Statistics

 array:19 [
  "pii" => "X1405994012508414"
  "issn" => "14059940"
  "estado" => "S300"
  "fechaPublicacion" => "2012-04-01"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Arch Cardiol Mex. 2012;82:195-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3348
    "formatos" => array:3 [
      "EPUB" => 57
      "HTML" => 2708
      "PDF" => 583
    ]
  ]
  "itemAnterior" => array:16 [
    "pii" => "X1405994012508406"
    "issn" => "14059940"
    "estado" => "S300"
    "fechaPublicacion" => "2012-04-01"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Arch Cardiol Mex. 2012;82:181-94"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2542
      "formatos" => array:3 [
        "EPUB" => 57
        "HTML" => 1940
        "PDF" => 545
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Valvular heart disease. The national society journals present selected research that has driven recent advances in clinical cardiology"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "181"
          "paginaFinal" => "194"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "European NSJ Almanac 2011, Valvulopatías cardiacas"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Raphael Rosenhek"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Raphael"
              "apellidos" => "Rosenhek"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X1405994012508406?idApp=UINPBA00004N"
    "url" => "/14059940/0000008200000002/v0_201307090959/X1405994012508406/v0_201307091002/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Extremely rare single right coronary artery, multidetector computed tomography findings"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "195"
        "paginaFinal" => "196"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Mauro Echavarría-Pinto, Engels Rodríguez-Rodríguez, Enrico Macías, Eric Kimura-Hayama."
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Mauro"
            "apellidos" => "Echavarría-Pinto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Engels"
            "apellidos" => "Rodr&#237;guez-Rodr&#237;guez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Enrico"
            "apellidos" => "Mac&#237;as"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Eric"
            "apellidos" => "Kimura-Hayama&#46;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Department of Radiology. Instituto Nacional de Cardiología Ignacio Chávez. Mexico City, Mexico."
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Arteria coronaria derecha &#250;nica muy infrecuente&#44; hallazgos por tomograf&#237;a computada multidetector"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "293v82n02-90150841fig1.jpg"
            "Alto" => 979
            "Ancho" => 991
            "Tamanyo" => 145101
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Volume-rendered image in oblique cranial view depicting the single right coronary artery &#40;RCA&#41; arising normally&#46; After branching off the posterior descending artery &#40;PDA&#41;&#44; the RCA continues through the left atrioventricular groove as a left circumflex artery &#40;LCx&#41;&#44; giving off the posterolateral left ventricular branches &#40;PLB&#41; and ending as the left anterior descending artery &#40;LAD&#41;&#46;"
        ]
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"> A 68-yo woman with systemic arterial hypertension requested medical attention because of atypical chest pain&#46; Physical examination&#44; cardiac biomarkers and 12-lead electrocardiogram were unremarkable&#46; A treadmill stress test showed monomorphic ventricular extrasystolia in association with atypical chest pain during early recovery phase&#46; Finally&#44; a coronary CT angiography performed on a 64-slice scanner&#44; showed absence of the left coronary artery and demonstrated a single coronary artery arising from the right coronary sinus of Valsalva&#46; The right coronary artery continued its course as a left circumflex artery and ended as a left anterior descending artery &#40;<span class="elsevierStyleBold">Figures 1 </span>and<span class="elsevierStyleBold"> 2</span>&#41;&#46; This unusual case of a single coronary artery anomaly &#40;SCA&#41; corresponds to a Lipton R-I type&#46;<span class="elsevierStyleSup">1</span> No plaques were noted and the Calcium score was 0 AU&#46; Conservative treatment was recommended and she has being doing well during a 2-year follow-up&#46;</p><p class="elsevierStylePara"> &#160;</p><p class="elsevierStylePara"><img alt="Figure 1&#46; Volume-rendered image in oblique cranial view depicting the single right coronary artery &#40;RCA&#41; arising normally&#46; After branching off the posterior descending artery &#40;PDA&#41;&#44; the RCA continues through the left atrioventricular groove as a left circumflex artery &#40;LCx&#41;&#44; giving off the posterolateral left ventricular branches &#40;PLB&#41; and ending as the left anterior descending artery &#40;LAD&#41;&#46;" src="293v82n02-90150841fig1.jpg"></img></p><p class="elsevierStylePara"><span class="elsevierStyleBold">Figure 1&#46;</span> Volume-rendered image in oblique cranial view depicting the single right coronary artery &#40;RCA&#41; arising normally&#46; After branching off the posterior descending artery &#40;PDA&#41;&#44; the RCA continues through the left atrioventricular groove as a left circumflex artery &#40;LCx&#41;&#44; giving off the posterolateral left ventricular branches &#40;PLB&#41; and ending as the left anterior descending artery &#40;LAD&#41;&#46;</p><p class="elsevierStylePara"><img alt="Figure 2&#46; Segmented volume-rendered reconstruction of the coronary artery tree showing the single coronary artery ostia originating from the right sinus of Valsalva&#46;" src="293v82n02-90150841fig2.jpg"></img></p><p class="elsevierStylePara"><span class="elsevierStyleBold">Figure 2&#46;</span> Segmented volume-rendered reconstruction of the coronary artery tree showing the single coronary artery ostia originating from the right sinus of Valsalva&#46;</p><p class="elsevierStylePara"> One of the rarest coronary artery anomalies is the SCA R-I type of which very few cases have been reported &#40;in a very large series&#44; only one was found in 126 595 patients&#41;&#46;<span class="elsevierStyleSup">2&#44;3</span> Coronary anomalies may cause reduced regional myocardial blood flow particularly in the presence of interarterial courses or vasospasm but&#44; in the present case&#44; no atherosclerosis was found and the coronary course was sought to be hemodynamically benign&#46; Even though&#44; we encourage close follow up&#44; as obstruction of a SCA could be catastrophic&#46; Nowadays&#44; MDCT allows non-invasive&#44; multiplanar and accurate assessment of coronary arteries and should be coronary anomalies diagnostic reference method&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflict of interest</span></p><p class="elsevierStylePara"> Dr&#46; Eric Kimura-Hayama is Advisor of the Imaging Solutions Advisory Board &#40;ISAB&#41; of Covidien&#46; The rest of coauthors have no conflict of interest&#46;</p><hr></hr><p class="elsevierStylePara"> Received on September 9&#44; 2011&#59; accepted on December 9&#44; 2011&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Corresponding author&#58;</span><br></br> Eric Kimura-Hayama&#44; MD&#46;<br></br> Juan Badiano &#35; 1&#44; Secci&#243;n XVI&#44; Tlalpan&#46;<br></br> Z&#46;P&#46; 14080&#46; Mexico City&#46; Mexico&#46;<br></br> Telephone&#58; &#40;&#43;52&#41; 55 5573 2911&#46; Fax&#58; &#40;&#43;52&#41; 55 5550 1620&#46;<br></br> E-mail address&#58; <a href="mailto&#58;erickimura&#64;ctcardiomexico&#46;com" class="elsevierStyleCrossRefs">erickimura&#64;ctcardiomexico&#46;com</a></p>"
    "pdfFichero" => "293v82n02a90150841pdf001.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec191957"
          "palabras" => array:1 [
            0 => "Anomal&#237;as coronarias&#59; Tomograf&#237;a computada multicorte&#59; Arteria coronaria derecha &#250;nica&#59; M&#233;xico"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec191956"
          "palabras" => array:1 [
            0 => "Coronary anomalies&#59; Multidetector computed tomography&#59; Single right coronary artery&#59; Mexico"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:1 [
        "resumen" => "<p class="elsevierStylePara"> Coronary anomalies are rare&#44; with a reported prevalence of 1&#46;3&#37; among patients who undergo coronary angiography&#46; The great majority of coronary artery anomalies are incidental findings and are not clinically significant&#44; but in some cases&#44; may be responsible for angina&#44; syncope&#44; arrhythmias or even sudden death&#46; In the following case&#44; we describe coronary CT angiography findings of one of the rarest coronary anomalies&#46; Lipton R-I type single right coronary artery has only been previously reported in very few occasions and has been seen in only 0&#46;0007&#37; of the population&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<p class="elsevierStylePara"> Las anomal&#237;as cong&#233;nitas de las arterias coronarias son raras&#44; con una prevalencia estimada de 1&#46;3&#37; en pacientes sometidos a angiograf&#237;a coronaria&#46; la gran mayor&#237;a de estas anomal&#237;as no son cl&#237;nicamente significativas&#44; aunque en algunos casos&#44; pueden producir angina&#44; s&#237;ncope&#44; arritmias e incluso muerte s&#250;bita&#46; En el siguiente caso&#44; describimos mediante tomograf&#237;a computarizada multicorte&#44; una de las anomal&#237;as cong&#233;nitas de las arterias coronarias m&#225;s raras&#46; La arteria coronaria derecha &#250;nica tipo R-I de Lipton&#44; de la que s&#243;lo se han reportado muy pocos casos y su prevalencia se estima en 0&#46;0007&#37;&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "293v82n02-90150841fig1.jpg"
            "Alto" => 979
            "Ancho" => 991
            "Tamanyo" => 145101
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Volume-rendered image in oblique cranial view depicting the single right coronary artery &#40;RCA&#41; arising normally&#46; After branching off the posterior descending artery &#40;PDA&#41;&#44; the RCA continues through the left atrioventricular groove as a left circumflex artery &#40;LCx&#41;&#44; giving off the posterolateral left ventricular branches &#40;PLB&#41; and ending as the left anterior descending artery &#40;LAD&#41;&#46;"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig2"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "293v82n02-90150841fig2.jpg"
            "Alto" => 1058
            "Ancho" => 995
            "Tamanyo" => 113365
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Segmented volume-rendered reconstruction of the coronary artery tree showing the single coronary artery ostia originating from the right sinus of Valsalva&#46;"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Isolated single coronary artery&#58; diagnosis&#44; angiographic classification&#44; and clinical significance&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Lipton MJ"
                            1 => "Barry WH"
                            2 => "Obrez I"
                            3 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "fecha" => "radiology 1979"
                        "volumen" => "130"
                        "paginaInicial" => "39"
                        "paginaFinal" => "47"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Coronary artery anomalies in 126&#44;595 patients undergoing coronary arteriography&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Yamanaka O"
                            1 => "Hobbs RE&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "fecha" => "Cathet Cardiovasc Diagn 1990"
                        "volumen" => "21"
                        "paginaInicial" => "28"
                        "paginaFinal" => "40"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Isolated single coronary artery&#58; a review of 50&#44;000 consecutive coronary angiographies&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Desmet W"
                            1 => "Vanhaecke J"
                            2 => "Vrolix M"
                            3 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "fecha" => "Eur Heart J 1992"
                        "volumen" => "13"
                        "paginaInicial" => "1637"
                        "paginaFinal" => "1640"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/14059940/0000008200000002/v0_201307090959/X1405994012508414/v0_201307091002/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "14597"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Im&#225;genes en cardiolog&#237;a"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/14059940/0000008200000002/v0_201307090959/X1405994012508414/v0_201307091002/en/293v82n02a90150841pdf001.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X1405994012508414?idApp=UINPBA00004N"
]