos" => "Marinho"
            ]
            3 => array:2 [
              "nombre" => "Lu&#237;s"
              "apellidos" => "Leite"
            ]
            4 => array:2 [
              "nombre" => "Jorge"
              "apellidos" => "Guardado"
            ]
            5 => array:2 [
              "nombre" => "V&#237;tor"
              "apellidos" => "Matos"
            ]
            6 => array:2 [
              "nombre" => "Guilherme Mariano"
              "apellidos" => "Pego"
            ]
            7 => array:2 [
              "nombre" => "Jo&#227;o Silva"
              "apellidos" => "Marques"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204918302083"
        "doi" => "10.1016/j.repce.2018.02.018"
        "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/S2174204918302083?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255117309459?idApp=UINPBA00004E"
    "url" => "/08702551/0000003700000006/v2_201806270452/S0870255117309459/v2_201806270452/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S0870255117300999"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2017.07.008"
    "estado" => "S300"
    "fechaPublicacion" => "2018-06-01"
    "aid" => "1177"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "rev"
    "cita" => "Rev Port Cardiol. 2018;37:525-37"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1971
      "formatos" => array:3 [
        "EPUB" => 101
        "HTML" => 1439
        "PDF" => 431
      ]
    ]
    "pt" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo de Revis&#227;o</span>"
      "titulo" => "Medida do desempenho f&#237;sico por testes de campo em programas de reabilita&#231;&#227;o cardiovascular&#58; revis&#227;o sistem&#225;tica e meta&#8208;an&#225;lise"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "525"
          "paginaFinal" => "537"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Measurement of physical performance by field tests in programs of cardiac rehabilitation&#58; a systematic review and meta&#8208;analysis"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figura 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 1384
              "Ancho" => 2333
              "Tamanyo" => 224315
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Forest plot</span> dos 15 estudos inclu&#237;dos na meta&#8208;an&#225;lise&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Cristiane Travensolo, Karla Goessler, Roberto Poton, Roberta Ramos Pinto, Marcos Doederlein Polito"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Cristiane"
              "apellidos" => "Travensolo"
            ]
            1 => array:2 [
              "nombre" => "Karla"
              "apellidos" => "Goessler"
            ]
            2 => array:2 [
              "nombre" => "Roberto"
              "apellidos" => "Poton"
            ]
            3 => array:2 [
              "nombre" => "Roberta Ramos"
              "apellidos" => "Pinto"
            ]
            4 => array:2 [
              "nombre" => "Marcos Doederlein"
              "apellidos" => "Polito"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204918301338"
        "doi" => "10.1016/j.repce.2017.07.007"
        "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/S2174204918301338?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255117300999?idApp=UINPBA00004E"
    "url" => "/08702551/0000003700000006/v2_201806270452/S0870255117300999/v2_201806270452/pt/main.assets"
  ]
  "en" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Left atrium and pulmonary artery compression due to aortic aneurysm causing heart failure symptoms"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "539&#46;e1"
        "paginaFinal" => "539&#46;e2"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Antonio Jos&#233; Lagoeiro Jorge, Wolney de Andrade Martins, Victor M&#46; Moutinho, Juliano M&#46; Rezende, Patricia Y&#46; Alves, Humberto Villacorta, Pedro F&#46; Silveira, Antonio A&#46; Couto"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Antonio Jos&#233; Lagoeiro"
            "apellidos" => "Jorge"
            "email" => array:1 [
              0 => "lagoeiro&#64;globo&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Wolney de Andrade"
            "apellidos" => "Martins"
          ]
          2 => array:2 [
            "nombre" => "Victor M&#46;"
            "apellidos" => "Moutinho"
          ]
          3 => array:2 [
            "nombre" => "Juliano M&#46;"
            "apellidos" => "Rezende"
          ]
          4 => array:2 [
            "nombre" => "Patricia Y&#46;"
            "apellidos" => "Alves"
          ]
          5 => array:2 [
            "nombre" => "Humberto"
            "apellidos" => "Villacorta"
          ]
          6 => array:2 [
            "nombre" => "Pedro F&#46;"
            "apellidos" => "Silveira"
          ]
          7 => array:2 [
            "nombre" => "Antonio A&#46;"
            "apellidos" => "Couto"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Universidade Federal Fluminense&#44; Niter&#243;i&#44; Rio de Janeiro&#44; Brasil"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Compress&#227;o do &#225;trio esquerdo e art&#233;ria pulmonar por um aneurisma da aorta causando sintomas de insufici&#234;ncia card&#237;aca"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1189
            "Ancho" => 1584
            "Tamanyo" => 131875
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography angiography with contrast&#46;</p> <p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">DAo&#58; descending thoracic aorta&#59; LA&#58; left atrium&#59; PAT&#58; pulmonary artery truncus&#59; TAA&#58; thoracic aortic aneurysm&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Patients with thoracic aortic aneurysm &#40;TAA&#41; are mostly asymptomatic and TAA is rarely related to heart failure &#40;HF&#41;&#46; TAA may present acutely with rupture or dissection&#44; or chronically&#44; with symptoms related to surrounding structures&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Extrinsic compression of the left atrium &#40;LA&#41; and the pulmonary vessels is an uncommon cause of hemodynamic compromise and may be secondary to the involvement of mediastinal structures&#44; including TAA&#46; This compression can lead to increased atrial and pulmonary artery pressures and may consequently cause pulmonary hypertension or pulmonary edema&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2&#44;3</span></a> We report the case of a patient with type A TAA with right pulmonary artery and LA compression&#44; who had HF with preserved ejection fraction &#40;HFpEF&#41; and acute pulmonary edema &#40;APE&#41;&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">An 80-year-old female patient&#44; with a previous diagnosis of hypertension and HFpEF&#44; was hospitalized with dry cough&#44; progressive dyspnea on exertion&#44; New York Heart Association &#40;NYHA&#41; functional class III&#47;IV&#44; orthopnea and lower limb edema&#46; She also reported moderate atypical chest pain and dysphagia for solids&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">On physical examination&#44; blood pressure was 162&#47;82 mmHg&#59; heart rate was 88 bpm and respiratory rate was 27 ipm&#46; Pathological jugular venous distention was present&#46; The patient had a regular heart rhythm&#44; with no murmurs&#59; fine crackles in both lung bases and bilateral lower limb edema &#40;&#43;&#43;&#47;4&#43;&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Complete right bundle branch block was observed on the electrocardiogram&#46; Chest radiography showed cardiomegaly&#44; mediastinal widening&#44; and left pleural effusion that resolved with medical treatment&#46; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46; Echocardiogram revealed left ventricular ejection fraction of 72&#37;&#44; increased LA&#44; TAA diameter of 7&#46;2 cm&#44; moderate pericardial effusion with no signs of restriction&#44; and left pleural effusion&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Twelve hours after admission she progressed with APE&#44; which was controlled with medication&#46; Seventy-two hours later she had atrial fibrillation without hemodynamic impairment&#46; Clinical improvement occurred following drug treatment and she was discharged in NYHA class II&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Echocardiogram one week later showed giant TAA with left atrial compression&#44; diastolic dysfunction and preserved left ventricular ejection fraction&#44; without pericardial or pleural effusion&#46; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Chest angiography was performed and revealed a giant 8&#46;3&#215;7&#46;7-cm TAA&#44; which compressed the right pulmonary artery&#44; the left and right atriums&#44; the right ventricle and the esophagus&#44; without any evidence of dissection &#40;<a class="elsevierStyleCrossRefs" href="#fig0015">Figures 3 and 4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">Her clinical status significantly improved after administration of carvedilol&#44; enalapril and furosemide&#46; Correcting the TAA surgically was proposed&#59; however&#44; the patient and her family opted for conservative treatment&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0045" class="elsevierStylePara elsevierViewall">The ascending aorta measures about 5<span class="elsevierStyleHsp" style=""></span>cm in length and is connected to the right with the superior vena cava and right atrium&#59; to the left with the pulmonary artery and posteriorly to the left atrium and the right pulmonary artery&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The compression of surrounding structures&#44; particularly the LA&#44; rarely causes hemodynamic effects&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> The few reports of HF caused by TAA are mainly associated with aneurysms with dissection&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1&#44;3&#8211;5</span></a> TAA complications are related to the compression of neighboring structures or a dissecting aneurysm&#46; A large ascending aortic aneurysm can compress vessels&#44; leading to hypertension and pulmonary edema&#44; as in this patient&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">HFpEF management has limitations related to comorbidities and the lack of strong evidence for specific treatment&#46; It is reasonable to assume that AF triggered the HF decompensation&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">In this case&#44; it is important to note that there was no aneurysm dissection&#44; clinical status stabilized and functional class improved with pharmacological treatment&#46; Furthermore&#44; it is worth highlighting that this is an unusual and unexpected cause of HF symptoms&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Aneurysm repair surgery was not performed due to a shared decision between the patient&#44; her family and the physician&#44; prioritizing the patient&#39;s quality of life&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conflicts of interest</span><p id="par0070" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:9 [
        0 => array:3 [
          "identificador" => "xres1047900"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec999294"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres1047901"
          "titulo" => "Resumo"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec999293"
          "titulo" => "Palavras-chave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Case report"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Discussion"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Conflicts of interest"
        ]
        8 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2016-10-29"
    "fechaAceptado" => "2017-04-01"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec999294"
          "palabras" => array:4 [
            0 => "Thoracic aortic aneurysm"
            1 => "Heart failure"
            2 => "Pulmonary edema"
            3 => "Left atrium"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec999293"
          "palabras" => array:4 [
            0 => "Aneurisma da aorta tor&#225;cica"
            1 => "Insufici&#234;ncia card&#237;aca"
            2 => "Edema pulmonar"
            3 => "&#193;trio esquerdo"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Patients with thoracic aortic aneurysm &#40;TAA&#41; are mostly asymptomatic and TAA is rarely related to heart failure &#40;HF&#41;&#46; We report the case of an 80-year-old female patient&#44; with type A TAA without dissection&#44; with right pulmonary artery and left atrium compression&#44; who presented with HF&#44; preserved ejection fraction and acute pulmonary edema&#46;</p></span>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Pacientes com aneurisma da aorta tor&#225;cica &#40;AAT&#41; s&#227;o geralmente assintom&#225;ticos e o AAT &#233; raramente associado &#224; insufici&#234;ncia card&#237;aca &#40;IC&#41;&#46; N&#243;s relatamos o caso de uma paciente feminina&#44; 80 anos&#44; com um AAT tipo A sem sinais de dissec&#231;&#227;o&#44; que apresentou compress&#227;o do &#225;trio esquerdo e da art&#233;ria pulmonar direita e desenvolvimento de IC com fra&#231;&#227;o de eje&#231;&#227;o preservada e edema agudo de pulm&#227;o&#46;</p></span>"
      ]
    ]
    "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" => 673
            "Ancho" => 1400
            "Tamanyo" => 109355
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Chest radiography&#58; &#40;A&#41; mediastinal enlargement and left pleural and pericardial effusion&#59; &#40;B&#41; After medical treatment&#58; thoracic aortic aneurysm&#46;</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" => 892
            "Ancho" => 2334
            "Tamanyo" => 163296
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Echocardiogram with Doppler</p> <p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">IVS&#58; interventricular septum&#59; LA&#58; left atrium&#59; LV&#58; left ventricle&#59; RV&#58; right ventricle&#46;</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" => 1189
            "Ancho" => 1584
            "Tamanyo" => 131875
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography angiography with contrast&#46;</p> <p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">DAo&#58; descending thoracic aorta&#59; LA&#58; left atrium&#59; PAT&#58; pulmonary artery truncus&#59; TAA&#58; thoracic aortic aneurysm&#46;</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" => 1189
            "Ancho" => 1584
            "Tamanyo" => 135215
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Venous computed tomography angiography of the chest&#46;</p> <p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">DAo&#58; descending thoracic aorta&#59; PAT&#58; pulmonary artery truncus&#59; RPA&#58; right pulmonary artery&#59; SVC&#58; superior vena cava&#59; TAA&#58; thoracic aortic aneurysm&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rare case of heart failure caused by compression of the left atrium by a thoracic aortic aneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N&#46;M&#46; Gandhi"
                            1 => "M&#46; Greaves"
                            2 => "N&#46;H&#46; Brooks"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Heart"
                        "fecha" => "2004"
                        "volumen" => "90"
                        "paginaInicial" => "e9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14729814"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary edema due to extreme left atrial compression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; DeLuca"
                            1 => "S&#46; Daniels"
                            2 => "N&#46; Pathak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "N Engl J Med&#46;"
                        "fecha" => "1991"
                        "volumen" => "88"
                        "paginaInicial" => "37"
                        "paginaFinal" => "38"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Images in cardiovascular medicine&#46; An uncommon complication of nondissected ascending aortic aneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Ant&#243;n"
                            1 => "M&#46; Echeverr&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.104.483495"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2005"
                        "volumen" => "112"
                        "paginaInicial" => "e116"
                        "paginaFinal" => "e117"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16129804"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "e4-6"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left atrial compression by dissecting aneurysm of the ascending aorta"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Walpot"
                            1 => "B&#46; Amsel"
                            2 => "W&#46;H&#46; Pasteuning"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Am Soc Echocardiogr&#46;"
                        "fecha" => "2007"
                        "volumen" => "10"
                        "paginaInicial" => "1220"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Left atrial compression by thoracic aneurysm mimicking congestive heart failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46;K&#46; Celenk"
                            1 => "O&#46; Ozeke"
                            2 => "M&#46;T&#46; Selcuk"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1540-8175.2005.40083.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Echocardiography"
                        "fecha" => "2005"
                        "volumen" => "22"
                        "paginaInicial" => "677"
                        "paginaFinal" => "678"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16174123"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000003700000006/v2_201806270452/S0870255116303286/v2_201806270452/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "29263"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Casos Cl&#237;nicos"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003700000006/v2_201806270452/S0870255116303286/v2_201806270452/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116303286?idApp=UINPBA00004E"
]