array:23 [ "pii" => "S0300289624000711" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.03.012" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "3511" "copyright" => "SEPAR" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:380" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289624000723" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.03.013" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "3512" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:381-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Titan in the Thorax: Fatal Substernal Goiter" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "381" "paginaFinal" => "382" ] ] "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" => 1721 "Ancho" => 1675 "Tamanyo" => 287768 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Portable chest radiograph showing mass-like widening of the mediastinum (asterisk). The path of the endotracheal tube demonstrates the rightward deviation of the trachea (arrow). (B) Axial section from chest computed tomography (CT) performed after administration of intravenous contrast and set to soft tissue window showing a giant, heterogeneous anterior mediastinal mass displacing the aortic arch (AA) laterally and the innominate vein (asterisk) anteriorly while compressing the trachea (thick arrow) and esophagus (thin arrow), both of which are markedly displaced from their normal locations. (C) Coronal reconstruction from the CT depicted in panel B highlighting the mass effect on the heart (asterisk), which is displaced inferolaterally, and on the pulmonary artery (PA), which is forced into a near-horizontal orientation by the mass. AA denotes the aortic arch cut in cross-section. (D) Saggital reconstruction from the same CT highlights the dramatically abnormal path of the superior vena cava (SVC), which wraps around the underside of the mass in a near-horizontal orientation.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mohamed Nasereldin, Zvi Lefkovitz, Oleg Epelbaum" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Mohamed" "apellidos" => "Nasereldin" ] 1 => array:2 [ "nombre" => "Zvi" "apellidos" => "Lefkovitz" ] 2 => array:2 [ "nombre" => "Oleg" "apellidos" => "Epelbaum" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000723?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000006/v2_202408290625/S0300289624000723/v2_202408290625/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289624000681" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.03.009" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "3508" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:378-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Adrenal Metastasis of Melanoma: An Unusual Finding by EUS-B" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "378" "paginaFinal" => "379" ] ] "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" => 1200 "Ancho" => 1200 "Tamanyo" => 228591 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT (A) and PET-CT (B) scans: left adrenal mass (thick arrows). (C) EUS-B image: transgastric needle aspiration (thin arrow) of the left adrenal mass (thick arrow). (D) Hematoxylin–eosin stain: atypical cells. (E) Positive dual SOX-10/Melan A stain.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Cascón-Hernández, Luis Fernández-Fernández, Lucía García-Alfonso" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Cascón-Hernández" ] 1 => array:2 [ "nombre" => "Luis" "apellidos" => "Fernández-Fernández" ] 2 => array:2 [ "nombre" => "Lucía" "apellidos" => "García-Alfonso" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000681?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000006/v2_202408290625/S0300289624000681/v2_202408290625/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Partial Anomalous Pulmonary Venous Return Incidentally Detected at Lung Cancer Screening With Low-dose Thoracic CT" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "380" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Gorospe, Miguel Ángel Gómez-Bermejo, Rosa Mariela Mirambeaux-Villalona" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Luis" "apellidos" => "Gorospe" "email" => array:1 [ 0 => "luisgorospe@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" => "Miguel Ángel" "apellidos" => "Gómez-Bermejo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Rosa Mariela" "apellidos" => "Mirambeaux-Villalona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Radiology, Hospital Universitario Ramón y Cajal, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Pulmonology, Hospital Universitario Ramón y Cajal, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "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" => 1207 "Ancho" => 4020 "Tamanyo" => 410634 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Unenhanced axial thoracic CT image (mediastinal window) shows an abnormal structure adjacent to the aortic arch (white arrow). (B) Contrast-enhanced axial CT image (mediastinal window) at a lower level shows the left upper pulmonary vein entering the mediastinum (white arrow). (C) Contrast-enhanced coronal CT maximum intensity projection image shows the left upper pulmonary vein entering the mediastinum (arrows) and connecting with the left innominate vein (asterisk).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 58-year-old man was incidentally diagnosed with a partial anomalous pulmonary venous return (PAPVR) on a baseline low-dose computed tomography (LDCT) of the thorax performed for lung cancer screening (LCS) purposes. The LDCT unexpectedly detected an anomalous vascular structure in the left mediastinum (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A), connecting the left upper pulmonary vein with the left innominate vein, resulting in a left-to-right shunt. A contrast-enhanced chest CT demonstrated the patency of the PAPVR and ruled out other malformations (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B and C). An echocardiography ruled out a significant hemodynamic effect of the PAPVR as well as the existence of septal defects.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">PAPVR is a rare congenital entity with a reported incidence of less than 1%, and less than 10% of PAPVR are left-sided. Although PAPVR is usually detected in children, it may also be diagnosed during adulthood. Up to 80% of patients with PAPVR may have an associated atrial septal defect.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> With the increasing implementation of LCS programs with LDCT, incidental thoracic findings are detected more often than before.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Thoracic radiologists should pay attention not only to pulmonary findings on LDCT studies but also to extrapulmonary areas. To our knowledge, this is the first report of a PAPVR incidentally detected on LDCT performed for LCS.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1207 "Ancho" => 4020 "Tamanyo" => 410634 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Unenhanced axial thoracic CT image (mediastinal window) shows an abnormal structure adjacent to the aortic arch (white arrow). (B) Contrast-enhanced axial CT image (mediastinal window) at a lower level shows the left upper pulmonary vein entering the mediastinum (white arrow). (C) Contrast-enhanced coronal CT maximum intensity projection image shows the left upper pulmonary vein entering the mediastinum (arrows) and connecting with the left innominate vein (asterisk).</p>" ] ] ] "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" => "The case of the missing pulmonary vein: a focused update on anomalous pulmonary venous connection in congenital cardiovascular disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Han" 1 => "S. Kiparizoska" 2 => "W. Campbell" 3 => "C. Richards" 4 => "B. Kogon" 5 => "M. Holloway" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/echo.14490" "Revista" => array:7 [ "tituloSerie" => "Echocardiography" "fecha" => "2019" "volumen" => "36" "paginaInicial" => "1930" "paginaFinal" => "1935" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31573698" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0749806322002833" "estado" => "S300" "issn" => "07498063" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "ERS/ESTS/ESTRO/ESR/ESTI/EFOMP statement on management of incidental findings from low dose CT screening for lung cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E.L. O’Dowd" 1 => "I. Tietzova" 2 => "E. Bartlett" 3 => "A. Devaraj" 4 => "J. Biederer" 5 => "M. Brambilla" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ejcts/ezad302" "Revista" => array:5 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2023" "volumen" => "64" "paginaInicial" => "ezad302" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/37804174" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000006/v2_202408290625/S0300289624000711/v2_202408290625/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000006/v2_202408290625/S0300289624000711/v2_202408290625/en/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000711?idApp=UINPBA00003Z" ]
Journal Information
Vol. 60. Issue 6.
Pages 380 (June 2024)
Vol. 60. Issue 6.
Pages 380 (June 2024)
Clinical Image
Partial Anomalous Pulmonary Venous Return Incidentally Detected at Lung Cancer Screening With Low-dose Thoracic CT
Article information
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