Images in Intensive Medicine
Pulmonary vein thrombosis following acute type aortic dissection
Trombosis venosa pulmonar después de la disección aórtica aguda de tipo a
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Bratti, Carlos Schreck, Sergio Giannasi, Guillermo Rosa Diez, Carlos F. Varela" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Nicolás" "apellidos" => "Contrera Rolón" ] 1 => array:2 [ "nombre" => "Joaquín" "apellidos" => "Cantos" ] 2 => array:2 [ "nombre" => "Iván" "apellidos" => "Huespe" ] 3 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Prado" ] 4 => array:2 [ "nombre" => "Griselda I." "apellidos" => "Bratti" ] 5 => array:2 [ "nombre" => "Carlos" "apellidos" => "Schreck" ] 6 => array:2 [ "nombre" => "Sergio" "apellidos" => "Giannasi" ] 7 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Rosa Diez" ] 8 => array:2 [ "nombre" => "Carlos F." "apellidos" => "Varela" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000274?idApp=WMIE" "url" => "/21735727/unassign/S2173572724000274/v1_202402251056/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Pulmonary vein thrombosis following acute type aortic dissection" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Xiaoyang Zhou, Long Zhao, Bixin Chen" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Xiaoyang" "apellidos" => "Zhou" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Long" "apellidos" => "Zhao" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Bixin" "apellidos" => "Chen" "email" => array:1 [ 0 => "nbsdeyyicu@163.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Intensive Care Medicine, Ningbo No.2 Hospital, Ningbo, Zhejiang 315000, China" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Cardiovascular Surgery, Ningbo No.2 Hospital, Ningbo, Zhejiang 315000, China" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Trombosis venosa pulmonar después de la disección aórtica aguda de tipo a" ] ] "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" => 2316 "Ancho" => 3008 "Tamanyo" => 510722 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 66-year-old man with a history of hypertension presented to the emergency department with a 7 -h history of severe chest pain. The patient was diagnosed with acute type A aortic dissection (ATAAD) and underwent urgent on-pump cardiac surgery. He started receiving low-dose anticoagulant therapy with 20 mg of enoxaparin twice per day on the 10th postoperative day. However, one week later, the patient suddenly developed hypoxemia but the hemodynamic state remained stable. Computed tomographic pulmonary angiography (CTPA) revealed normal pulmonary artery imaging and multiple filling defects in the left superior and inferior pulmonary veins (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B, red arrows), indicating pulmonary vein thrombosis. The anticoagulant therapy was strengthened, with the dose of enoxaparin increasing to 60 mg twice daily. After a two-week strengthened anticoagulation, a follow-up CTPA indicated that these pulmonary vein thrombi were dissipated (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C and D, red arrows). This is the first report of pulmonary vein thrombosis following ATAAD which is a rare but potentially lethal condition.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Contribution of the authors</span><p id="par0010" class="elsevierStylePara elsevierViewall">Zhou X, Zhao L, and Chen B participated in the patient's care, drafted the manuscript, and revised the manuscript. All authors read and approved the final manuscript.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This work was supported by grants from the <span class="elsevierStyleGrantSponsor" id="gs0005">Zhejiang Medicine and Health Science and Technology Project</span> (No. <span class="elsevierStyleGrantNumber" refid="gs0005">2023KY1084</span>, <span class="elsevierStyleGrantNumber" refid="gs0005">2021KY1005</span>) and the <span class="elsevierStyleGrantSponsor" id="gs0010">Project of NINGBO Leading Medical & Health Discipline</span> (No. <span class="elsevierStyleGrantNumber" refid="gs0010">2022-F16</span>). The funders had no role in the study design, data collection, and analysis, decision to publish, or manuscript preparation.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have no potential conflict of interest.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Consent for publication</span><p id="par0025" class="elsevierStylePara elsevierViewall">Written informed consent was obtained from the patient for publication of this article and any accompanying images.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Contribution of the authors" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Consent for publication" ] 4 => array:2 [ "identificador" => "xack782574" "titulo" => "Acknowledgments" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-07-08" "fechaAceptado" => "2024-08-11" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2316 "Ancho" => 3008 "Tamanyo" => 510722 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack782574" "titulo" => "Acknowledgments" "texto" => "<p id="par0030" class="elsevierStylePara elsevierViewall">None.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/unassign/S2173572724002376/v1_202410180446/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735727/unassign/S2173572724002376/v1_202410180446/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002376?idApp=WMIE" ]
