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Alonso-Paniagua, M.J. Cóbreces-García" "autores" => array:2 [ 0 => array:4 [ "nombre" => "M.I." "apellidos" => "Alonso-Paniagua" "email" => array:1 [ 0 => "iap310794@gmail.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" => "M.J." "apellidos" => "Cóbreces-García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Hospital Universitario Virgen Macarena, Seville, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital Clínico Universitario de Valladolid, Valladolid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de vena cava superior en el postoperatorio de una disección de aorta tipo A" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 742 "Ancho" => 1007 "Tamanyo" => 108250 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">AngioTac section of the chest showing post-surgical haematoma (*) that compresses the superior vena cava (x) and the right pulmonary artery.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 64-year-old man who underwent emergency surgery for a Stanford type A aortic dissection using a Bentall–Bono procedure attached to an endoprosthesis distal to the Dacron graft. Around the 4th–5th day of admission to the Resuscitation Unit, the patient presented progressive anaemia with increasing transfusion needs and the physical examination revealed congestion of the upper limbs and head and neck with tension oedema and violet discoloration of the eyes. Given the clinical suspicion of superior vena cava syndrome due to haematoma, and despite a negative result in a transesophageal echocardiography, it was decided to request angioTac with contrast (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) where a haematoma was evident (*) that compressed the superior cava vein (x) and the pulmonary artery. 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Journal Information
Vol. 71. Issue 4.
Pages 347 (April 2024)
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Vol. 71. Issue 4.
Pages 347 (April 2024)
Image of the month
Superior vena cava syndrome in the postoperative setting of a type A aortic dissection
Síndrome de vena cava superior en el postoperatorio de una disección de aorta tipo A
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