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array:23 [ "pii" => "S030028962100226X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.07.012" "estado" => "S300" "fechaPublicacion" => "2022-07-01" "aid" => "2900" "copyright" => "SEPAR" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:563" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289621002337" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.08.015" "estado" => "S300" "fechaPublicacion" => "2022-07-01" "aid" => "2907" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:564" "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">Clinical Image</span>" "titulo" => "Atrioesophageal Fistula: An Uncommon Complication of Atrial Fibrillation Catheter Ablation" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "564" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 887 "Ancho" => 1005 "Tamanyo" => 95869 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Contrast-enhanced axial chest computed tomography images obtained with the mediastinal window setting, showing (A) a filling defect inside the left atrium (arrow) compatible with a thrombus and associated with gaseous foci, and (B) an air trajectory compatible with a fistula (arrow) communicating with the esophagus, located to the right of the spine (arrowhead) and the ostium of the left inferior pulmonary vein. In C, oblique reconstruction highlights the anteroposterior fistulous tract (arrow) between the esophagus and left atrium. In D, sagittal minimum-intensity projection reconstruction of an image of the brain reveals signs of leptomeningeal gas embolism.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antônio Carlos Portugal Gomes, Augusto Kreling Medeiros, Edson Marchiori" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Antônio Carlos" "apellidos" => "Portugal Gomes" ] 1 => array:2 [ "nombre" => "Augusto" "apellidos" => "Kreling Medeiros" ] 2 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002337?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000007/v1_202207020634/S0300289621002337/v1_202207020634/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622000916" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.01.019" "estado" => "S300" "fechaPublicacion" => "2022-07-01" "aid" => "3022" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:561-2" "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">Case Report</span>" "titulo" => "Mediastinal Thoracic Duct Cyst – An Unusual Finding" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "561" "paginaFinal" => "562" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 556 "Ancho" => 1305 "Tamanyo" => 89569 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT scan and EBUS-b-FNA: In right para-aortic location, it was observed a nodular area with 17<span class="elsevierStyleHsp" style=""></span>mm short axis described as adenopathy, that was punctured throught echoendoscopy.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sara Moura Cabral, Paulo Matos, Michele De Santis" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Sara Moura" "apellidos" => "Cabral" ] 1 => array:2 [ "nombre" => "Paulo" "apellidos" => "Matos" ] 2 => array:2 [ "nombre" => "Michele De" "apellidos" => "Santis" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000916?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000007/v1_202207020634/S0300289622000916/v1_202207020634/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "A Hydropneumothorax Captured by M-mode Ultrasonography" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "563" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Maged Hassan" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Maged" "apellidos" => "Hassan" "email" => array:1 [ 0 => "magedhmf@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Chest Diseases Department, Alexandria University Faculty of Medicine, Alexandria, Egypt" "identificador" => "aff0005" ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 638 "Ancho" => 800 "Tamanyo" => 74882 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A: chest computed tomography scan showing bilateral partially loculated pleural effusions. Panel B: top half: B-mode image of pleural effusion, underlying consolidated lung and an A-type artefact; bottom half: M-mode image showing rapid and irregular alternation between short runs of barcode sign (yellow arrows) and regions of blackness representing a hydropneumothorax. Panel C: top half: B-mode image of pleural effusion, underlying consolidated lung and an A-type artefact; bottom half: M-mode image showing regular alternation between the seashore sign (yellow arrowheads) with black effusion representing the expanding and receding aerated upper lobe. Panel D: chest radiograph shows right partially loculated hydropneumothorax and left partially loculated pleural effusion.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 36 year-old male patient was admitted with bilateral pleural effusions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> panel A) and symptoms of chest pain, fever and night sweating. Right-side thoracentesis yielded a straw-coloured aspirate with pH 7.41. He was started on intravenous ampicillin-sulbactam and subsequent fluid results revealed LDH 1006<span class="elsevierStyleHsp" style=""></span>IU/L, glucose 71<span class="elsevierStyleHsp" style=""></span>g/dL and cultures growing <span class="elsevierStyleItalic">Staphylococcus aureus</span> and <span class="elsevierStyleItalic">Klebsiella</span> species. Ultrasound was done on both sides to evaluate the need for chest tube drainage. On the right-side just above the effusion, the ‘lung artefact’ appeared to move erratically and asynchronously relative to patient's breathing (<a class="elsevierStyleCrossRef" href="#sec0020">supplementary video</a>). This was shown using M-mode ultrasonography (panel B). In contrast, the lung artefact overlying the left effusion moved regularly and synchronously with breathing as demonstrated by M-mode (panel C). These findings suggested a right hydropneumothorax which was confirmed on chest radiography (panel D).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The case depicts the hydro-point,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> which is a sign described in B-mode ultrasound examination of hydropneumothorax where an A-type artefact (which could be mistaken for the lung) moves in a way that simulates the movement of liquid in partially filled glass that is shaken. To our knowledge, this is the first report to demonstrate the M-mode appearance of the sign by highlighting the rapid and erratic alternation between barcodes<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> (representing air) and blackness (representing fluid) at the air-fluid level. This is in stark contrast to the regular alternation between the seashore sign(of sliding lung)<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> and effusion.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Informed consent</span><p id="par0015" class="elsevierStylePara elsevierViewall">Written informed consent was provided by the person subject of the report.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">No conflict of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Informed consent" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0030" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article.<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0020" ] ] ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 638 "Ancho" => 800 "Tamanyo" => 74882 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Panel A: chest computed tomography scan showing bilateral partially loculated pleural effusions. Panel B: top half: B-mode image of pleural effusion, underlying consolidated lung and an A-type artefact; bottom half: M-mode image showing rapid and irregular alternation between short runs of barcode sign (yellow arrows) and regions of blackness representing a hydropneumothorax. Panel C: top half: B-mode image of pleural effusion, underlying consolidated lung and an A-type artefact; bottom half: M-mode image showing regular alternation between the seashore sign (yellow arrowheads) with black effusion representing the expanding and receding aerated upper lobe. Panel D: chest radiograph shows right partially loculated hydropneumothorax and left partially loculated pleural effusion.</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1890497 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Unusual new signs of pneumothorax at lung ultrasound" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Volpicelli" 1 => "E. Boero" 2 => "V. Stefanone" 3 => "E. Storti" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/2036-7902-5-10" "Revista" => array:5 [ "tituloSerie" => "Crit Ultrasound J" "fecha" => "2013" "volumen" => "5" "paginaInicial" => "10" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24355346" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Oveland NP. Pneumothorax. In: Laursen CB, Rahman NM, Volpicelli G, editors. Thoracic ultrasound, Sheffield, United Kingdom: European Respiratory Society; 2018, p. 43–63." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000007/v1_202207020634/S030028962100226X/v1_202207020634/en/main.assets" "Apartado" => array:4 [ "identificador" => "93864" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000007/v1_202207020634/S030028962100226X/v1_202207020634/en/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962100226X?idApp=UINPBA00003Z" ]
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