array:25 [
  "pii" => "S0870255116303936"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2016.03.011"
  "estado" => "S300"
  "fechaPublicacion" => "2017-02-01"
  "aid" => "939"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2017;36:149-50"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2144
    "formatos" => array:3 [
      "EPUB" => 189
      "HTML" => 1576
      "PDF" => 379
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S2174204917300338"
      "issn" => "21742049"
      "doi" => "10.1016/j.repce.2017.02.009"
      "estado" => "S300"
      "fechaPublicacion" => "2017-02-01"
      "aid" => "939"
      "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. 2017;36:149-50"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1391
        "formatos" => array:3 [
          "EPUB" => 128
          "HTML" => 975
          "PDF" => 288
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
        "titulo" => "Multiple fistulae of all three coronary arteries draining into the pulmonary artery and concomitant coronary anomaly"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "149"
            "paginaFinal" => "150"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "F&#237;stulas m&#250;ltiplas nas tr&#234;s art&#233;rias coron&#225;rias drenando para a art&#233;ria pulmonar com anomalia coron&#225;ria concomitante"
          ]
        ]
        "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" => 1412
                "Ancho" => 2833
                "Tamanyo" => 183764
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Right coronary angiography demonstrating an anomalous origin of the left circumflex artery and coronary fistula to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating coronary fistula from the conus branch to the pulmonary artery&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Mehmet Burak &#214;zen, Tahir Durmaz, H&#252;seyin Ayhan, Mehmet Erdo&#287;an"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Mehmet Burak"
                "apellidos" => "&#214;zen"
              ]
              1 => array:2 [
                "nombre" => "Tahir"
                "apellidos" => "Durmaz"
              ]
              2 => array:2 [
                "nombre" => "H&#252;seyin"
                "apellidos" => "Ayhan"
              ]
              3 => array:2 [
                "nombre" => "Mehmet"
                "apellidos" => "Erdo&#287;an"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0870255116303936"
          "doi" => "10.1016/j.repc.2016.03.011"
          "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/S0870255116303936?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204917300338?idApp=UINPBA00004E"
      "url" => "/21742049/0000003600000002/v1_201702240018/S2174204917300338/v1_201702240018/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0870255116303924"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2016.07.010"
    "estado" => "S300"
    "fechaPublicacion" => "2017-02-01"
    "aid" => "938"
    "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. 2017;36:151-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2001
      "formatos" => array:3 [
        "EPUB" => 151
        "HTML" => 1472
        "PDF" => 378
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
      "titulo" => "Suprasternal echocardiography and aortic dissection"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "151"
          "paginaFinal" => "152"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Ecocardiografia supraesternal e disse&#231;&#227;o a&#243;rtica"
        ]
      ]
      "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" => 1853
              "Ancho" => 2333
              "Tamanyo" => 420148
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Severe aortic regurgitation due to a prolapse of the cusps&#59; &#40;B&#41; suprasternal view&#44; at the level of the aortic arch&#44; showing an intimal flap &#40;blue arrow&#41; with supravalvar origin and extension to the aortic arch&#59; &#40;C and D&#41; cardiac computed tomography confirming the presence of a Stanford type A aortic dissection&#46; FL&#58; false lumen&#59; TL&#58; true lumen&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Liliana Reis, In&#234;s Almeida, Rog&#233;rio Teixeira, Andreia Fernandes, Jos&#233; Nascimento, Lino Gon&#231;alves"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Liliana"
              "apellidos" => "Reis"
            ]
            1 => array:2 [
              "nombre" => "In&#234;s"
              "apellidos" => "Almeida"
            ]
            2 => array:2 [
              "nombre" => "Rog&#233;rio"
              "apellidos" => "Teixeira"
            ]
            3 => array:2 [
              "nombre" => "Andreia"
              "apellidos" => "Fernandes"
            ]
            4 => array:2 [
              "nombre" => "Jos&#233;"
              "apellidos" => "Nascimento"
            ]
            5 => array:2 [
              "nombre" => "Lino"
              "apellidos" => "Gon&#231;alves"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S217420491730034X"
        "doi" => "10.1016/j.repce.2017.02.010"
        "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/S217420491730034X?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116303924?idApp=UINPBA00004E"
    "url" => "/08702551/0000003600000002/v1_201702090011/S0870255116303924/v1_201702090011/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S0870255116304280"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2016.07.011"
    "estado" => "S300"
    "fechaPublicacion" => "2017-02-01"
    "aid" => "941"
    "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. 2017;36:147-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2124
      "formatos" => array:3 [
        "EPUB" => 169
        "HTML" => 1546
        "PDF" => 409
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
      "titulo" => "Mid-aortic syndrome in a patient with neurofibromatosis type 1"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "147"
          "paginaFinal" => "148"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "S&#237;ndrome da aorta m&#233;dia em paciente com neurofibromatose tipo 1"
        ]
      ]
      "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" => 1000
              "Ancho" => 680
              "Tamanyo" => 97247
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sagittal plane reformation showing severe narrowing of the aorta &#40;arrow&#41; and a saccular aneurysm &#40;star&#41; at the level of the renal arteries&#46; Metal artifacts caused by spinal surgical procedure &#40;S&#41; can also be seen&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sara P&#46; Magalh&#227;es, Nuno Moreno, Nuno Alves, Fernanda Reis"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Sara"
              "apellidos" => "P&#46; Magalh&#227;es"
            ]
            1 => array:2 [
              "nombre" => "Nuno"
              "apellidos" => "Moreno"
            ]
            2 => array:2 [
              "nombre" => "Nuno"
              "apellidos" => "Alves"
            ]
            3 => array:2 [
              "nombre" => "Fernanda"
              "apellidos" => "Reis"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204917300326"
        "doi" => "10.1016/j.repce.2017.02.008"
        "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/S2174204917300326?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116304280?idApp=UINPBA00004E"
    "url" => "/08702551/0000003600000002/v1_201702090011/S0870255116304280/v1_201702090011/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Multiple fistulae of all three coronary arteries draining into the pulmonary artery and concomitant coronary anomaly"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "149"
        "paginaFinal" => "150"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Mehmet Burak &#214;zen, Tahir Durmaz, H&#252;seyin Ayhan, Mehmet Erdo&#287;an"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Mehmet Burak"
            "apellidos" => "&#214;zen"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Tahir"
            "apellidos" => "Durmaz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:4 [
            "nombre" => "H&#252;seyin"
            "apellidos" => "Ayhan"
            "email" => array:1 [
              0 => "huseyinayhan44&#64;yahoo&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Mehmet"
            "apellidos" => "Erdo&#287;an"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Ankara Ataturk Education and Research Hospital&#44; Department of Cardiology&#44; Ankara&#44; Turkey"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Y&#305;ld&#305;r&#305;m Beyaz&#305;t University&#44; Faculty of Medicine&#44; Department of Cardiology&#44; Ankara&#44; Turkey"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "F&#237;stulas m&#250;ltiplas nas tr&#234;s art&#233;rias coron&#225;rias drenando para a art&#233;ria pulmonar com anomalia coron&#225;ria concomitante"
      ]
    ]
    "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" => 847
            "Ancho" => 1700
            "Tamanyo" => 94547
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Right coronary angiography demonstrating an anomalous origin of the left circumflex artery and coronary fistula to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating coronary fistula from the conus branch to the pulmonary artery&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Coronary to pulmonary fistula is an uncommon cardiac anomaly seen in 0&#46;05-0&#46;25&#37; of patients undergoing diagnostic coronary angiography&#46; Coronary artery fistulae are usually asymptomatic but larger and multiple fistulae can lead to ischemia&#44; congestive heart failure&#44; myocardial infarction and pulmonary hypertension&#46; Although usually congenital&#44; they may be acquired&#46; They most frequently arise from the right coronary artery system &#40;55&#37;&#41;&#44; less often from the left coronary artery system &#40;35&#37;&#41;&#44; and rarely from both coronary arteries &#40;5&#37;&#41;&#46; The most common locations into which they drain are&#44; in decreasing order&#44; the right ventricle&#44; right atrium&#44; pulmonary artery&#44; coronary sinus&#44; left atrium&#44; left ventricle&#44; and superior vena cava&#46; Although most fistulae are single&#44; multiple fistulae have been reported&#46; The most common type of coronary artery fistula in one study was to the pulmonary artery&#44; but multiple fistulae of all three coronary arteries to the pulmonary artery and concomitant anomalous coronary origin have not been previously reported&#46; We present a rare case of a symptomatic patient with congenital multiple coronary arteriovenous fistulae originating from the left anterior descending artery &#40;LAD&#41;&#44; left circumflex artery &#40;LCX&#41; and right coronary artery &#40;RCA&#41; draining into the pulmonary artery&#44; and concomitant anomalous coronary origin&#44; with the LCX arising from the right coronary system&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 65-year-old man was admitted with severe dyspnea and typical chest pain&#46; Clinical examination revealed a grade 2 continuous murmur in the mesocardiac area&#46; His medical history included hypertension and dyslipidemia as risk factors for coronary artery disease&#46; A standard 12-lead electrocardiogram revealed no significant alterations&#46; Transthoracic echocardiography demonstrated impaired left ventricular relaxation&#44; left ventricular ejection fraction of 65&#37;&#44; no significant valvular disease and pulmonary artery systolic pressure of 45 mmHg&#46; Subsequently&#44; coronary angiography showed multiple fistulae of all three coronary arteries&#44; which drained into the pulmonary artery &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and B&#41; and concomitant coronary anomaly with the LCX originating from the right coronary system &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>A&#41;&#46; Furthermore&#44; the RCA was the origin of fistulae in two different locations&#44; at mid level and the conus branch &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>B&#41;&#46; We recommended percutaneous coil embolization and a vascular plug for the fistulae but the patient refused interventional treatment&#44; so he was given optimal medical treatment &#40;beta-blockers and anti-hypertensive and lipid-lowering medication&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></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&#46;</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&#46;</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&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0025" 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&#46;</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" => "sec0025"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2016-02-17"
    "fechaAceptado" => "2016-03-10"
    "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" => 842
            "Ancho" => 1700
            "Tamanyo" => 107623
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Left coronary angiography demonstrating a coronary fistula from the left anterior descending coronary artery to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating a coronary fistula from the right coronary artery to the pulmonary artery&#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" => 847
            "Ancho" => 1700
            "Tamanyo" => 94547
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Right coronary angiography demonstrating an anomalous origin of the left circumflex artery and coronary fistula to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating coronary fistula from the conus branch to the pulmonary artery&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000003600000002/v1_201702090011/S0870255116303936/v1_201702090011/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/08702551/0000003600000002/v1_201702090011/S0870255116303936/v1_201702090011/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116303936?idApp=UINPBA00004E"
]
Partilhar
Informação da revista

Estatísticas

Siga este link para acessar o texto completo do artigo

Image in Cardiology
Multiple fistulae of all three coronary arteries draining into the pulmonary artery and concomitant coronary anomaly
Fístulas múltiplas nas três artérias coronárias drenando para a artéria pulmonar com anomalia coronária concomitante
Mehmet Burak Özena, Tahir Durmazb, Hüseyin Ayhanb,
Autor para correspondência
huseyinayhan44@yahoo.com

Corresponding author.
, Mehmet Erdoğana
a Ankara Ataturk Education and Research Hospital, Department of Cardiology, Ankara, Turkey
b Yıldırım Beyazıt University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey
Lido
5743
Vezes
que se leu este artigo
1611
Total PDF
4132
Total HTML
Compartilhar estatísticas
 array:25 [
  "pii" => "S0870255116303936"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2016.03.011"
  "estado" => "S300"
  "fechaPublicacion" => "2017-02-01"
  "aid" => "939"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2017;36:149-50"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2144
    "formatos" => array:3 [
      "EPUB" => 189
      "HTML" => 1576
      "PDF" => 379
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S2174204917300338"
      "issn" => "21742049"
      "doi" => "10.1016/j.repce.2017.02.009"
      "estado" => "S300"
      "fechaPublicacion" => "2017-02-01"
      "aid" => "939"
      "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. 2017;36:149-50"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1391
        "formatos" => array:3 [
          "EPUB" => 128
          "HTML" => 975
          "PDF" => 288
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
        "titulo" => "Multiple fistulae of all three coronary arteries draining into the pulmonary artery and concomitant coronary anomaly"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "149"
            "paginaFinal" => "150"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "F&#237;stulas m&#250;ltiplas nas tr&#234;s art&#233;rias coron&#225;rias drenando para a art&#233;ria pulmonar com anomalia coron&#225;ria concomitante"
          ]
        ]
        "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" => 1412
                "Ancho" => 2833
                "Tamanyo" => 183764
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Right coronary angiography demonstrating an anomalous origin of the left circumflex artery and coronary fistula to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating coronary fistula from the conus branch to the pulmonary artery&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Mehmet Burak &#214;zen, Tahir Durmaz, H&#252;seyin Ayhan, Mehmet Erdo&#287;an"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Mehmet Burak"
                "apellidos" => "&#214;zen"
              ]
              1 => array:2 [
                "nombre" => "Tahir"
                "apellidos" => "Durmaz"
              ]
              2 => array:2 [
                "nombre" => "H&#252;seyin"
                "apellidos" => "Ayhan"
              ]
              3 => array:2 [
                "nombre" => "Mehmet"
                "apellidos" => "Erdo&#287;an"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0870255116303936"
          "doi" => "10.1016/j.repc.2016.03.011"
          "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/S0870255116303936?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204917300338?idApp=UINPBA00004E"
      "url" => "/21742049/0000003600000002/v1_201702240018/S2174204917300338/v1_201702240018/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0870255116303924"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2016.07.010"
    "estado" => "S300"
    "fechaPublicacion" => "2017-02-01"
    "aid" => "938"
    "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. 2017;36:151-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2001
      "formatos" => array:3 [
        "EPUB" => 151
        "HTML" => 1472
        "PDF" => 378
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
      "titulo" => "Suprasternal echocardiography and aortic dissection"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "151"
          "paginaFinal" => "152"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Ecocardiografia supraesternal e disse&#231;&#227;o a&#243;rtica"
        ]
      ]
      "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" => 1853
              "Ancho" => 2333
              "Tamanyo" => 420148
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Severe aortic regurgitation due to a prolapse of the cusps&#59; &#40;B&#41; suprasternal view&#44; at the level of the aortic arch&#44; showing an intimal flap &#40;blue arrow&#41; with supravalvar origin and extension to the aortic arch&#59; &#40;C and D&#41; cardiac computed tomography confirming the presence of a Stanford type A aortic dissection&#46; FL&#58; false lumen&#59; TL&#58; true lumen&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Liliana Reis, In&#234;s Almeida, Rog&#233;rio Teixeira, Andreia Fernandes, Jos&#233; Nascimento, Lino Gon&#231;alves"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Liliana"
              "apellidos" => "Reis"
            ]
            1 => array:2 [
              "nombre" => "In&#234;s"
              "apellidos" => "Almeida"
            ]
            2 => array:2 [
              "nombre" => "Rog&#233;rio"
              "apellidos" => "Teixeira"
            ]
            3 => array:2 [
              "nombre" => "Andreia"
              "apellidos" => "Fernandes"
            ]
            4 => array:2 [
              "nombre" => "Jos&#233;"
              "apellidos" => "Nascimento"
            ]
            5 => array:2 [
              "nombre" => "Lino"
              "apellidos" => "Gon&#231;alves"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S217420491730034X"
        "doi" => "10.1016/j.repce.2017.02.010"
        "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/S217420491730034X?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116303924?idApp=UINPBA00004E"
    "url" => "/08702551/0000003600000002/v1_201702090011/S0870255116303924/v1_201702090011/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S0870255116304280"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2016.07.011"
    "estado" => "S300"
    "fechaPublicacion" => "2017-02-01"
    "aid" => "941"
    "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. 2017;36:147-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2124
      "formatos" => array:3 [
        "EPUB" => 169
        "HTML" => 1546
        "PDF" => 409
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
      "titulo" => "Mid-aortic syndrome in a patient with neurofibromatosis type 1"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "147"
          "paginaFinal" => "148"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "S&#237;ndrome da aorta m&#233;dia em paciente com neurofibromatose tipo 1"
        ]
      ]
      "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" => 1000
              "Ancho" => 680
              "Tamanyo" => 97247
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sagittal plane reformation showing severe narrowing of the aorta &#40;arrow&#41; and a saccular aneurysm &#40;star&#41; at the level of the renal arteries&#46; Metal artifacts caused by spinal surgical procedure &#40;S&#41; can also be seen&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sara P&#46; Magalh&#227;es, Nuno Moreno, Nuno Alves, Fernanda Reis"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Sara"
              "apellidos" => "P&#46; Magalh&#227;es"
            ]
            1 => array:2 [
              "nombre" => "Nuno"
              "apellidos" => "Moreno"
            ]
            2 => array:2 [
              "nombre" => "Nuno"
              "apellidos" => "Alves"
            ]
            3 => array:2 [
              "nombre" => "Fernanda"
              "apellidos" => "Reis"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204917300326"
        "doi" => "10.1016/j.repce.2017.02.008"
        "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/S2174204917300326?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116304280?idApp=UINPBA00004E"
    "url" => "/08702551/0000003600000002/v1_201702090011/S0870255116304280/v1_201702090011/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Multiple fistulae of all three coronary arteries draining into the pulmonary artery and concomitant coronary anomaly"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "149"
        "paginaFinal" => "150"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Mehmet Burak &#214;zen, Tahir Durmaz, H&#252;seyin Ayhan, Mehmet Erdo&#287;an"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Mehmet Burak"
            "apellidos" => "&#214;zen"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Tahir"
            "apellidos" => "Durmaz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:4 [
            "nombre" => "H&#252;seyin"
            "apellidos" => "Ayhan"
            "email" => array:1 [
              0 => "huseyinayhan44&#64;yahoo&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Mehmet"
            "apellidos" => "Erdo&#287;an"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Ankara Ataturk Education and Research Hospital&#44; Department of Cardiology&#44; Ankara&#44; Turkey"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Y&#305;ld&#305;r&#305;m Beyaz&#305;t University&#44; Faculty of Medicine&#44; Department of Cardiology&#44; Ankara&#44; Turkey"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "F&#237;stulas m&#250;ltiplas nas tr&#234;s art&#233;rias coron&#225;rias drenando para a art&#233;ria pulmonar com anomalia coron&#225;ria concomitante"
      ]
    ]
    "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" => 847
            "Ancho" => 1700
            "Tamanyo" => 94547
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Right coronary angiography demonstrating an anomalous origin of the left circumflex artery and coronary fistula to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating coronary fistula from the conus branch to the pulmonary artery&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Coronary to pulmonary fistula is an uncommon cardiac anomaly seen in 0&#46;05-0&#46;25&#37; of patients undergoing diagnostic coronary angiography&#46; Coronary artery fistulae are usually asymptomatic but larger and multiple fistulae can lead to ischemia&#44; congestive heart failure&#44; myocardial infarction and pulmonary hypertension&#46; Although usually congenital&#44; they may be acquired&#46; They most frequently arise from the right coronary artery system &#40;55&#37;&#41;&#44; less often from the left coronary artery system &#40;35&#37;&#41;&#44; and rarely from both coronary arteries &#40;5&#37;&#41;&#46; The most common locations into which they drain are&#44; in decreasing order&#44; the right ventricle&#44; right atrium&#44; pulmonary artery&#44; coronary sinus&#44; left atrium&#44; left ventricle&#44; and superior vena cava&#46; Although most fistulae are single&#44; multiple fistulae have been reported&#46; The most common type of coronary artery fistula in one study was to the pulmonary artery&#44; but multiple fistulae of all three coronary arteries to the pulmonary artery and concomitant anomalous coronary origin have not been previously reported&#46; We present a rare case of a symptomatic patient with congenital multiple coronary arteriovenous fistulae originating from the left anterior descending artery &#40;LAD&#41;&#44; left circumflex artery &#40;LCX&#41; and right coronary artery &#40;RCA&#41; draining into the pulmonary artery&#44; and concomitant anomalous coronary origin&#44; with the LCX arising from the right coronary system&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 65-year-old man was admitted with severe dyspnea and typical chest pain&#46; Clinical examination revealed a grade 2 continuous murmur in the mesocardiac area&#46; His medical history included hypertension and dyslipidemia as risk factors for coronary artery disease&#46; A standard 12-lead electrocardiogram revealed no significant alterations&#46; Transthoracic echocardiography demonstrated impaired left ventricular relaxation&#44; left ventricular ejection fraction of 65&#37;&#44; no significant valvular disease and pulmonary artery systolic pressure of 45 mmHg&#46; Subsequently&#44; coronary angiography showed multiple fistulae of all three coronary arteries&#44; which drained into the pulmonary artery &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and B&#41; and concomitant coronary anomaly with the LCX originating from the right coronary system &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>A&#41;&#46; Furthermore&#44; the RCA was the origin of fistulae in two different locations&#44; at mid level and the conus branch &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>B&#41;&#46; We recommended percutaneous coil embolization and a vascular plug for the fistulae but the patient refused interventional treatment&#44; so he was given optimal medical treatment &#40;beta-blockers and anti-hypertensive and lipid-lowering medication&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></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&#46;</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&#46;</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&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0025" 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&#46;</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" => "sec0025"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2016-02-17"
    "fechaAceptado" => "2016-03-10"
    "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" => 842
            "Ancho" => 1700
            "Tamanyo" => 107623
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Left coronary angiography demonstrating a coronary fistula from the left anterior descending coronary artery to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating a coronary fistula from the right coronary artery to the pulmonary artery&#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" => 847
            "Ancho" => 1700
            "Tamanyo" => 94547
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Right coronary angiography demonstrating an anomalous origin of the left circumflex artery and coronary fistula to the pulmonary artery&#59; &#40;B&#41; right coronary angiography demonstrating coronary fistula from the conus branch to the pulmonary artery&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000003600000002/v1_201702090011/S0870255116303936/v1_201702090011/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/08702551/0000003600000002/v1_201702090011/S0870255116303936/v1_201702090011/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116303936?idApp=UINPBA00004E"
]
Informação do artigo
ISSN: 08702551
Idioma original: Inglês
Dados atualizados diariamente
Ano/Mês Html Pdf Total
2024 Novembro 12 3 15
2024 Outubro 58 33 91
2024 Setembro 65 25 90
2024 Agosto 63 23 86
2024 Julho 54 29 83
2024 Junho 49 24 73
2024 Maio 55 19 74
2024 Abril 49 27 76
2024 Maro 51 21 72
2024 Fevereiro 49 19 68
2024 Janeiro 94 32 126
2023 Dezembro 82 31 113
2023 Novembro 52 27 79
2023 Outubro 52 16 68
2023 Setembro 37 13 50
2023 Agosto 43 19 62
2023 Julho 44 12 56
2023 Junho 46 12 58
2023 Maio 63 30 93
2023 Abril 36 9 45
2023 Maro 54 26 80
2023 Fevereiro 47 19 66
2023 Janeiro 35 20 55
2022 Dezembro 65 24 89
2022 Novembro 50 29 79
2022 Outubro 41 15 56
2022 Setembro 44 18 62
2022 Agosto 47 27 74
2022 Julho 56 30 86
2022 Junho 38 21 59
2022 Maio 30 32 62
2022 Abril 38 31 69
2022 Maro 34 39 73
2022 Fevereiro 24 26 50
2022 Janeiro 40 24 64
2021 Dezembro 22 28 50
2021 Novembro 40 35 75
2021 Outubro 48 49 97
2021 Setembro 40 28 68
2021 Agosto 95 31 126
2021 Julho 37 26 63
2021 Junho 21 20 41
2021 Maio 23 26 49
2021 Abril 44 33 77
2021 Maro 46 16 62
2021 Fevereiro 41 14 55
2021 Janeiro 37 14 51
2020 Dezembro 22 11 33
2020 Novembro 35 15 50
2020 Outubro 37 8 45
2020 Setembro 36 7 43
2020 Agosto 30 11 41
2020 Julho 54 14 68
2020 Junho 43 13 56
2020 Maio 37 3 40
2020 Abril 32 9 41
2020 Maro 31 14 45
2020 Fevereiro 124 12 136
2020 Janeiro 37 3 40
2019 Dezembro 50 7 57
2019 Novembro 35 9 44
2019 Outubro 36 7 43
2019 Setembro 39 4 43
2019 Agosto 36 8 44
2019 Julho 30 13 43
2019 Junho 26 6 32
2019 Maio 28 6 34
2019 Abril 38 19 57
2019 Maro 44 11 55
2019 Fevereiro 64 13 77
2019 Janeiro 41 3 44
2018 Dezembro 30 10 40
2018 Novembro 62 8 70
2018 Outubro 100 18 118
2018 Setembro 40 10 50
2018 Agosto 37 12 49
2018 Julho 14 4 18
2018 Junho 34 8 42
2018 Maio 35 4 39
2018 Abril 35 6 41
2018 Maro 79 15 94
2018 Fevereiro 23 5 28
2018 Janeiro 59 9 68
2017 Dezembro 53 9 62
2017 Novembro 53 13 66
2017 Outubro 28 11 39
2017 Setembro 22 8 30
2017 Agosto 39 12 51
2017 Julho 28 6 34
2017 Junho 27 14 41
2017 Maio 51 17 68
2017 Abril 25 8 33
2017 Maro 26 11 37
2017 Fevereiro 56 39 95
2017 Janeiro 0 3 3
Mostrar tudo

Siga este link para acessar o texto completo do artigo

Idiomas
Revista Portuguesa de Cardiologia
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Ao assinalar que é «Profissional de Saúde», declara conhecer e aceitar que a responsável pelo tratamento dos dados pessoais dos utilizadores da página de internet da Revista Portuguesa de Cardiologia (RPC), é esta entidade, com sede no Campo Grande, n.º 28, 13.º, 1700-093 Lisboa, com os telefones 217 970 685 e 217 817 630, fax 217 931 095 e com o endereço de correio eletrónico revista@spc.pt. Declaro para todos os fins, que assumo inteira responsabilidade pela veracidade e exatidão da afirmação aqui fornecida.