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"apellidos" => "Chico-Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569116300687" "doi" => "10.1016/j.medin.2016.05.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569116300687?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717300012?idApp=WMIE" "url" => "/21735727/0000004100000001/v1_201703040056/S2173572717300012/v1_201703040056/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Complicated early prosthetic aortic valve infective endocarditis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "62" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.V. Catalá Ripoll, C. Urraca Espejel, P. Cuesta Montero" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J.V." "apellidos" => "Catalá Ripoll" "email" => array:1 [ 0 => "jose.catalaripoll@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" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Urraca Espejel" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "P." "apellidos" => "Cuesta Montero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital General Universitario de Albacete, Albacete, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Endocarditis infecciosa aórtica protésica precoz complicada" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 401 "Ancho" => 581 "Tamanyo" => 62732 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Sixty-six year-old patient with a mechanical aortic prosthesis implanted two months ago, who recently experienced a deterioration in his level of consciousness and a sudden-onset fever of up to 39<span class="elsevierStyleHsp" style=""></span>°C, along with a bluish nodular lesion in the fifth digit (little finger) of his left hand. The brain CAT scan performed revealed a parietal intraparenchymal hemorrhage, of which blood cultures were taken (with a positive result for <span class="elsevierStyleItalic">Staphylococcus aureus</span>). Furthermore, the transthoracic echocardiogram (TTE) carried out showed a poorly differentiated hyperechogenic image at the level of the prosthetic valve. Based on the above findings, a transesophageal echocardiography (TEE) was also performed revealing the presence of a metallic aortic valve prosthesis associated with periaortic thickening (arrow, <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) along with images of cavitated lesions in the posterior end of the aortic root (asterisk, <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), one of which was seen to come into contact with it, thus being suggestive of a complicated endocarditis. Additionally, a cardiac CAT scan showed a 9-mm heart wall defect coming into contact with a 9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>6<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>5.5-cm collection, as well as contrast media extravasation suggestive of a broken pseudoaneurysm contained by the epicardium (arrow, <a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). This case report brings to light the key role of TEE in detecting cases of endocarditis.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Catalá Ripoll JV, Urraca Espejel C, Cuesta Montero P. Endocarditis infecciosa aórtica protésica precoz complicada. Med Intensiva. 2017;41:62.</p>" ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 417 "Ancho" => 581 "Tamanyo" => 57119 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 401 "Ancho" => 581 "Tamanyo" => 62732 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 400 "Ancho" => 582 "Tamanyo" => 39740 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004100000001/v1_201703040056/S2173572717300024/v1_201703040056/en/main.assets" "Apartado" => array:4 [ "identificador" => "64267" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Care" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004100000001/v1_201703040056/S2173572717300024/v1_201703040056/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717300024?idApp=WMIE" ]
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