array:23 [
  "pii" => "S2173572722002004"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2022.07.022"
  "estado" => "S300"
  "fechaPublicacion" => "2023-02-01"
  "aid" => "1620"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2023;47:125-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173572722002843"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2021.05.011"
    "estado" => "S300"
    "fechaPublicacion" => "2023-02-01"
    "aid" => "1668"
    "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:127"
    "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" => "Just another sepsis case&#63; Lemmel&#39;s syndrome presenting as acute cholangitis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "127"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#191;Otro caso de sepsis&#63; Presentaci&#243;n de un s&#237;ndrome de Lemmel como colangitis aguda"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 1243
              "Ancho" => 1120
              "Tamanyo" => 148799
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46;M&#46; Ioan, B&#46; Sobrino Guijarro, A&#46; Santos"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "A&#46;M&#46;"
              "apellidos" => "Ioan"
            ]
            1 => array:2 [
              "nombre" => "B&#46;"
              "apellidos" => "Sobrino Guijarro"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Santos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002843?idApp=WMIE"
    "url" => "/21735727/0000004700000002/v2_202311091351/S2173572722002843/v2_202311091351/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572722002946"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.10.010"
    "estado" => "S300"
    "fechaPublicacion" => "2023-02-01"
    "aid" => "1615"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:124"
    "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" => "Diagnosis of cavitated pneumonia by lung ultrasound"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "124"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Diagn&#243;stico de neumon&#237;a cavitada por ecograf&#237;a pulmonar"
        ]
      ]
      "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" => 619
              "Ancho" => 2352
              "Tamanyo" => 179345
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; G&#243;mez Carranza, A&#46; Santos Peral, R&#46; Vicho Pereira"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "G&#243;mez Carranza"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Santos Peral"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Vicho Pereira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569121000024"
        "doi" => "10.1016/j.medin.2020.12.003"
        "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/S0210569121000024?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002946?idApp=WMIE"
    "url" => "/21735727/0000004700000002/v2_202311091351/S2173572722002946/v2_202311091351/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Persistence of bidirectional ventricular communication after myocardial infarctation&#58; Utility of contrast"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "125"
        "paginaFinal" => "126"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46;A&#46; Lameir&#227;o-Gaspar, R&#46; Mart&#237;n-Berm&#250;dez, A&#46; Adsuar-G&#243;mez"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Lameir&#227;o-Gaspar"
            "email" => array:1 [
              0 => "joaogaspar21@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Mart&#237;n-Berm&#250;dez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Adsuar-G&#243;mez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Unidad de Gesti&#243;n Cl&#237;nica de Medicina Intensiva&#44; Hospital Universitario Virgen del Roc&#237;o&#44; Sevilla&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Unidad de Gesti&#243;n Cl&#237;nica de Cardiolog&#237;a y Cirug&#237;a Cardiovascular&#44; Hospital Universitario Virgen del Roc&#237;o&#44; Sevilla&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Persistencia de comunicaci&#243;n ventricular bidireccional tras infarto de miocardio&#58; utilidad del contraste"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1214
            "Ancho" => 1508
            "Tamanyo" => 213240
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a 67-year-old woman in cardiogenic shock after myocardial infarction with one pseudoaneurysm and ventricular septal defect &#40;VSD&#41;&#58; oblique arrangement&#44; medial-anteroseptal to septo-apical &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; After stabilization&#44; it is repaired using a bovine patch&#46; Echocardiographic controls confirm the presence of right ventricular &#40;RV&#41; dysfunction and persistent VSD with scarce diastolic refill of the pseudoaneurysm from the RV&#44; and turbulent predominant systolic refill from the left ventricle &#40;LV&#41; draining into the RV through 2 different jets &#40;Appendix B&#59; video 1&#41;&#46; The agitated saline echo testing confirms the presence of a discrete pseudoaneurysm refill from the RV and fast washout of it from the LV&#44; as well as the passage of a few bubbles from the RV into the LV &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#59; Appendix B&#59; video 2&#41;&#46; The severe right dysfunction present complicates any new repairs&#46; Yellow arrow&#58; pseudoaneurysm&#59; green arrow&#58; VSD&#59; blue arrow&#58; bubbles in the LV&#59; red arrow&#58; patch&#46; Ultrasound views&#58; apical 4&#47;5 chambers and modified&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0015" class="elsevierStylePara elsevierViewall">The following are Supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0010"
          ]
        ]
      ]
    ]
    "multimedia" => array:4 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1214
            "Ancho" => 1508
            "Tamanyo" => 213240
          ]
        ]
      ]
      1 => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1382
            "Ancho" => 1560
            "Tamanyo" => 179001
          ]
        ]
      ]
      2 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 576532
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
      3 => array:5 [
        "identificador" => "upi0010"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc2.mp4"
          "ficheroTamanyo" => 1369469
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc2.m4v"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc2.flv"
              "poster" => "mmc2.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004700000002/v2_202311091351/S2173572722002004/v2_202311091351/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/21735727/0000004700000002/v2_202311091351/S2173572722002004/v2_202311091351/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002004?idApp=WMIE"
]
Share
Journal Information
Vol. 47. Issue 2.
Pages 125-126 (February 2023)
Share
Share
Download PDF
More article options
Vol. 47. Issue 2.
Pages 125-126 (February 2023)
Images in Intensive Medicine
Full text access
Persistence of bidirectional ventricular communication after myocardial infarctation: Utility of contrast
Persistencia de comunicación ventricular bidireccional tras infarto de miocardio: utilidad del contraste
Visits
1189
J.A. Lameirão-Gaspara,
Corresponding author
joaogaspar21@gmail.com

Corresponding author.
, R. Martín-Bermúdeza, A. Adsuar-Gómezb
a Unidad de Gestión Clínica de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, Spain
b Unidad de Gestión Clínica de Cardiología y Cirugía Cardiovascular, Hospital Universitario Virgen del Rocío, Sevilla, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (2)
Additional material (2)
Full Text

This is the case of a 67-year-old woman in cardiogenic shock after myocardial infarction with one pseudoaneurysm and ventricular septal defect (VSD): oblique arrangement, medial-anteroseptal to septo-apical (Fig. 1). After stabilization, it is repaired using a bovine patch. Echocardiographic controls confirm the presence of right ventricular (RV) dysfunction and persistent VSD with scarce diastolic refill of the pseudoaneurysm from the RV, and turbulent predominant systolic refill from the left ventricle (LV) draining into the RV through 2 different jets (Appendix B; video 1). The agitated saline echo testing confirms the presence of a discrete pseudoaneurysm refill from the RV and fast washout of it from the LV, as well as the passage of a few bubbles from the RV into the LV (Fig. 2; Appendix B; video 2). The severe right dysfunction present complicates any new repairs. Yellow arrow: pseudoaneurysm; green arrow: VSD; blue arrow: bubbles in the LV; red arrow: patch. Ultrasound views: apical 4/5 chambers and modified.

Figure 1
(0.2MB).
Figure 2
(0.17MB).
Appendix A
Supplementary data

The following are Supplementary data to this article:

(0.55MB)
(1.31MB)

Copyright © 2021. Elsevier España, S.L.U. and SEMICYUC
Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
Supplemental materials
es en

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

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