array:23 [
  "pii" => "S0210569100796033"
  "issn" => "02105691"
  "doi" => "10.1016/S0210-5691(00)79603-3"
  "estado" => "S300"
  "fechaPublicacion" => "2000-08-01"
  "aid" => "79603"
  "copyright" => "Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L."
  "copyrightAnyo" => "2000"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Med Intensiva. 2000;24:278-80"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2628
    "formatos" => array:3 [
      "EPUB" => 153
      "HTML" => 1279
      "PDF" => 1196
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569100796045"
    "issn" => "02105691"
    "doi" => "10.1016/S0210-5691(00)79604-5"
    "estado" => "S300"
    "fechaPublicacion" => "2000-08-01"
    "aid" => "79604"
    "copyright" => "Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Intensiva. 2000;24:281-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4030
      "formatos" => array:3 [
        "EPUB" => 175
        "HTML" => 1943
        "PDF" => 1912
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Botulismo por herida: una causa de parálisis muscular generalizada"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "281"
          "paginaFinal" => "284"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Wound Botulism: A Cause of Widespread Muscular Paralysis"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "S. Lasdica, D. Fainstein, P. Casas, D. Maurizi"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "S."
              "apellidos" => "Lasdica"
            ]
            1 => array:2 [
              "nombre" => "D."
              "apellidos" => "Fainstein"
            ]
            2 => array:2 [
              "nombre" => "P."
              "apellidos" => "Casas"
            ]
            3 => array:2 [
              "nombre" => "D."
              "apellidos" => "Maurizi"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "M.A. Gertiser, A. Czerniecki"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "M.A."
              "apellidos" => "Gertiser"
            ]
            1 => array:2 [
              "nombre" => "A."
              "apellidos" => "Czerniecki"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796045?idApp=WMIE"
    "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796045/v1_201304241157/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569100796021"
    "issn" => "02105691"
    "doi" => "10.1016/S0210-5691(00)79602-1"
    "estado" => "S300"
    "fechaPublicacion" => "2000-08-01"
    "aid" => "79602"
    "copyright" => "Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Intensiva. 2000;24:275-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2797
      "formatos" => array:3 [
        "EPUB" => 152
        "HTML" => 1098
        "PDF" => 1547
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Shock anafiláctico e infarto de miocardio por rotura espontánea de quiste hidatídico"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "275"
          "paginaFinal" => "277"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Anaphilactic Shock and Myocardial Infarction Due to Spontaneous Rupture of Hydatid Cyst"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "V.E. Merlo GonzáLez,, F. Árbol Linde, C. Contreras Rosino, P. LóPez Onega"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "V.E."
              "apellidos" => "Merlo GonzáLez,"
            ]
            1 => array:2 [
              "nombre" => "F."
              "apellidos" => "Árbol Linde"
            ]
            2 => array:2 [
              "nombre" => "C."
              "apellidos" => "Contreras Rosino"
            ]
            3 => array:2 [
              "nombre" => "P."
              "apellidos" => "LóPez Onega"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "F. Marcos Sánchez, F. Santomé Argibay"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "F."
              "apellidos" => "Marcos Sánchez"
            ]
            1 => array:2 [
              "nombre" => "F."
              "apellidos" => "Santomé Argibay"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796021?idApp=WMIE"
    "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796021/v1_201304241157/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Aneurisma de arteria coronaria e infarto agudo de miocardio secundario a traumatismo torácico"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "278"
        "paginaFinal" => "280"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "F. Árbol Linde, V. Merlo González, J. Moreu Burgos, C. Contreras Rosino, A. Liétor Villajos, C. Hernández Lanchas"
        "autores" => array:6 [
          0 => array:3 [
            "nombre" => "F."
            "apellidos" => "Árbol Linde"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "V&#46;"
            "apellidos" => "Merlo Gonz&#225;lez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Moreu Burgos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;&#42;</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Contreras Rosino"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Li&#233;tor Villajos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Hern&#225;ndez Lanchas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicios de Medicina Intensiva"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Medicina Interna&#46; Hospital del Insalud de Talavera de la Reina"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Hemodin&#225;mica&#46; Hospital Virgen de la Salud&#46; Toledo"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;&#42;</span>"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "1"
            "correspondencia" => "Correspondencia&#58; Dra&#46; F&#46; &#193;rbol Linde&#46; C&#47; Alejandro Casona&#44; 7&#44; 4&#46;&#176; G&#46; 28035 Madrid&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Coronary Artery Aneurysm And Acute Myocardial Infarction After Chest Trauma"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "1999-11-22"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec82350"
          "palabras" => array:3 [
            0 => "traumatismo tor&#225;cico"
            1 => "infarto agudo de miocardio"
            2 => "aneurisma coronario"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec82349"
          "palabras" => array:3 [
            0 => "Chest trauma"
            1 => "acute myocardial infarction"
            2 => "coronary aneurysm"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El aneurisma coronario secundario a traumatismo tor&#225;cico no penetrante es extremadamente raro&#46; Describimos el caso de un var&#243;n de 29 a&#241;os que sufri&#243; un infarto agudo de miocardio &#40;IAM&#41; traum&#225;tico asintom&#225;tico tras accidente de tr&#225;fico&#46; El electrocardiograma &#40;ECG&#41; mostr&#243; un IAM antero-lateral transmural y la coronariograf&#237;a demostr&#243; la existencia de un aneurisma sacular postraum&#225;tico de la arteria coronaria descendente anterior&#46; En los pacientes con traumatismo tor&#225;cico y cambios ECG y enzim&#225;ticos sugestivos de IAM puede estar indicado realizar una angiograf&#237;a coronaria para descartar un aneurisma coronario&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Coronary artery aneurysm occurring after a nonpenetrating chest trauma is extremely rare&#46; We describe the case of a 29 year old man who had an assymptomatic traumatic myocardial infarction after a motor vehicle crash&#46; The electrocardiogram &#40;ECG&#41; showed an acute transmural antero-lateral myocardial infarction &#40;AMI&#41;&#46; Coronary angiography disclosed a posttraumatic sacular aneurysm of the anterior descending coronary artery&#46; In patients with chest trauma and with ECG and enzimatic changes suggesting AMI coronary angiography may be needed to rule out a coronary aneurysm&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aneurysm of the left anterior descending coronary artery after chest trauma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;S&#46; Bj&#246;rn-Hansen"
                            1 => "A&#46;R&#46; Thomanssen"
                            2 => "T&#46;T&#46; Nielsen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Heart J"
                        "fecha" => "1989"
                        "volumen" => "10"
                        "paginaInicial" => "177"
                        "paginaFinal" => "179"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2924785"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Frequency of myocardial injury after blunt chest trauma as evaluated by radionuclide angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46;R&#46; Sutherland"
                            1 => "A&#46;A&#46; Driedger"
                            2 => "R&#46;L&#46; Holiday"
                            3 => "H&#46;W&#46; Cheung"
                            4 => "W&#46;J&#46; Sibbad"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Cardiol"
                        "fecha" => "1984"
                        "volumen" => "52"
                        "paginaInicial" => "1&#46;099"
                        "paginaFinal" => "1&#46;103"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6685970"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Blunt cardiac trauma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46; Mayfield"
                            1 => "E&#46;J&#46; Hurley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg"
                        "fecha" => "1984"
                        "volumen" => "148"
                        "paginaInicial" => "162"
                        "paginaFinal" => "167"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6742324"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rotura traum&#225;tica de aur&#237;cula izquierda"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Arbol Linde"
                            1 => "J&#46; Rivero Alem&#225;n"
                            2 => "J&#46; Martinell Mart&#237;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Cuid Int"
                        "fecha" => "1988"
                        "volumen" => "3"
                        "paginaInicial" => "297"
                        "paginaFinal" => "298"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Three-Year Follow-up of a Posttraumatic Right Coronary Aneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;O&#46; Hwang"
                            1 => "K&#46;S&#46; Park"
                            2 => "K&#46;H&#46; Lee"
                            3 => "J&#46; Yoon"
                            4 => "J&#46;W&#46; Ha"
                            5 => "K&#46;H&#46; Choe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma"
                        "fecha" => "1997"
                        "volumen" => "43"
                        "paginaInicial" => "859"
                        "paginaFinal" => "861"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9390502"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Development of postraumatic coronary aneurysm&#58; clinical implications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;P&#46; Wang"
                            1 => "W&#46;C&#46; Shyong"
                            2 => "J&#46;H&#46; Tsai"
                            3 => "M&#46;S&#46; Chang"
                            4 => "B&#46;N&#46; Chiang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Heart J"
                        "fecha" => "1988"
                        "volumen" => "115"
                        "paginaInicial" => "1&#46;306"
                        "paginaFinal" => "1&#46;307"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3376851"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The natural history of aneurysmal coronary artery disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46;P&#46; Demopoulos"
                            1 => "C&#46;D&#46; Olympios"
                            2 => "C&#46;N&#46; Fakiolas"
                            3 => "E&#46;G&#46; Pissimissis"
                            4 => "N&#46;M&#46; Economides"
                            5 => "E&#46; Adamopoulou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart"
                        "fecha" => "1997"
                        "volumen" => "78"
                        "paginaInicial" => "136"
                        "paginaFinal" => "141"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9326986"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aneurismas coronarios m&#250;ltiples en un var&#243;n joven&#46; Aproximaci&#243;n diagn&#243;stica mediante diferentes t&#233;cnicas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Velasco"
                            1 => "J&#46;L&#46; Zamorano"
                            2 => "C&#46; Almer&#237;a"
                            3 => "J&#46; Ferreiros"
                            4 => "F&#46; Alfonso"
                            5 => "L&#46; S&#225;nchez-Harguindey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Cardiol"
                        "fecha" => "1999"
                        "volumen" => "52"
                        "paginaInicial" => "55"
                        "paginaFinal" => "58"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10364814"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Coronary ectasia&#58; Incidence and results of coronary bypass surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Aintablian"
                            1 => "H&#46; Hambi"
                            2 => "J&#46; Hoffman"
                            3 => "J&#46; Kramer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Heart J"
                        "fecha" => "1978"
                        "volumen" => "96"
                        "paginaInicial" => "309"
                        "paginaFinal" => "315"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/308303"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intravascular and intracardiac ultrasound&#58; a tool of the future"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46;D&#46; Hoit"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Clin"
                        "fecha" => "1996"
                        "volumen" => "12"
                        "paginaInicial" => "451"
                        "paginaFinal" => "470"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8860849"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796033/v1_201304241157/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "438"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Notas cl&#237;nicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000002400000006/v1_201304241157/S0210569100796033/v1_201304241157/es/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796033?idApp=WMIE"
]
Compartir
Información de la revista
Vol. 24. Núm. 6.
Páginas 278-280 (agosto 2000)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 24. Núm. 6.
Páginas 278-280 (agosto 2000)
Acceso a texto completo
Aneurisma de arteria coronaria e infarto agudo de miocardio secundario a traumatismo torácico
Coronary Artery Aneurysm And Acute Myocardial Infarction After Chest Trauma
Visitas
9355
F. Árbol Linde*,1, V. Merlo González*, J. Moreu Burgos***, C. Contreras Rosino*, A. Liétor Villajos*, C. Hernández Lanchas**
* Servicios de Medicina Intensiva
** Medicina Interna. Hospital del Insalud de Talavera de la Reina
*** Servicio de Hemodinámica. Hospital Virgen de la Salud. Toledo
Este artículo ha recibido
Información del artículo

El aneurisma coronario secundario a traumatismo torácico no penetrante es extremadamente raro. Describimos el caso de un varón de 29 años que sufrió un infarto agudo de miocardio (IAM) traumático asintomático tras accidente de tráfico. El electrocardiograma (ECG) mostró un IAM antero-lateral transmural y la coronariografía demostró la existencia de un aneurisma sacular postraumático de la arteria coronaria descendente anterior. En los pacientes con traumatismo torácico y cambios ECG y enzimáticos sugestivos de IAM puede estar indicado realizar una angiografía coronaria para descartar un aneurisma coronario.

Palabras clave:
traumatismo torácico
infarto agudo de miocardio
aneurisma coronario

Coronary artery aneurysm occurring after a nonpenetrating chest trauma is extremely rare. We describe the case of a 29 year old man who had an assymptomatic traumatic myocardial infarction after a motor vehicle crash. The electrocardiogram (ECG) showed an acute transmural antero-lateral myocardial infarction (AMI). Coronary angiography disclosed a posttraumatic sacular aneurysm of the anterior descending coronary artery. In patients with chest trauma and with ECG and enzimatic changes suggesting AMI coronary angiography may be needed to rule out a coronary aneurysm.

Key words:
Chest trauma
acute myocardial infarction
coronary aneurysm
El Texto completo está disponible en PDF
Bibliografía
[1.]
L.S. Björn-Hansen, A.R. Thomanssen, T.T. Nielsen.
Aneurysm of the left anterior descending coronary artery after chest trauma.
Eur Heart J, 10 (1989), pp. 177-179
[2.]
G.R. Sutherland, A.A. Driedger, R.L. Holiday, H.W. Cheung, W.J. Sibbad.
Frequency of myocardial injury after blunt chest trauma as evaluated by radionuclide angiography.
Am J Cardiol, 52 (1984), pp. 1.099-1.103
[3.]
W. Mayfield, E.J. Hurley.
Blunt cardiac trauma.
Am J Surg, 148 (1984), pp. 162-167
[4.]
F. Arbol Linde, J. Rivero Alemán, J. Martinell Martínez.
Rotura traumática de aurícula izquierda.
An Cuid Int, 3 (1988), pp. 297-298
[5.]
S.O. Hwang, K.S. Park, K.H. Lee, J. Yoon, J.W. Ha, K.H. Choe.
Three-Year Follow-up of a Posttraumatic Right Coronary Aneurysm.
J Trauma, 43 (1997), pp. 859-861
[6.]
S.P. Wang, W.C. Shyong, J.H. Tsai, M.S. Chang, B.N. Chiang.
Development of postraumatic coronary aneurysm: clinical implications.
Am Heart J, 115 (1988), pp. 1.306-1.307
[7.]
V.P. Demopoulos, C.D. Olympios, C.N. Fakiolas, E.G. Pissimissis, N.M. Economides, E. Adamopoulou, et al.
The natural history of aneurysmal coronary artery disease.
Heart, 78 (1997), pp. 136-141
[8.]
M. Velasco, J.L. Zamorano, C. Almería, J. Ferreiros, F. Alfonso, L. Sánchez-Harguindey.
Aneurismas coronarios múltiples en un varón joven. Aproximación diagnóstica mediante diferentes técnicas.
Rev Esp Cardiol, 52 (1999), pp. 55-58
[9.]
M. Aintablian, H. Hambi, J. Hoffman, J. Kramer.
Coronary ectasia: Incidence and results of coronary bypass surgery.
Am Heart J, 96 (1978), pp. 309-315
[10.]
B.D. Hoit.
Intravascular and intracardiac ultrasound: a tool of the future.
Crit Care Clin, 12 (1996), pp. 451-470
Copyright © 2000. Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L.
Descargar PDF
Idiomas
Medicina Intensiva
Opciones de artículo
Herramientas
es en

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

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