array:22 [
  "pii" => "S2173572723002576"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2023.12.005"
  "estado" => "S300"
  "fechaPublicacion" => "2024-03-01"
  "aid" => "1955"
  "copyrightAnyo" => "2023"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2024;48:185-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:17 [
    "pii" => "S2173572723001832"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2023.10.013"
    "estado" => "S300"
    "fechaPublicacion" => "2024-03-01"
    "aid" => "1937"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2024;48:187-8"
    "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" => "An uncommon echocardiographic finding in the inferior vena cava after decannulation of extracorporeal membrane oxygenation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "187"
          "paginaFinal" => "188"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Un hallazgo ecocardiogr&#225;fico infrecuente en la vena cava inferior tras la decanulaci&#243;n de la oxigenaci&#243;n por membrana extracorp&#243;rea"
        ]
      ]
      "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" => 1131
              "Ancho" => 3341
              "Tamanyo" => 405404
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Xiaoyang Zhou, Jianneng Pan, Bixin Chen"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Xiaoyang"
              "apellidos" => "Zhou"
            ]
            1 => array:2 [
              "nombre" => "Jianneng"
              "apellidos" => "Pan"
            ]
            2 => array:2 [
              "nombre" => "Bixin"
              "apellidos" => "Chen"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723001832?idApp=WMIE"
    "url" => "/21735727/0000004800000003/v1_202403010851/S2173572723001832/v1_202403010851/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S217357272400002X"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2024.01.002"
    "estado" => "S300"
    "fechaPublicacion" => "2024-03-01"
    "aid" => "1965"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2024;48:183-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Use of mirrors in the critically ill patient admitted to the Intensive Care Unit&#44; do they have a place&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "183"
          "paginaFinal" => "184"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Uso del espejo en el paciente cr&#237;tico ingresado en la Unidad de Cuidados Intensivos&#44; &#191;tiene cabida&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Kapil Laxman Nanwani Nanwani, Mar&#237;a Victoria Bonan"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Kapil Laxman"
              "apellidos" => "Nanwani Nanwani"
            ]
            1 => array:2 [
              "nombre" => "Mar&#237;a Victoria"
              "apellidos" => "Bonan"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569123003716"
        "doi" => "10.1016/j.medin.2023.12.005"
        "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/S0210569123003716?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357272400002X?idApp=WMIE"
    "url" => "/21735727/0000004800000003/v1_202403010851/S217357272400002X/v1_202403010851/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Massive pseudoaneurysm complicated with cardiac arrest after COVID 19 related myocardial infarction&#46;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "185"
        "paginaFinal" => "186"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Carlos Roca-Guerrero, Andrea Arenas-Loriente, Rut Andrea"
        "autores" => array:3 [
          0 => array:3 [
            "nombre" => "Carlos"
            "apellidos" => "Roca-Guerrero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Andrea"
            "apellidos" => "Arenas-Loriente"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:4 [
            "nombre" => "Rut"
            "apellidos" => "Andrea"
            "email" => array:1 [
              0 => "randrea@clinic.cat"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Acute Cardiac Care Section&#44; Cardiovascular Institute&#44; Hospital Clinic Barcelona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "University of Barcelona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "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" => 1760
            "Ancho" => 3341
            "Tamanyo" => 564433
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The importance of comprehensive imaging study by multiple techniques in the hyperacute clinical setting is highlighted&#46; A paradigmatic example of massive cardiac pseudoaneurysm with mitral valve&#8217;s papillary muscle rupture due to myocardial infarction complicated with cardiogenic shock that required VA-ECMO support is shown&#46; &#40;A&#41; <span class="elsevierStyleItalic">White triangle identifies left circumflex occlusion on coronary angiography&#46; &#40;</span>B&#41; <span class="elsevierStyleItalic">Yellow triangle &#40;YT&#41; identifies massive pseudoaneurysm on scanner with the anatomical neck in blue line&#46;</span> &#40;C&#41; <span class="elsevierStyleItalic">YT identifies massive pseudoaneurysm on scanner&#8217;s orthogonal view&#46;</span> &#40;D&#41; <span class="elsevierStyleItalic">Massive pseudoaneurysm &#40;YT&#41; on transesophageal echo &#40;TE&#41;&#46;</span> &#40;E&#41; <span class="elsevierStyleItalic">Red triangle identifies mitral regurgitation during in-surgery-TE</span>&#46; &#40;F&#41; <span class="elsevierStyleItalic">Green triangle identifies pericardial patch over the repaired tissue</span>&#46; Twelve hours after first symptom a successful surgical reparation with pericardial patch&#44; mitral bioprosthesis implantation and venous bypass graft to the circumflex coronary artery was performed&#46; To guarantee accurate emergent cardiovascular assistance&#44; imaging&#44; mechanical circulatory support options and neurological tests skills must be familiar to intensive care physicians&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">None&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authorship</span><p id="par0015" class="elsevierStylePara elsevierViewall">Dr&#46; CRG and Dr&#46; RA prepared the original manuscript&#46; Dr&#46; AAL helped with imaging processing and paper review&#46; All authors are responsible for this manuscript&#39;s content&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">Authors do not have any conflict of interest to disclose related to the matter discussed in this manuscript&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Authorship"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflict of interest"
        ]
      ]
    ]
    "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" => 1760
            "Ancho" => 3341
            "Tamanyo" => 564433
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004800000003/v1_202403010851/S2173572723002576/v1_202403010851/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/21735727/0000004800000003/v1_202403010851/S2173572723002576/v1_202403010851/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723002576?idApp=WMIE"
]
Share
Journal Information
Vol. 48. Issue 3.
Pages 185-186 (March 2024)
Share
Share
Download PDF
More article options
Visits
2038
Vol. 48. Issue 3.
Pages 185-186 (March 2024)
Images in Intensive Medicine
Full text access
Massive pseudoaneurysm complicated with cardiac arrest after COVID 19 related myocardial infarction.
Visits
2038
Carlos Roca-Guerreroa, Andrea Arenas-Lorientea, Rut Andreaa,b,
Corresponding author
randrea@clinic.cat

Corresponding author.
a Acute Cardiac Care Section, Cardiovascular Institute, Hospital Clinic Barcelona, Spain
b University of Barcelona, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

The importance of comprehensive imaging study by multiple techniques in the hyperacute clinical setting is highlighted. A paradigmatic example of massive cardiac pseudoaneurysm with mitral valve’s papillary muscle rupture due to myocardial infarction complicated with cardiogenic shock that required VA-ECMO support is shown. (A) White triangle identifies left circumflex occlusion on coronary angiography. (B) Yellow triangle (YT) identifies massive pseudoaneurysm on scanner with the anatomical neck in blue line. (C) YT identifies massive pseudoaneurysm on scanner’s orthogonal view. (D) Massive pseudoaneurysm (YT) on transesophageal echo (TE). (E) Red triangle identifies mitral regurgitation during in-surgery-TE. (F) Green triangle identifies pericardial patch over the repaired tissue. Twelve hours after first symptom a successful surgical reparation with pericardial patch, mitral bioprosthesis implantation and venous bypass graft to the circumflex coronary artery was performed. To guarantee accurate emergent cardiovascular assistance, imaging, mechanical circulatory support options and neurological tests skills must be familiar to intensive care physicians.

Figure 1
(0.54MB).
Funding

None.

Authorship

Dr. CRG and Dr. RA prepared the original manuscript. Dr. AAL helped with imaging processing and paper review. All authors are responsible for this manuscript's content.

Conflict of interest

Authors do not have any conflict of interest to disclose related to the matter discussed in this manuscript.

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?