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"figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1850 "Ancho" => 3564 "Tamanyo" => 401480 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">World distribution of hantavirus research in PubMed/Medline and trends in scientific production time in Latin America and the Caribbean in LILACS and SciELO (1990–2016).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Yeimer Ortiz-Martínez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Yeimer" "apellidos" => "Ortiz-Martínez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775317300830" "doi" => "10.1016/j.medcli.2017.01.012" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317300830?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303741?idApp=UINPBA00004N" "url" => "/23870206/0000014800000012/v1_201707060050/S2387020617303741/v1_201707060050/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Saccular varix of pulmonary vein mimicking a pulmonary nodule" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "577" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Gorospe, Almudena Ureña-Vacas, María Ángeles Fernández-Méndez, Edwin Mercedes-Noboa" "autores" => array:4 [ 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" => "Almudena" "apellidos" => "Ureña-Vacas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "María Ángeles" "apellidos" => "Fernández-Méndez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Edwin" "apellidos" => "Mercedes-Noboa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario Ramón y Cajal, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Variz sacular de vena pulmonar simulando un nódulo pulmonar" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 600 "Ancho" => 1503 "Tamanyo" => 137179 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 59-year-old male smoker who presented with progressive dyspnoea. Chest X-ray showed cardiomegaly and a nodule on the right lung base (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, arrows). An echocardiogram detected a dilation of the left atrium secondary to mitral stenosis. A chest CT scan confirmed that the nodular lesion corresponded to a saccular varix of 25<span class="elsevierStyleHsp" style=""></span>mm of the right lower pulmonary vein (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, asterisk).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pulmonary varix (PV) is a rare aneurysmal dilatation of a pulmonary vein's segment that normally drains into the left atrium. PV may be congenital or acquired, and the latter are usually associated with chronic venous pulmonary hypertension (especially in patients with mitral valvulopathy). They are often single, and can be found in any pulmonary lobe, although most VPs affect the right lower pulmonary vein. Isolated cases of embolic stroke, bronchial compression, or even bleeding from a PV to the pleural space or bronchial tree have been described, but in general they do not require any specific treatment. Some VPs associated with venous pulmonary hypertension resolve when mitral valvular replacement is performed. We believe that PV should be included in the differential diagnosis of the pulmonary nodule, especially in patients with mitral valvulopathy or chronic venous pulmonary hypertension.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Gorospe L, Ureña-Vacas A, Fernández-Méndez MÁ, Mercedes-Noboa E. Variz sacular de vena pulmonar simulando un nódulo pulmonar. Med Clin (Barc). 2017;148:577.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 600 "Ancho" => 1503 "Tamanyo" => 137179 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000012/v1_201707060050/S238702061730373X/v1_201707060050/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014800000012/v1_201707060050/S238702061730373X/v1_201707060050/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730373X?idApp=UINPBA00004N" ]
