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array:24 [ "pii" => "S0870255121003838" "issn" => "08702551" "doi" => "10.1016/j.repc.2020.07.024" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1816" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2021;40:897-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:20 [ "pii" => "S0870255121003814" "issn" => "08702551" "doi" => "10.1016/j.repc.2020.09.016" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1814" "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. 2021;40:899-901" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Diagnosis of Takotsubo syndrome in the COVID-19 era" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "899" "paginaFinal" => "901" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Diagnóstico da síndrome de Takotsubo na era da COVID-19" ] ] "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" => 1239 "Ancho" => 1500 "Tamanyo" => 423328 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Baseline and follow-up electrocardiograms. (A) Baseline electrocardiogram with sinus rhythm and no ischemic or necrotic changes; (B) electrocardiogram during chest pain on the fifth day of hospitalization, showing atrial fibrillation and ST-segment elevation in leads V1-V4.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Kristian Rivera, Diego Fernández-Rodríguez, Marta Zielonka, Juan Casanova-Sandoval" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Kristian" "apellidos" => "Rivera" ] 1 => array:2 [ "nombre" => "Diego" "apellidos" => "Fernández-Rodríguez" ] 2 => array:2 [ "nombre" => "Marta" "apellidos" => "Zielonka" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Casanova-Sandoval" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204921003329" "doi" => "10.1016/j.repce.2021.10.027" "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/S2174204921003329?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003814?idApp=UINPBA00004E" "url" => "/08702551/0000004000000011/v1_202111140551/S0870255121003814/v1_202111140551/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S0870255121003978" "issn" => "08702551" "doi" => "10.1016/j.repc.2021.09.001" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1821" "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. 2021;40:895.e1-895.e4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Protein-losing enteropathy managed with percutaneous enlargement of a restrictive atrial septal defect" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "895.e1" "paginaFinal" => "895.e4" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Enteropatia por perda de proteínas tratada com dilatação percutânea de defeito restritivo do septo interauricular" ] ] "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" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 958 "Ancho" => 1005 "Tamanyo" => 129107 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Venography from the inferior vena cava shows the lateral tunnel (LT) total cavopulmonary connection. There is also a fenestration in the lateral tunnel opening into the left atrium (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Milan Djukic, Stefan A. Djordjevic, Andrija S. Pavlovic, Igor Stefanovic, Mirko Topalovic, Ingo Dähnert" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Milan" "apellidos" => "Djukic" ] 1 => array:2 [ "nombre" => "Stefan A." "apellidos" => "Djordjevic" ] 2 => array:2 [ "nombre" => "Andrija S." "apellidos" => "Pavlovic" ] 3 => array:2 [ "nombre" => "Igor" "apellidos" => "Stefanovic" ] 4 => array:2 [ "nombre" => "Mirko" "apellidos" => "Topalovic" ] 5 => array:2 [ "nombre" => "Ingo" "apellidos" => "Dähnert" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204921003573" "doi" => "10.1016/j.repce.2021.11.005" "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/S2174204921003573?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003978?idApp=UINPBA00004E" "url" => "/08702551/0000004000000011/v1_202111140551/S0870255121003978/v1_202111140551/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Porcelain aorta rupture after cardiopulmonary resuscitation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "897" "paginaFinal" => "898" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Iria Silva, Isaac Pascual, Carlos Morales, Alberto Alperi, Pablo Avanzas, Jacobo Silva, Cesar Moris de la Tassa" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Iria" "apellidos" => "Silva" "email" => array:1 [ 0 => "iriasilvaconde@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Isaac" "apellidos" => "Pascual" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Morales" ] 3 => array:2 [ "nombre" => "Alberto" "apellidos" => "Alperi" ] 4 => array:2 [ "nombre" => "Pablo" "apellidos" => "Avanzas" ] 5 => array:2 [ "nombre" => "Jacobo" "apellidos" => "Silva" ] 6 => array:2 [ "nombre" => "Cesar" "apellidos" => "Moris de la Tassa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Universitario Central de Asturias, Oviedo, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Rutura de aorta em porcelana após ressuscitação cardiopulmonar" ] ] "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" => 469 "Ancho" => 1250 "Tamanyo" => 132701 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">External (A) and internal (B) aorta view. Rupture point (asterisk), saphenous anastomosis (white arrow) and aortic calcification (black arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 70-year-old man was admitted to our hospital for non-ST-elevation acute coronary syndrome. Coronary angiography showed left main artery and two-vessel disease. Left ventricular function and contractility were normal. Surgical revascularization was decided by the heart team.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Off-pump surgery was performed because of porcelain aorta (left internal mammary to anterior descending artery and saphenous vein to posterior descending and posterolateral arteries). Three hours after surgery the patient developed progressive hypotension with anterolateral hypokinesia, left ventricular dysfunction and an episode of ventricular fibrillation. Pericardial effusion was excluded. During cardiopulmonary resuscitation (CPR), chest tubes showed active bleeding and severe pericardial effusion was observed. After 40 minutes of CPR death was confirmed. The autopsy showed aortic rupture (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>, asterisk) with preserved bypass anastomoses (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Active bleeding immediately after cardiac surgery is mostly caused by a complication of the surgical procedure. We present images of a rare case of a ruptured aorta as an exceptional and lethal complication of CPR that may have been precipitated by the proximity of the saphenous vein anastomosis to a highly calcified and stiff aorta (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>).</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-05-05" "fechaAceptado" => "2020-07-08" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 469 "Ancho" => 1250 "Tamanyo" => 132701 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">External (A) and internal (B) aorta view. Rupture point (asterisk), saphenous anastomosis (white arrow) and aortic calcification (black arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000004000000011/v1_202111140551/S0870255121003838/v1_202111140551/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/08702551/0000004000000011/v1_202111140551/S0870255121003838/v1_202111140551/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003838?idApp=UINPBA00004E" ]
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