array:23 [
  "pii" => "S0210569116300602"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2016.04.004"
  "estado" => "S300"
  "fechaPublicacion" => "2017-12-01"
  "aid" => "924"
  "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
  "copyrightAnyo" => "2016"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2017;41:577"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2097
    "formatos" => array:3 [
      "EPUB" => 183
      "HTML" => 1137
      "PDF" => 777
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173572717301935"
      "issn" => "21735727"
      "doi" => "10.1016/j.medine.2016.04.010"
      "estado" => "S300"
      "fechaPublicacion" => "2017-12-01"
      "aid" => "924"
      "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2017;41:577"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1146
        "formatos" => array:3 [
          "EPUB" => 170
          "HTML" => 562
          "PDF" => 414
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
        "titulo" => "Vegetation with a lizard-tail appearance in the left atrium"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "577"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Vegetaci&#243;n en forma de cola de lagarto en aur&#237;cula izquierda"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "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" => 600
                "Ancho" => 932
                "Tamanyo" => 89260
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46; Chicot, A&#46; Sarraj, E&#46; Aguilar, D&#46;A&#46; Rodr&#237;guez"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Chicot"
              ]
              1 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Sarraj"
              ]
              2 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Aguilar"
              ]
              3 => array:2 [
                "nombre" => "D&#46;A&#46;"
                "apellidos" => "Rodr&#237;guez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0210569116300602"
          "doi" => "10.1016/j.medin.2016.04.004"
          "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/S0210569116300602?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717301935?idApp=WMIE"
      "url" => "/21735727/0000004100000009/v1_201711250720/S2173572717301935/v1_201711250720/en/main.assets"
    ]
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569117300256"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2016.12.009"
    "estado" => "S300"
    "fechaPublicacion" => "2017-12-01"
    "aid" => "1024"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2017;41:575-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1890
      "formatos" => array:3 [
        "EPUB" => 163
        "HTML" => 1008
        "PDF" => 719
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">CARTA AL DIRECTOR</span>"
      "titulo" => "Percepci&#243;n de las enfermeras de la Unidad de Urgencias del Complejo Asistencial Universitario de Le&#243;n sobre la presencia de acompa&#241;antes en los boxes de adultos"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "575"
          "paginaFinal" => "576"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Perception regarding the presence of patient companions in the adult Emergency Care Ward among nurses in Le&#243;n Universitary Hospital Complex &#40;Spain&#41;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;C&#46; Ferreras Gonz&#225;lez, M&#46; L&#243;pez-Aguado"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "M&#46;C&#46;"
              "apellidos" => "Ferreras Gonz&#225;lez"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "L&#243;pez-Aguado"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572717301881"
        "doi" => "10.1016/j.medine.2017.10.004"
        "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/S2173572717301881?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569117300256?idApp=WMIE"
    "url" => "/02105691/0000004100000009/v1_201711250711/S0210569117300256/v1_201711250711/es/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Vegetation with a lizard-tail appearance in the left atrium"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "577"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46; Chicot, A&#46; Sarraj, E&#46; Aguilar, D&#46;A&#46; Rodr&#237;guez"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Chicot"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Sarraj"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Aguilar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:4 [
            "nombre" => "D&#46;A&#46;"
            "apellidos" => "Rodr&#237;guez"
            "email" => array:1 [
              0 => "cancabrilla&#64;hotmail&#46;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"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Universitario de La Princesa&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Cirug&#237;a Cardiaca&#44; Hospital Universitario de La Princesa&#44; Madrid&#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" => "Vegetaci&#243;n en forma de cola de lagarto en aur&#237;cula izquierda"
      ]
    ]
    "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" => 600
            "Ancho" => 932
            "Tamanyo" => 89260
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 77-year-old woman with infective endocarditis due to methicillin-sensitive <span class="elsevierStyleItalic">Staphylococcus aureus</span>&#46; Transesophageal echocardiography revealed a very large mobile vegetation with a tail-like appearance &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; It grew from the internal wall of the left atrium adjacent to the anterior commissure and caused severe mitral valve insufficiency&#46; Daptomycin and cloxacillin were started and the patient underwent mitral valve replacement&#46; The mass was excised completely together with the mitral valve&#46; Macroscopical examination showed an 8<span class="elsevierStyleHsp" style=""></span>cm-long purulent lizard&#39;s tail-shaped growth &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>a and b&#41;&#46; Anticoagulation was started on day 3 after surgery but was interrupted due to evidence of intracranial hemorrhage&#46; On day 37&#44; the patient was transferred to the general ward without neurological sequalae and subsequently discharged home without further complications&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2016-03-14"
    "fechaAceptado" => "2016-04-17"
    "multimedia" => array:2 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 600
            "Ancho" => 932
            "Tamanyo" => 89260
          ]
        ]
      ]
      1 => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 350
            "Ancho" => 1056
            "Tamanyo" => 96225
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004100000009/v1_201711250711/S0210569116300602/v1_201711250711/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "66261"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Imagen en medicina intensiva"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004100000009/v1_201711250711/S0210569116300602/v1_201711250711/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569116300602?idApp=WMIE"
]
Compartir
Información de la revista
Vol. 41. Núm. 9.
Páginas 577 (diciembre 2017)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 41. Núm. 9.
Páginas 577 (diciembre 2017)
Images in Intensive Medicine
Acceso a texto completo
Vegetation with a lizard-tail appearance in the left atrium
Vegetación en forma de cola de lagarto en aurícula izquierda
Visitas
6647
M. Chicota, A. Sarrajb, E. Aguilarb, D.A. Rodrígueza,
Autor para correspondencia
cancabrilla@hotmail.com

Corresponding author.
a Servicio de Medicina Intensiva, Hospital Universitario de La Princesa, Madrid, Spain
b Servicio de Cirugía Cardiaca, Hospital Universitario de La Princesa, Madrid, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (2)
Texto completo

We present the case of a 77-year-old woman with infective endocarditis due to methicillin-sensitive Staphylococcus aureus. Transesophageal echocardiography revealed a very large mobile vegetation with a tail-like appearance (Fig. 1). It grew from the internal wall of the left atrium adjacent to the anterior commissure and caused severe mitral valve insufficiency. Daptomycin and cloxacillin were started and the patient underwent mitral valve replacement. The mass was excised completely together with the mitral valve. Macroscopical examination showed an 8cm-long purulent lizard's tail-shaped growth (Fig. 2a and b). Anticoagulation was started on day 3 after surgery but was interrupted due to evidence of intracranial hemorrhage. On day 37, the patient was transferred to the general ward without neurological sequalae and subsequently discharged home without further complications.

Figure 1
(0.09MB).
Figure 2
(0.09MB).
Conflicts of interest

The authors declare no conflict of interest.

Copyright © 2016. Elsevier España, S.L.U. y SEMICYUC
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?