array:24 [
  "pii" => "S2173572722002557"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2022.10.006"
  "estado" => "S300"
  "fechaPublicacion" => "2023-07-01"
  "aid" => "1818"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2022"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2023;47:421-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569122002790"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2022.07.005"
      "estado" => "S300"
      "fechaPublicacion" => "2023-07-01"
      "aid" => "1818"
      "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2023;47:421-2"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
        "titulo" => "Hallazgo ecocardiogr&#225;fico casual en paciente con sospecha de s&#237;ndrome a&#243;rtico"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "421"
            "paginaFinal" => "422"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Incidental echocardiography finding in a patient with suspected aortic syndrome"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1048
                "Ancho" => 909
                "Tamanyo" => 142266
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Javier Pascual, Clara Fuster, Juan M&#46; Chesini"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Javier"
                "apellidos" => "Pascual"
              ]
              1 => array:2 [
                "nombre" => "Clara"
                "apellidos" => "Fuster"
              ]
              2 => array:2 [
                "nombre" => "Juan M&#46;"
                "apellidos" => "Chesini"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572722002557"
          "doi" => "10.1016/j.medine.2022.10.006"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002557?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569122002790?idApp=WMIE"
      "url" => "/02105691/0000004700000007/v1_202306271124/S0210569122002790/v1_202306271124/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572722002326"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.09.006"
    "estado" => "S300"
    "fechaPublicacion" => "2023-07-01"
    "aid" => "1824"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:423"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "Use of ultrasonography of the diaphragm as a reverse trigger detection method"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "423"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Utilizaci&#243;n de la ultrasonograf&#237;a del diafragma como m&#233;todo de detecci&#243;n de trigger reverso"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 974
              "Ancho" => 1007
              "Tamanyo" => 114171
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;M&#46; Nu&#241;ez Silveira, R&#46;T&#46; Fernando R&#237;os"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Nu&#241;ez Silveira"
            ]
            1 => array:2 [
              "nombre" => "R&#46;T&#46;"
              "apellidos" => "Fernando R&#237;os"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569122002868"
        "doi" => "10.1016/j.medin.2022.08.005"
        "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/S0210569122002868?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002326?idApp=WMIE"
    "url" => "/21735727/0000004700000007/v1_202306271042/S2173572722002326/v1_202306271042/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572722003034"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.10.017"
    "estado" => "S300"
    "fechaPublicacion" => "2023-07-01"
    "aid" => "1787"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:419-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "VExUS&#58; Severe systemic congestion with normal portal flow"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "419"
          "paginaFinal" => "420"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "VExUS&#58; congesti&#243;n sist&#233;mica severa con flujo portal normal"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 1672
              "Ancho" => 2515
              "Tamanyo" => 337111
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;J&#46; Arche Banzo, L&#46; Segovia Garc&#237;a de Marina, R&#46; Vicho Pereira"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "M&#46;J&#46;"
              "apellidos" => "Arche Banzo"
            ]
            1 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Segovia Garc&#237;a de Marina"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Vicho Pereira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569122001061"
        "doi" => "10.1016/j.medin.2022.04.002"
        "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/S0210569122001061?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722003034?idApp=WMIE"
    "url" => "/21735727/0000004700000007/v1_202306271042/S2173572722003034/v1_202306271042/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Incidental echocardiography finding in a patient with suspected aortic syndrome"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "421"
        "paginaFinal" => "422"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46; Pascual, C&#46; Fuster, J&#46;M&#46; Chesini"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "J&#46;"
            "apellidos" => "Pascual"
            "email" => array:1 [
              0 => "jpascualllopis@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "C&#46;"
            "apellidos" => "Fuster"
          ]
          2 => array:2 [
            "nombre" => "J&#46;M&#46;"
            "apellidos" => "Chesini"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Hospital Universitario de Torrevieja&#44; Torrevieja&#44; Alicante&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Hallazgo ecocardiogr&#225;fico casual en paciente con sospecha de s&#237;ndrome a&#243;rtico"
      ]
    ]
    "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" => 961
            "Ancho" => 905
            "Tamanyo" => 130436
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a 78-year-old woman with a 2-h history of intense oppressive chest pain associated with sweating and poor general condition&#46; The examination of the patient&#8217;s heartbeats reveals a visible and overt vibration at thoracic wall level&#46; The bedside echocardiography performed in the parasternal view&#8212;both in the long &#40;figure 1&#41; and short axes &#40;figure 2&#41;&#8212;revealed the presence of extrinsic compression of the heart by a fluid-and-air-filled heart chamber &#40;in blue color&#41; that caused the protrusion of the heart lower side &#40;in green color&#41;&#46; The CCTA performed discards the presence of acute aortic disease but confirms the presence of massive hiatal hernia with complete herniation of the gastric chamber &#40;figure 3&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "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" => 961
            "Ancho" => 905
            "Tamanyo" => 130436
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004700000007/v1_202306271042/S2173572722002557/v1_202306271042/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "64602"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in Intensive Medicine"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004700000007/v1_202306271042/S2173572722002557/v1_202306271042/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002557?idApp=WMIE"
]
Share
Journal Information
Vol. 47. Issue 7.
Pages 421-422 (July 2023)
Vol. 47. Issue 7.
Pages 421-422 (July 2023)
Images in Intensive Medicine
Full text access
Incidental echocardiography finding in a patient with suspected aortic syndrome
Hallazgo ecocardiográfico casual en paciente con sospecha de síndrome aórtico
Visits
937
J. Pascual
Corresponding author
jpascualllopis@gmail.com

Corresponding author.
, C. Fuster, J.M. Chesini
Hospital Universitario de Torrevieja, Torrevieja, Alicante, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

This is the case of a 78-year-old woman with a 2-h history of intense oppressive chest pain associated with sweating and poor general condition. The examination of the patient’s heartbeats reveals a visible and overt vibration at thoracic wall level. The bedside echocardiography performed in the parasternal view—both in the long (figure 1) and short axes (figure 2)—revealed the presence of extrinsic compression of the heart by a fluid-and-air-filled heart chamber (in blue color) that caused the protrusion of the heart lower side (in green color). The CCTA performed discards the presence of acute aortic disease but confirms the presence of massive hiatal hernia with complete herniation of the gastric chamber (figure 3) (Fig. 1).

Figure 1
(0.12MB).
Copyright © 2022. Elsevier España, S.L.U. and SEMICYUC
Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?