Intraoperative extrinsic left atrial compression due to paraesophageal hiatal hernia

Benlloch Beitia, A.; Carpi Femenia, I.; Ivars Párraga, C.; González Pérez, L.

doi:10.1016/j.redare.2017.03.001

array:23 ["pii" => "S2341192917300410" "issn" => "23411929" "doi" => "10.1016/j.redare.2017.03.001" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "759" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2017;64:299-300" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1 "PDF" => 1 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0034935616301876" "issn" => "00349356" "doi" => "10.1016/j.redar.2016.11.003" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "759" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Anestesiol Reanim. 2017;64:299-300" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 68 "formatos" => array:2 [ "HTML" => 57 "PDF" => 11 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "Imagen del mes" "titulo" => "Compresión extrínseca de la aurícula izquierda intraoperatoria por hernia de hiato paraesofágica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "299" "paginaFinal" => "300" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intraoperative extrinsic left atrial compression due to paraesophageal hiatal hernia" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2602 "Ancho" => 2362 "Tamanyo" => 310928 ] ] "descripcion" => array:1 [ "es" => "A) Ecocardiografía transtorácica. Plano apical 5 cámaras donde se evidencia el colapso de la aurícula izquierda por una masa extracardiaca (flechas blancas). B) Plano apical donde se aplica Doppler color sobre la válvula mitral. Parámetros ecocardiográficos obtenidos: Flujo mitral onda E 0,5m/s; onda A 0,7m/s. Integral velocidad/tiempo del tracto de salida del ventrículo izquierdo (IVT/TSVI): 14cm. Doppler tisular en anillo lateral mitral: onda E mitral 0,12m/s. C) Corte transversal de la TAC torácica que evidencia una gran hernia paraesofágica que comprime e impide el llenado de la aurícula izquierda." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Benlloch Beitia, I. Carpi Femenia, C. Ivars Párraga, L. González Pérez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Benlloch Beitia" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Carpi Femenia" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Ivars Párraga" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "González Pérez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341192917300410" "doi" => "10.1016/j.redare.2017.03.001" "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/S2341192917300410?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935616301876?idApp=UINPBA00004N" "url" => "/00349356/0000006400000005/v1_201704060046/S0034935616301876/v1_201704060046/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2341192917300422" "issn" => "23411929" "doi" => "10.1016/j.redare.2016.11.006" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "782" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2017;64:294-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Case report" "titulo" => "Tracheo-bronchitis and pneumonia associated with mechanical ventilation by Chryseobacterium indologenes" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "294" "paginaFinal" => "298" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Traqueobronquitis y neumonía asociada a ventilación mecánica por Chryseobacterium indologenes" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. González-Castro, A. Alsasua, Y. Peñasco, J.C. Rodríguez, J. Duerto" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "González-Castro" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Alsasua" ] 2 => array:2 [ "nombre" => "Y." "apellidos" => "Peñasco" ] 3 => array:2 [ "nombre" => "J.C." "apellidos" => "Rodríguez" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Duerto" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935617300257" "doi" => "10.1016/j.redar.2016.11.011" "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/S0034935617300257?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192917300422?idApp=UINPBA00004N" "url" => "/23411929/0000006400000005/v1_201704260038/S2341192917300422/v1_201704260038/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "Image of the month" "titulo" => "Intraoperative extrinsic left atrial compression due to paraesophageal hiatal hernia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "299" "paginaFinal" => "300" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Benlloch Beitia, I. Carpi Femenia, C. Ivars Párraga, L. González Pérez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Benlloch Beitia" "email" => array:1 [ 0 => "aidabenllochbeitia@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "I." "apellidos" => "Carpi Femenia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Ivars Párraga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "L." "apellidos" => "González Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Francisco de Borja, Gandía, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital de Dénia-Marina Salud, Denia, Alicante, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Compresión extrínseca de la aurícula izquierda intraoperatoria por hernia de hiato paraesofágica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2602 "Ancho" => 2362 "Tamanyo" => 310928 ] ] "descripcion" => array:1 [ "en" => "(A) Transthoracic ultrasound. Apical 5-chamber view showing the collapse of the left atrium by a noncardiac mass (white arrows). (B) Apical view where colour Doppler is applied to the mitral valve. Ultrasound parameters obtained: E-wave mitral flow 0.5m/s; A-wave 0.7m/s. Left ventricular outflow tract velocity-time integral: 14cm. Tissue Doppler in lateral mitral ring: mitral E-wave 0.12m/s. (C) Chest CT scan cross-section showing a large paraesophageal hernia compressing and preventing filling of the left atrium." ] ] ] "textoCompleto" => "A 60-year-old man with a history of hiatal hernia who had undergone inguinal hernia repair 1 year previously presented with hernia recurrence, so open inguinal hernia repair re-intervention was scheduled. Balanced general anaesthesia without neuromuscular relaxation was administered and an i-gel laryngeal mask was used for airway management. Forty-five minutes after induction, the patient presented shock with hypotension, decreased end-tidal CO2, hypoxaemia and ST elevation on ECG. Resuscitation was started with scant haemodynamic improvement, so surgery was terminated and the patient was moved to the ICU. To facilitate the diagnosis of shock, we performed a transthoracic echocardiography, which showed an extracardiac “pseudo-mass” that prevented filling and emptying of the left atrium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). A CT scan enabled us to pinpoint the origin, which was a large paraoesophageal hiatal hernia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). The patient was stabilized following intravenous fluid administration and removal of air from the stomach via a nasogastric tube. We believe the laryngeal mask airway caused insufflation of air into the stomach, thus precipitating compression of the left atrium.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Benlloch Beitia A, Carpi Femenia I, Ivars Párraga C, González Pérez L. Compresión extrínseca de la aurícula izquierda intraoperatoria por hernia de hiato paraesofágica. Rev Esp Anestesiol Reanim. 2017;64:299–300." ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2602 "Ancho" => 2362 "Tamanyo" => 310928 ] ] "descripcion" => array:1 [ "en" => "(A) Transthoracic ultrasound. Apical 5-chamber view showing the collapse of the left atrium by a noncardiac mass (white arrows). (B) Apical view where colour Doppler is applied to the mitral valve. Ultrasound parameters obtained: E-wave mitral flow 0.5m/s; A-wave 0.7m/s. Left ventricular outflow tract velocity-time integral: 14cm. Tissue Doppler in lateral mitral ring: mitral E-wave 0.12m/s. (C) Chest CT scan cross-section showing a large paraesophageal hernia compressing and preventing filling of the left atrium." ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1638119 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" ] ] ] ] 2 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 1199494 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006400000005/v1_201704260038/S2341192917300410/v1_201704260038/en/main.assets" "Apartado" => array:4 [ "identificador" => "65600" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images ot the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006400000005/v1_201704260038/S2341192917300410/v1_201704260038/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192917300410?idApp=UINPBA00004N"]

ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

See more Open Access Option

Revista Española de Anestesiología y Reanimación has received its first journal Impact Factor (JCR) in 2023. Instructions for authors - Submit an article

Indexed in:

Web of Science, Emerging Sources Citation Index (WoS, Clarivate), PubMed/Medline, Scopus, EMBASE, IBECS

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

0.9

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

1.8

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.239

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

362

View more metrics

Journal Information

Previous article | Next article

Vol. 64. Issue 5.

Pages 299-300 (May 2017)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Revista Española de Anestesiología y Reanimación (English Edition)

Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”

Subscribe to

Revista Española de Anestesiología y Reanimación (English Edition)

More information

Purchase

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now

Contact

Phone for subscriptions and reporting of errors

From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.

Calls from Spain

932 415 960

Calls from outside Spain

+34 932 415 960

E-mail

atencionalcliente@elsevier.com

Publish in

Revista Española de Anestesiología y Reanimación

Tools

Supplemental materials

Revista Española de Anestesiología y Reanimación (English Edition) is a member and subscribes the principles of, the Committee on Publication Ethics (COPE)
www.publicationethics.org.

Free access articles

Management of peri-surgical anemia in elective surgery....

Revista Española de Anestesiología y Reanimación (English Version). 2024;71:454-65

Risk factors for PPCs in laparoscopic non–robotic...

Revista Española de Anestesiología y Reanimación (English Version). 2024;71:592-600

Pre-anaesthesia assessment in cataract surgery:...

Revista Española de Anestesiología y Reanimación (English Version). 2024;71:403-11

Indexed in:

Follow us:

Subscribe:

Article

Subscribe to our newsletter