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Berrio Valencia, I. Iglesias" "autores" => array:2 [ 0 => array:4 [ "nombre" => "M.I." "apellidos" => "Berrio Valencia" "email" => array:1 [ 0 => "martaberrio@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Iglesias" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Anestesia y Medicina Perioperatoria, Western University-London Health Sciences, Canada" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Un intruso en el corazón" ] ] "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" => 1465 "Ancho" => 2175 "Tamanyo" => 255411 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0060" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Large and very mobile thrombus in the left ventricular outflow tract.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A large apical thrombus was found as an incidental finding prior to coronary revascularisation surgery. The surgeon was informed of the finding and a ventriculotomy was performed at the apex extended to the anterior wall, but the thrombus was not found. However, prior to cardiopulmonary bypass a huge and very mobile thrombus was identified in the left ventricular outflow tract with transesophageal echocardiography (TEE) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This was immediately reported to the surgeon and the decision was to re-apply the clamp, re-arrest the heart and perform a thrombectomy through the ascending aorta.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Re-examination of the heart with TEE during coronary revascularisation surgery altered the surgical plan twice and prevented a fatal or highly catastrophic consequence to the patient.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study did not receive any type of funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1465 "Ancho" => 2175 "Tamanyo" => 255411 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0060" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Large and very mobile thrombus in the left ventricular outflow tract.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000007000000003/v1_202304111726/S234119292300046X/v1_202304111726/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000007000000003/v1_202304111726/S234119292300046X/v1_202304111726/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119292300046X?idApp=UINPBA00004N" ]
Journal Information
Vol. 70. Issue 3.
Pages 183-184 (March 2023)
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Vol. 70. Issue 3.
Pages 183-184 (March 2023)
Image of the month
An intruder into the heart
Un intruso en el corazón
Departamento de Anestesia y Medicina Perioperatoria, Western University-London Health Sciences, Canada
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