metricas
covid
Buscar en
Medicina Clínica
Toda la web
Inicio Medicina Clínica Right-to-left pulmonary shunt through arteriovenous malformation
Journal Information

Statistics

Follow this link to access the full text of the article

Image in medicine
Right-to-left pulmonary shunt through arteriovenous malformation
Shunt pulmonar de derecha a izquierda a través de malformación arteriovenosa
Satoru Yanagisawa
Corresponding author
yngsw-0829@umin.org

Corresponding author.
, Ayumi Mitsune, Masakazu Ichinose
Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan
Read
10
Times
was read the article
6
Total PDF
4
Total HTML
Share statistics
 array:23 [
  "pii" => "S0025775317309193"
  "issn" => "00257753"
  "doi" => "10.1016/j.medcli.2017.11.035"
  "estado" => "S300"
  "fechaPublicacion" => "2018-10-12"
  "aid" => "4370"
  "copyright" => "Elsevier España, S.L.U.. All rights reserved"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Clin. 2018;151:297"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 10
    "formatos" => array:2 [
      "HTML" => 4
      "PDF" => 6
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0025775317309612"
    "issn" => "00257753"
    "doi" => "10.1016/j.medcli.2017.11.046"
    "estado" => "S300"
    "fechaPublicacion" => "2018-10-12"
    "aid" => "4383"
    "copyright" => "Elsevier España, S.L.U."
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Clin. 2018;151:e41"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 32
      "formatos" => array:2 [
        "HTML" => 20
        "PDF" => 12
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Imagen m&#233;dica</span>"
      "titulo" => "Urticaria multiforme&#44; un simulador de &#171;eritema multiforme&#187;"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "e41"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Urticaria multiforme&#44; an &#8220;erythema multiforme&#8221; simulator"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1669
              "Ancho" => 1667
              "Tamanyo" => 285140
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ignacio Torres-Navarro, Antonio Sahuquillo-Torralba, Rafael Botella-Estrada"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ignacio"
              "apellidos" => "Torres-Navarro"
            ]
            1 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "Sahuquillo-Torralba"
            ]
            2 => array:2 [
              "nombre" => "Rafael"
              "apellidos" => "Botella-Estrada"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2387020618303255"
        "doi" => "10.1016/j.medcle.2018.08.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618303255?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317309612?idApp=UINPBA00004N"
    "url" => "/00257753/0000015100000007/v1_201809210709/S0025775317309612/v1_201809210709/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0025775317309235"
    "issn" => "00257753"
    "doi" => "10.1016/j.medcli.2017.11.039"
    "estado" => "S300"
    "fechaPublicacion" => "2018-10-12"
    "aid" => "4374"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Clin. 2018;151:e39-40"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 15
      "formatos" => array:2 [
        "HTML" => 7
        "PDF" => 8
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>"
      "titulo" => "Infarto omental en el transcurso de una apendicitis aguda"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e39"
          "paginaFinal" => "e40"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Omental infarction during acute appendicitis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Rafael Rodr&#237;guez Moncada, Jos&#233; &#193;ngel L&#243;pez D&#237;az, Alberto Carrillo Acosta"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Rafael"
              "apellidos" => "Rodr&#237;guez Moncada"
            ]
            1 => array:2 [
              "nombre" => "Jos&#233; &#193;ngel"
              "apellidos" => "L&#243;pez D&#237;az"
            ]
            2 => array:2 [
              "nombre" => "Alberto"
              "apellidos" => "Carrillo Acosta"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2387020618303243"
        "doi" => "10.1016/j.medcle.2017.11.056"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618303243?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317309235?idApp=UINPBA00004N"
    "url" => "/00257753/0000015100000007/v1_201809210709/S0025775317309235/v1_201809210709/es/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>"
    "titulo" => "Right-to-left pulmonary shunt through arteriovenous malformation"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "297"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Satoru Yanagisawa, Ayumi Mitsune, Masakazu Ichinose"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Satoru"
            "apellidos" => "Yanagisawa"
            "email" => array:1 [
              0 => "yngsw-0829&#64;umin&#46;org"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Ayumi"
            "apellidos" => "Mitsune"
          ]
          2 => array:2 [
            "nombre" => "Masakazu"
            "apellidos" => "Ichinose"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Department of Respiratory Medicine&#44; Tohoku University Graduate School of Medicine&#44; 1-1 Seiryo-machi&#44; Aoba-ku&#44; Sendai 980-8574&#44; Japan"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Shunt pulmonar de derecha a izquierda a trav&#233;s de malformaci&#243;n arteriovenosa"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1115
            "Ancho" => 2167
            "Tamanyo" => 192510
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 20-year-old man with recurrent nosebleed was referred to our department with bilateral lung nodules&#46; His father also had repeated epistaxis&#46; The patient presented with exertional dyspnea&#59; the physical examination showed orthodeoxia&#46; The contrast enhanced chest computed tomography scan revealed multiple tortuous collections of vessels with dilated feeding arteries &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#44; arrows&#41;&#44; suggesting pulmonary arteriovenous malformation &#40;PAVM&#41;&#46; Transthoracic contrast echocardiography &#40;TTCE&#41; using agitated saline confirmed a right-to-left intrapulmonary shunt &#40;supplementary material&#44; video&#41;&#59; abundant bubbles in the right atrium moved to the left atrium &#40;LA&#41; after a delay of four cardiac cycles &#40;not immediately&#44; as in the case of an intracardiac shunt&#41;&#46; Arterial blood gas testing after breathing 100&#37; oxygen and <span class="elsevierStyleSup">99m</span>Tc-MAA &#40;macroaggregated albumin&#41; radionuclide perfusion scanning calculated the pulmonary shunt fraction to be 24&#46;0&#37; and 25&#46;5&#37;&#44; respectively &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; The patient was diagnosed as having multiple PAVMs of hereditary hemorrhagic telangiectasia and underwent embolotherapy&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">TTCE is a less invasive&#44; highly sensitive method for diagnosing right-to-left shunt&#44; in which microbubbles are not filtered out by pulmonary capillaries so they reach the LA&#46; By knowing the timing and number of bubbles entering the LA&#44; it is possible to determine a more accurate diagnosis and therapeutic strategy&#46;</p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public&#44; commercial&#44; or not-for-profit sectors&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "xack367030"
          "titulo" => "Acknowledgments"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0035" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0020"
          ]
        ]
      ]
    ]
    "multimedia" => array:2 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1115
            "Ancho" => 2167
            "Tamanyo" => 192510
          ]
        ]
      ]
      1 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 1435422
          "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
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack367030"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">We would like to thank Editage &#40;<a class="elsevierStyleInterRef" target="_blank" id="intr0005" href="http://www.editage.jp/">www&#46;editage&#46;jp</a>&#41; for the English language editing&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/00257753/0000015100000007/v1_201809210709/S0025775317309193/v1_201809210709/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "64289"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Im&#225;genes m&#233;dicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/00257753/0000015100000007/v1_201809210709/S0025775317309193/v1_201809210709/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317309193?idApp=UINPBA00004N"
]
Article information
ISSN: 00257753
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2019 January 0 2 2
2018 November 1 2 3
2018 October 2 2 4
2018 September 1 0 1

Follow this link to access the full text of the article

es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos