que se leu este artigo
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undifferentiated pleomorphic sarcoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "281" "paginaFinal" => "282" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Sarcoma primário cardíaco pleomórfico indiferenciado" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 567 "Ancho" => 755 "Tamanyo" => 46851 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Parasternal long-axis view on transthoracic echocardiography showing a broad-based mass adhering to the posterior wall of the left atrium and partially prolapsing into the left ventricle.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Eirini Beneki, Panagiotis Zachos, Konstantinos Tsatiris" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Eirini" "apellidos" => "Beneki" ] 1 => array:2 [ "nombre" => "Panagiotis" "apellidos" => "Zachos" ] 2 => array:2 [ "nombre" => "Konstantinos" "apellidos" => "Tsatiris" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122002013?idApp=UINPBA00004E" "url" => "/08702551/0000004200000003/v1_202303051609/S0870255122002013/v1_202303051609/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "When a heart stops a bullet…" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "283" "paginaFinal" => "284" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Dimitrios Afendoulis, Matthaios Didagelos, Maria Moutafi, Nikolaos Papagiannis, Petros Voutas, Athanasios Kartalis" "autores" => array:6 [ 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">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Matthaios" "apellidos" => "Didagelos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Maria" "apellidos" => "Moutafi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Nikolaos" "apellidos" => "Papagiannis" "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" => "Athanasios" "apellidos" => "Kartalis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Cardiology Department, General Hospital of Chios”Skylitseio”, Chios, Greece" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cardiology Department, AHEPA University Hospital of Thessaloniki, Thessaloniki, Greece" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Quando um coração pára uma bala…" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1060 "Ancho" => 2925 "Tamanyo" => 351389 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Four-chamber view, transthoracic echocardiogram, showing the echolucent bullet at the apical myocardium with acoustic shadow (arrow). (B and C) Chest X-ray depicting a left-sided pneumohemothorax and two bullets, one at the site of the cardiac apex (B1 and C1) and the second at the spinous process of the 12th thoracic vertebra (B2 and C2).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient, trying to commit suicide, shot himself by contact and was transferred to the emergency department with dyspnea and hypotension. Two foreign body entry points were discernible in the patient's left anterior thoracic wall, with minor bleeding. An immediate bedside transthoracic echocardiogram revealed an echolucent structure wedged at the apical myocardium and a large pericardial effusion (<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>A and <a class="elsevierStyleCrossRef" href="#sec0015">Video</a>). The chest X-ray that followed revealed a left-sided pneumohemothorax and two bullets, one at the site of the cardiac apex (<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>B1 and C1) and the second at the spinous process of the 12th thoracic vertebra (<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>B2 and C2). Emergent cardiothoracic surgery was deemed necessary to remove the bullet from the heart, fortunately with no complications. The patient recovered ten days after the event and received close psychiatry follow-up. Our patient was lucky to survive because penetrating cardiac traumas caused by gunshots usually result in devastating fatal injuries. However, in our case the embolization and wedging of the bullet directly in the myocardium of the left ventricle, without causing perforation, was a damage-limitating factor, giving time for surgical treatment.</p><elsevierMultimedia ident="fig1"></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.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-08-10" "fechaAceptado" => "2021-10-24" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0015" ] ] ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1060 "Ancho" => 2925 "Tamanyo" => 351389 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Four-chamber view, transthoracic echocardiogram, showing the echolucent bullet at the apical myocardium with acoustic shadow (arrow). (B and C) Chest X-ray depicting a left-sided pneumohemothorax and two bullets, one at the site of the cardiac apex (B1 and C1) and the second at the spinous process of the 12th thoracic vertebra (B2 and C2).</p>" ] ] 1 => array:7 [ "identificador" => "upi0005" "etiqueta" => "Supplementary video" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 5879799 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram, depicting the echolucent bullet at the apical myocardium and the large pericardial effusion caused by the trauma.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000004200000003/v1_202303051609/S0870255122004619/v1_202303051609/en/main.assets" "Apartado" => array:4 [ "identificador" => "93366" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Images in Cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000004200000003/v1_202303051609/S0870255122004619/v1_202303051609/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255122004619?idApp=UINPBA00004E" ]
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