array:24 [
  "pii" => "S0870255122002426"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2021.08.014"
  "estado" => "S300"
  "fechaPublicacion" => "2022-07-01"
  "aid" => "1968"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2022"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2022;41:605-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0870255122000348"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2021.08.005"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "1902"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Rev Port Cardiol. 2022;41:609-10"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Kawasaki disease&#58; Specific considerations in the management of coronary artery sequelae"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "609"
          "paginaFinal" => "610"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Doen&#231;a de Kawasaki&#58; Considera&#231;&#245;es espec&#237;ficas no tratamento de sequelas nas art&#233;rias coron&#225;rias"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Kenan Yalta, Ugur Ozkan, Tulin Yalta, Ertan Yetk&#305;n"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Kenan"
              "apellidos" => "Yalta"
            ]
            1 => array:2 [
              "nombre" => "Ugur"
              "apellidos" => "Ozkan"
            ]
            2 => array:2 [
              "nombre" => "Tulin"
              "apellidos" => "Yalta"
            ]
            3 => array:2 [
              "nombre" => "Ertan"
              "apellidos" => "Yetk&#305;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122000348?idApp=UINPBA00004E"
    "url" => "/08702551/0000004100000007/v1_202207030541/S0870255122000348/v1_202207030541/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0870255122002396"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2022.05.003"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "1965"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "dis"
    "cita" => "Rev Port Cardiol. 2022;41:603-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>"
      "titulo" => "Knowing the true nature of the cardiovascular effects of androgen deprivation therapy in prostate cancer&#58; We still have a way to go&#8230;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "603"
          "paginaFinal" => "604"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Complica&#231;&#245;es cardiovasculares da terap&#234;utica de priva&#231;&#227;o androg&#233;nica&#160;no cancro da pr&#243;stata&#58; ainda temos um caminho a percorrer para o seu correto diagn&#243;stico&#8230;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#250;lia Cristina Toste"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J&#250;lia Cristina"
              "apellidos" => "Toste"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122002396?idApp=UINPBA00004E"
    "url" => "/08702551/0000004100000007/v1_202207030541/S0870255122002396/v1_202207030541/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Self-limited massive hematemesis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "605"
        "paginaFinal" => "607"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Dimitrios Afendoulis, Athanasios Kartalis, Nikolaos Papagiannis, Maria Moutafi, Petros Voutas, Ioannis Gklotsos, Dimitrios Siskos, Aristodimos Maratsos, Konstantinos Toutouzas"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "Dimitrios"
            "apellidos" => "Afendoulis"
            "email" => array:1 [
              0 => "dimitrisafendoulis@yahoo.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Athanasios"
            "apellidos" => "Kartalis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Nikolaos"
            "apellidos" => "Papagiannis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Maria"
            "apellidos" => "Moutafi"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Petros"
            "apellidos" => "Voutas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Ioannis"
            "apellidos" => "Gklotsos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Dimitrios"
            "apellidos" => "Siskos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Aristodimos"
            "apellidos" => "Maratsos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Konstantinos"
            "apellidos" => "Toutouzas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:5 [
          0 => array:3 [
            "entidad" => "Cardiology Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Gastroenterology Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Vascular Surgery Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Radiology Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "1st Department of Cardiology&#44; Hippokration Hospital&#44; School of Medicine&#44; National and Kapodistrian University of Athens&#44; Athens&#44; Greece"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Hematemeses maci&#231;as autolimitadas"
      ]
    ]
    "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" => 2002
            "Ancho" => 2007
            "Tamanyo" => 450578
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Endoscopy of the upper gastrointestinal tract&#44; revealing the presence of blood clot at the proximal esophageal tract &#40;red arrow&#41; with erosion from a pulsative mass&#46; B&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina&#44; with mural thrombus &#40;red arrow&#41;&#44; and an aortoesophageal fistula blocked by a part of the thrombus&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; C&#46; Computed tomography angiography of aorta and thorax&#44; three dimensional reconstruction&#44; depicting the presence of the descending aortic aneurysm&#46; D&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina with the presence of air within the thrombus&#39;s layers &#40;red arrows&#41;&#46; E&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; sagittal view&#44; depicting the aneurysm&#39;s mural thrombus &#40;red arrow&#41;&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; F&#46; Invasive angiography&#44; showing the result of the thoracic endovascular aortic repair procedure with coverage of the aneurysm with endovascular stent graft &#40;red arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient with a medical history of dyslipidemia and arterial hypertension was admitted to the Cardiology department of our hospital due to acute onset chest pain&#46; His vital signs were normal&#44; with no significant findings from the physical examination&#44; ECG&#44; chest X-Ray and heart echocardiogram&#46; D-dimers and HS trop I were mildly elevated&#46; During his hospitalization&#44; the patient suffered an episode of massive hematemesis&#46; After being hemodynamically stabilized four hours later&#44; an urgent endoscopy of the upper gastrointestinal tract revealed the presence of a blood clot at the proximal esophageal tract with erosion from a pulsative mass &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A&#41;&#44; and a part of the thrombus within the gastric lumen &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#44; with no signs of active hemorrhage due to peptic ulcer or malignancy&#46; An emergent computed tomography angiography of the aorta and thorax showed a saccular descending aortic aneurysm at the level of the tracheal carina with a maximal diameter of 54 mm and mural thrombus&#46; Remarkable was the presence of air within the thrombus&#39;s layers&#44; and an aortoesophageal fistula blocked by a part of the thrombus&#44; protruding into the esophagus lumen &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B&#44; C&#44; D&#44; E&#41;&#46; As a result&#44; a thoracic endovascular aortic repair procedure was performed&#46; The aneurysm was successfully covered with an endovascular stent graft &#40;32 mmx10 cm&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>F&#41;&#46; The patient had an uneventful post-operative course and was discharged on sixth postoperative day&#46; Our patient was lucky to survive because a potentially life-threatening hematemesis was staunched by the presence of a tamponing thrombus within the lumen of the aortoesophageal fistula&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2021-06-23"
    "fechaAceptado" => "2021-08-25"
    "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" => 2002
            "Ancho" => 2007
            "Tamanyo" => 450578
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Endoscopy of the upper gastrointestinal tract&#44; revealing the presence of blood clot at the proximal esophageal tract &#40;red arrow&#41; with erosion from a pulsative mass&#46; B&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina&#44; with mural thrombus &#40;red arrow&#41;&#44; and an aortoesophageal fistula blocked by a part of the thrombus&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; C&#46; Computed tomography angiography of aorta and thorax&#44; three dimensional reconstruction&#44; depicting the presence of the descending aortic aneurysm&#46; D&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina with the presence of air within the thrombus&#39;s layers &#40;red arrows&#41;&#46; E&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; sagittal view&#44; depicting the aneurysm&#39;s mural thrombus &#40;red arrow&#41;&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; F&#46; Invasive angiography&#44; showing the result of the thoracic endovascular aortic repair procedure with coverage of the aneurysm with endovascular stent graft &#40;red arrow&#41;&#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" => 760
            "Ancho" => 1005
            "Tamanyo" => 99521
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Endoscopy of the upper gastrointestinal tract&#44; depicting the presence of thrombus within the gastric lumen&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000004100000007/v1_202207030541/S0870255122002426/v1_202207030541/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "85617"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Image in Cardiology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08702551/0000004100000007/v1_202207030541/S0870255122002426/v1_202207030541/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122002426?idApp=UINPBA00004E"
]
Partilhar
Informação da revista

Estatísticas

Siga este link para acessar o texto completo do artigo

Image in Cardiology
Self-limited massive hematemesis
Hematemeses maciças autolimitadas
Dimitrios Afendoulisa,
Autor para correspondência
dimitrisafendoulis@yahoo.com

Corresponding author.
, Athanasios Kartalisa, Nikolaos Papagiannisa, Maria Moutafia, Petros Voutasa, Ioannis Gklotsosb, Dimitrios Siskosc, Aristodimos Maratsosd, Konstantinos Toutouzase
a Cardiology Department, General Hospital of Chios “Skylitseio”, Greece
b Gastroenterology Department, General Hospital of Chios “Skylitseio”, Greece
c Vascular Surgery Department, General Hospital of Chios “Skylitseio”, Greece
d Radiology Department, General Hospital of Chios “Skylitseio”, Greece
e 1st Department of Cardiology, Hippokration Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Lido
1867
Vezes
que se leu este artigo
806
Total PDF
1061
Total HTML
Compartilhar estatísticas
 array:24 [
  "pii" => "S0870255122002426"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2021.08.014"
  "estado" => "S300"
  "fechaPublicacion" => "2022-07-01"
  "aid" => "1968"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2022"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2022;41:605-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0870255122000348"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2021.08.005"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "1902"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Rev Port Cardiol. 2022;41:609-10"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Kawasaki disease&#58; Specific considerations in the management of coronary artery sequelae"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "609"
          "paginaFinal" => "610"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Doen&#231;a de Kawasaki&#58; Considera&#231;&#245;es espec&#237;ficas no tratamento de sequelas nas art&#233;rias coron&#225;rias"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Kenan Yalta, Ugur Ozkan, Tulin Yalta, Ertan Yetk&#305;n"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Kenan"
              "apellidos" => "Yalta"
            ]
            1 => array:2 [
              "nombre" => "Ugur"
              "apellidos" => "Ozkan"
            ]
            2 => array:2 [
              "nombre" => "Tulin"
              "apellidos" => "Yalta"
            ]
            3 => array:2 [
              "nombre" => "Ertan"
              "apellidos" => "Yetk&#305;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122000348?idApp=UINPBA00004E"
    "url" => "/08702551/0000004100000007/v1_202207030541/S0870255122000348/v1_202207030541/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0870255122002396"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2022.05.003"
    "estado" => "S300"
    "fechaPublicacion" => "2022-07-01"
    "aid" => "1965"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "dis"
    "cita" => "Rev Port Cardiol. 2022;41:603-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>"
      "titulo" => "Knowing the true nature of the cardiovascular effects of androgen deprivation therapy in prostate cancer&#58; We still have a way to go&#8230;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "603"
          "paginaFinal" => "604"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Complica&#231;&#245;es cardiovasculares da terap&#234;utica de priva&#231;&#227;o androg&#233;nica&#160;no cancro da pr&#243;stata&#58; ainda temos um caminho a percorrer para o seu correto diagn&#243;stico&#8230;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#250;lia Cristina Toste"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J&#250;lia Cristina"
              "apellidos" => "Toste"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122002396?idApp=UINPBA00004E"
    "url" => "/08702551/0000004100000007/v1_202207030541/S0870255122002396/v1_202207030541/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Self-limited massive hematemesis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "605"
        "paginaFinal" => "607"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Dimitrios Afendoulis, Athanasios Kartalis, Nikolaos Papagiannis, Maria Moutafi, Petros Voutas, Ioannis Gklotsos, Dimitrios Siskos, Aristodimos Maratsos, Konstantinos Toutouzas"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "Dimitrios"
            "apellidos" => "Afendoulis"
            "email" => array:1 [
              0 => "dimitrisafendoulis@yahoo.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Athanasios"
            "apellidos" => "Kartalis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Nikolaos"
            "apellidos" => "Papagiannis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Maria"
            "apellidos" => "Moutafi"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Petros"
            "apellidos" => "Voutas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Ioannis"
            "apellidos" => "Gklotsos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Dimitrios"
            "apellidos" => "Siskos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Aristodimos"
            "apellidos" => "Maratsos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Konstantinos"
            "apellidos" => "Toutouzas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:5 [
          0 => array:3 [
            "entidad" => "Cardiology Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Gastroenterology Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Vascular Surgery Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Radiology Department&#44; General Hospital of Chios &#8220;Skylitseio&#8221;&#44; Greece"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "1st Department of Cardiology&#44; Hippokration Hospital&#44; School of Medicine&#44; National and Kapodistrian University of Athens&#44; Athens&#44; Greece"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Hematemeses maci&#231;as autolimitadas"
      ]
    ]
    "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" => 2002
            "Ancho" => 2007
            "Tamanyo" => 450578
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Endoscopy of the upper gastrointestinal tract&#44; revealing the presence of blood clot at the proximal esophageal tract &#40;red arrow&#41; with erosion from a pulsative mass&#46; B&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina&#44; with mural thrombus &#40;red arrow&#41;&#44; and an aortoesophageal fistula blocked by a part of the thrombus&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; C&#46; Computed tomography angiography of aorta and thorax&#44; three dimensional reconstruction&#44; depicting the presence of the descending aortic aneurysm&#46; D&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina with the presence of air within the thrombus&#39;s layers &#40;red arrows&#41;&#46; E&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; sagittal view&#44; depicting the aneurysm&#39;s mural thrombus &#40;red arrow&#41;&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; F&#46; Invasive angiography&#44; showing the result of the thoracic endovascular aortic repair procedure with coverage of the aneurysm with endovascular stent graft &#40;red arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient with a medical history of dyslipidemia and arterial hypertension was admitted to the Cardiology department of our hospital due to acute onset chest pain&#46; His vital signs were normal&#44; with no significant findings from the physical examination&#44; ECG&#44; chest X-Ray and heart echocardiogram&#46; D-dimers and HS trop I were mildly elevated&#46; During his hospitalization&#44; the patient suffered an episode of massive hematemesis&#46; After being hemodynamically stabilized four hours later&#44; an urgent endoscopy of the upper gastrointestinal tract revealed the presence of a blood clot at the proximal esophageal tract with erosion from a pulsative mass &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A&#41;&#44; and a part of the thrombus within the gastric lumen &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#44; with no signs of active hemorrhage due to peptic ulcer or malignancy&#46; An emergent computed tomography angiography of the aorta and thorax showed a saccular descending aortic aneurysm at the level of the tracheal carina with a maximal diameter of 54 mm and mural thrombus&#46; Remarkable was the presence of air within the thrombus&#39;s layers&#44; and an aortoesophageal fistula blocked by a part of the thrombus&#44; protruding into the esophagus lumen &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B&#44; C&#44; D&#44; E&#41;&#46; As a result&#44; a thoracic endovascular aortic repair procedure was performed&#46; The aneurysm was successfully covered with an endovascular stent graft &#40;32 mmx10 cm&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>F&#41;&#46; The patient had an uneventful post-operative course and was discharged on sixth postoperative day&#46; Our patient was lucky to survive because a potentially life-threatening hematemesis was staunched by the presence of a tamponing thrombus within the lumen of the aortoesophageal fistula&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2021-06-23"
    "fechaAceptado" => "2021-08-25"
    "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" => 2002
            "Ancho" => 2007
            "Tamanyo" => 450578
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#46; Endoscopy of the upper gastrointestinal tract&#44; revealing the presence of blood clot at the proximal esophageal tract &#40;red arrow&#41; with erosion from a pulsative mass&#46; B&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina&#44; with mural thrombus &#40;red arrow&#41;&#44; and an aortoesophageal fistula blocked by a part of the thrombus&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; C&#46; Computed tomography angiography of aorta and thorax&#44; three dimensional reconstruction&#44; depicting the presence of the descending aortic aneurysm&#46; D&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; axial view&#44; depicting the presence of a saccular descending aortic aneurysm at the level of the tracheal carina with the presence of air within the thrombus&#39;s layers &#40;red arrows&#41;&#46; E&#46; Computed tomography angiography of aorta and thorax with intravenous contrast agent&#44; sagittal view&#44; depicting the aneurysm&#39;s mural thrombus &#40;red arrow&#41;&#44; protruding into the esophagus lumen &#40;yellow arrow&#41;&#46; F&#46; Invasive angiography&#44; showing the result of the thoracic endovascular aortic repair procedure with coverage of the aneurysm with endovascular stent graft &#40;red arrow&#41;&#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" => 760
            "Ancho" => 1005
            "Tamanyo" => 99521
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Endoscopy of the upper gastrointestinal tract&#44; depicting the presence of thrombus within the gastric lumen&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000004100000007/v1_202207030541/S0870255122002426/v1_202207030541/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "85617"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Image in Cardiology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08702551/0000004100000007/v1_202207030541/S0870255122002426/v1_202207030541/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122002426?idApp=UINPBA00004E"
]
Informação do artigo
ISSN: 08702551
Idioma original: Inglês
Dados atualizados diariamente
Ano/Mês Html Pdf Total
2024 Novembro 7 8 15
2024 Outubro 46 40 86
2024 Setembro 51 34 85
2024 Agosto 57 33 90
2024 Julho 40 32 72
2024 Junho 35 28 63
2024 Maio 28 12 40
2024 Abril 30 26 56
2024 Maro 32 19 51
2024 Fevereiro 27 20 47
2024 Janeiro 29 20 49
2023 Dezembro 24 16 40
2023 Novembro 39 38 77
2023 Outubro 26 20 46
2023 Setembro 16 18 34
2023 Agosto 18 16 34
2023 Julho 22 10 32
2023 Junho 27 12 39
2023 Maio 28 22 50
2023 Abril 20 13 33
2023 Maro 37 24 61
2023 Fevereiro 28 21 49
2023 Janeiro 18 20 38
2022 Dezembro 37 30 67
2022 Novembro 50 36 86
2022 Outubro 43 26 69
2022 Setembro 44 38 82
2022 Agosto 52 75 127
2022 Julho 114 71 185
2022 Junho 36 28 64
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.