Sepsis y tromboembolismo pulmonar de repetición a partir de un sistema de derivación ventriculoatrial
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Las Palmas de Gran Canaria" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "autoresLista" => "G. Gil, J. Gómez" "autores" => array:2 [ 0 => array:3 [ "nombre" => "G." "apellidos" => "Gil" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0020" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Gómez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna del H. Insular. Las Palmas de Gran Canaria" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0020" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162952" "palabras" => array:5 [ 0 => "Derivación ventrículo-atrial" 1 => "Tromboembolismo pulmonar" 2 => "Circulación extracorpórea" 3 => "Hidrocefalia" 4 => "Complicaciones" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162951" "palabras" => array:5 [ 0 => "Ventriculo-atrial shunt" 1 => "Pulmonary thromboembolism" 2 => "Cardiopulmonary bypass" 3 => "Hydrocephalus" 4 => "Complications" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de un varón de 22 años, portador de un sistema de derivación ventrículo-atrial y afecto de sepsis, tromboembolismo pulmonar de repetición e imagen ecocardiográfica compatible con un trombo grande en extremo atrial del catéter. Dado el riesgo de desprendimiento del trombo, se decidió su extracción bajo visión directa mediante auriculotomía derecha bajo circulación extracorpórea.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se revisan las complicaciones de los sistemas de derivación ventrículo-atrial, haciendo especial referencia a las complicaciones tromboembólicas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A 22 years old man carrier of a ventriculo-atrial shunt presented with pulmonary thromboembolism, septicemia and a thrombus at the tip of the catheter. Due to the risk of massive embolization during a blind withdrawal of the catheter, it was removed by an open technique under cardiopulmonary bypass.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A review of the complications of the ventriculoatrial shunts are made with special reference to thromboembolic complications.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Abad, C.; Morera, J.; Robaina, F.J.; Pérez-Padrón, J.; Gil, G.; Gómez, J.: Sepsis y tromboembolismo pulmonar de repetición a partir de un sistema de derivación ventriculoatrial. Neurocirugía 1996; 7: 62–64.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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