array:23 [
  "pii" => "S0210569124000548"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2024.01.006"
  "estado" => "S300"
  "fechaPublicacion" => "2024-09-01"
  "aid" => "1978"
  "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
  "copyrightAnyo" => "2024"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2024;48:561-2"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173572724000262"
      "issn" => "21735727"
      "doi" => "10.1016/j.medine.2024.02.002"
      "estado" => "S300"
      "fechaPublicacion" => "2024-09-01"
      "aid" => "1978"
      "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2024;48:561-2"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
        "titulo" => "Harlequin syndrome&#58; a picture speaks a thousand words"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "561"
            "paginaFinal" => "562"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "S&#237;ndrome de arlequ&#237;n&#58; una imagen vale m&#225;s que mil palabras"
          ]
        ]
        "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" => 1319
                "Ancho" => 1675
                "Tamanyo" => 151416
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Jorge Mart&#237;nez-Solano, Nerea Alava-Echevarr&#237;a, Iago Sousa-Casasnovas"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Jorge"
                "apellidos" => "Mart&#237;nez-Solano"
              ]
              1 => array:2 [
                "nombre" => "Nerea"
                "apellidos" => "Alava-Echevarr&#237;a"
              ]
              2 => array:2 [
                "nombre" => "Iago"
                "apellidos" => "Sousa-Casasnovas"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0210569124000548"
          "doi" => "10.1016/j.medin.2024.01.006"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124000548?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000262?idApp=WMIE"
      "url" => "/21735727/0000004800000009/v1_202409021221/S2173572724000262/v1_202409021221/en/main.assets"
    ]
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569124000585"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2024.01.011"
    "estado" => "S300"
    "fechaPublicacion" => "2024-09-01"
    "aid" => "1983"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2024;48:559-60"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
      "titulo" => "S&#237;ndrome de hiperinfestaci&#243;n por <span class="elsevierStyleItalic">Strongyloides stercoralis&#58;</span> un desaf&#237;o infrecuente pero mortal en las UCI"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "559"
          "paginaFinal" => "560"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "<span class="elsevierStyleItalic">Strongyloides stercoralis</span> hyperinfection syndrome&#58; A rare but fatal challenge in the ICU"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1400
              "Ancho" => 1126
              "Tamanyo" => 487320
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pablo Lasa-Berasain, Andoni Presa Orue, Ver&#243;nica D&#237;az de Anto&#241;ana S&#225;enz, Patricia Ares Mir&#243;"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Lasa-Berasain"
            ]
            1 => array:2 [
              "nombre" => "Andoni"
              "apellidos" => "Presa Orue"
            ]
            2 => array:2 [
              "nombre" => "Ver&#243;nica"
              "apellidos" => "D&#237;az de Anto&#241;ana S&#225;enz"
            ]
            3 => array:2 [
              "nombre" => "Patricia"
              "apellidos" => "Ares Mir&#243;"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S217357272400047X"
        "doi" => "10.1016/j.medine.2024.02.011"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357272400047X?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124000585?idApp=WMIE"
    "url" => "/02105691/0000004800000009/v1_202408290622/S0210569124000585/v1_202408290622/es/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Harlequin syndrome&#58; a picture speaks a thousand words"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "561"
        "paginaFinal" => "562"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Jorge Mart&#237;nez-Solano, Nerea Alava-Echevarr&#237;a, Iago Sousa-Casasnovas"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Jorge"
            "apellidos" => "Mart&#237;nez-Solano"
            "email" => array:1 [
              0 => "jorge92ms@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Nerea"
            "apellidos" => "Alava-Echevarr&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Iago"
            "apellidos" => "Sousa-Casasnovas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Cardiology Department&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#44; Instituto de Investigaci&#243;n Sanitaria &#40;IiSGM&#41;&#44; Facultad de Medicina&#44; Universidad Complutense y CIBERCV&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Radiology Department&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#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" => "S&#237;ndrome de arlequ&#237;n&#58; una imagen vale m&#225;s que mil palabras"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1080
            "Ancho" => 1746
            "Tamanyo" => 241784
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 56-year-old man presented with profound shock and unresponsive hypoxemia&#46; Pulmonary embolism was suspected given the extremely dilated right ventricle with septal flattening&#46; It was decided then to start peripheral veno-arterial extracorporeal membrane oxygenation &#40;VA-ECMO&#41; through bedside cannulation&#46; 72<span class="elsevierStyleHsp" style=""></span>h later&#44; the patient was on unfractionated heparin&#44; had recovered from multiorgan failure without neurological impairment and vasopressors had been withdrawn&#46; However&#44; persistent hypoxemia and right ventricle dysfunction challenged ECMO weaning&#46; A computed tomography confirmed the diagnosis &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; and provided evidence of the harlequin syndrome &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; as the two bloodstreams&#44; the native cardiac output and oxygenated ECMO return&#44; meet in the watershed area&#46; Subsequently&#44; the patient underwent a successful transcatheter pulmonary thromboaspiration &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41; and could be weaned from mechanical ventilation and ECMO the following days&#46; He was discharged two weeks later without further complications&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors&#8217; contribution</span><p id="par0010" class="elsevierStylePara elsevierViewall">Conception&#44; design and writing the article JMS and ISC&#46; Analysis and image collection NAE&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">None&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Funding source</span><p id="par0020" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Authors&#8217; contribution"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interest"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Funding source"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:3 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1039
            "Ancho" => 1337
            "Tamanyo" => 85689
          ]
        ]
      ]
      1 => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1056
            "Ancho" => 1340
            "Tamanyo" => 113540
          ]
        ]
      ]
      2 => array:6 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1080
            "Ancho" => 1746
            "Tamanyo" => 241784
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004800000009/v1_202408290622/S0210569124000548/v1_202408290622/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "440"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Im&#225;genes en medicina intensiva"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004800000009/v1_202408290622/S0210569124000548/v1_202408290622/en/main.pdf?idApp=WMIE&text.app=https://www.medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124000548?idApp=WMIE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Images in Intensive Medicine
Harlequin syndrome: a picture speaks a thousand words
Síndrome de arlequín: una imagen vale más que mil palabras
Jorge Martínez-Solanoa,
Corresponding author
jorge92ms@gmail.com

Corresponding author.
, Nerea Alava-Echevarríab, Iago Sousa-Casasnovasa
a Cardiology Department, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria (IiSGM), Facultad de Medicina, Universidad Complutense y CIBERCV, Madrid, Spain
b Radiology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Read
190
Times
was read the article
20
Total PDF
170
Total HTML
Share statistics
 array:23 [
  "pii" => "S0210569124000548"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2024.01.006"
  "estado" => "S300"
  "fechaPublicacion" => "2024-09-01"
  "aid" => "1978"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
  "copyrightAnyo" => "2024"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2024;48:561-2"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173572724000262"
      "issn" => "21735727"
      "doi" => "10.1016/j.medine.2024.02.002"
      "estado" => "S300"
      "fechaPublicacion" => "2024-09-01"
      "aid" => "1978"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2024;48:561-2"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
        "titulo" => "Harlequin syndrome&#58; a picture speaks a thousand words"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "561"
            "paginaFinal" => "562"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "S&#237;ndrome de arlequ&#237;n&#58; una imagen vale m&#225;s que mil palabras"
          ]
        ]
        "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" => 1319
                "Ancho" => 1675
                "Tamanyo" => 151416
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Jorge Mart&#237;nez-Solano, Nerea Alava-Echevarr&#237;a, Iago Sousa-Casasnovas"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Jorge"
                "apellidos" => "Mart&#237;nez-Solano"
              ]
              1 => array:2 [
                "nombre" => "Nerea"
                "apellidos" => "Alava-Echevarr&#237;a"
              ]
              2 => array:2 [
                "nombre" => "Iago"
                "apellidos" => "Sousa-Casasnovas"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0210569124000548"
          "doi" => "10.1016/j.medin.2024.01.006"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124000548?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000262?idApp=WMIE"
      "url" => "/21735727/0000004800000009/v1_202409021221/S2173572724000262/v1_202409021221/en/main.assets"
    ]
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569124000585"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2024.01.011"
    "estado" => "S300"
    "fechaPublicacion" => "2024-09-01"
    "aid" => "1983"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2024;48:559-60"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
      "titulo" => "S&#237;ndrome de hiperinfestaci&#243;n por <span class="elsevierStyleItalic">Strongyloides stercoralis&#58;</span> un desaf&#237;o infrecuente pero mortal en las UCI"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "559"
          "paginaFinal" => "560"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "<span class="elsevierStyleItalic">Strongyloides stercoralis</span> hyperinfection syndrome&#58; A rare but fatal challenge in the ICU"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1400
              "Ancho" => 1126
              "Tamanyo" => 487320
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pablo Lasa-Berasain, Andoni Presa Orue, Ver&#243;nica D&#237;az de Anto&#241;ana S&#225;enz, Patricia Ares Mir&#243;"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Lasa-Berasain"
            ]
            1 => array:2 [
              "nombre" => "Andoni"
              "apellidos" => "Presa Orue"
            ]
            2 => array:2 [
              "nombre" => "Ver&#243;nica"
              "apellidos" => "D&#237;az de Anto&#241;ana S&#225;enz"
            ]
            3 => array:2 [
              "nombre" => "Patricia"
              "apellidos" => "Ares Mir&#243;"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S217357272400047X"
        "doi" => "10.1016/j.medine.2024.02.011"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357272400047X?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124000585?idApp=WMIE"
    "url" => "/02105691/0000004800000009/v1_202408290622/S0210569124000585/v1_202408290622/es/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Harlequin syndrome&#58; a picture speaks a thousand words"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "561"
        "paginaFinal" => "562"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Jorge Mart&#237;nez-Solano, Nerea Alava-Echevarr&#237;a, Iago Sousa-Casasnovas"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Jorge"
            "apellidos" => "Mart&#237;nez-Solano"
            "email" => array:1 [
              0 => "jorge92ms@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Nerea"
            "apellidos" => "Alava-Echevarr&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Iago"
            "apellidos" => "Sousa-Casasnovas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Cardiology Department&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#44; Instituto de Investigaci&#243;n Sanitaria &#40;IiSGM&#41;&#44; Facultad de Medicina&#44; Universidad Complutense y CIBERCV&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Radiology Department&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#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" => "S&#237;ndrome de arlequ&#237;n&#58; una imagen vale m&#225;s que mil palabras"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1080
            "Ancho" => 1746
            "Tamanyo" => 241784
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 56-year-old man presented with profound shock and unresponsive hypoxemia&#46; Pulmonary embolism was suspected given the extremely dilated right ventricle with septal flattening&#46; It was decided then to start peripheral veno-arterial extracorporeal membrane oxygenation &#40;VA-ECMO&#41; through bedside cannulation&#46; 72<span class="elsevierStyleHsp" style=""></span>h later&#44; the patient was on unfractionated heparin&#44; had recovered from multiorgan failure without neurological impairment and vasopressors had been withdrawn&#46; However&#44; persistent hypoxemia and right ventricle dysfunction challenged ECMO weaning&#46; A computed tomography confirmed the diagnosis &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; and provided evidence of the harlequin syndrome &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; as the two bloodstreams&#44; the native cardiac output and oxygenated ECMO return&#44; meet in the watershed area&#46; Subsequently&#44; the patient underwent a successful transcatheter pulmonary thromboaspiration &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41; and could be weaned from mechanical ventilation and ECMO the following days&#46; He was discharged two weeks later without further complications&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors&#8217; contribution</span><p id="par0010" class="elsevierStylePara elsevierViewall">Conception&#44; design and writing the article JMS and ISC&#46; Analysis and image collection NAE&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">None&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Funding source</span><p id="par0020" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Authors&#8217; contribution"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interest"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Funding source"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:3 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1039
            "Ancho" => 1337
            "Tamanyo" => 85689
          ]
        ]
      ]
      1 => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1056
            "Ancho" => 1340
            "Tamanyo" => 113540
          ]
        ]
      ]
      2 => array:6 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1080
            "Ancho" => 1746
            "Tamanyo" => 241784
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004800000009/v1_202408290622/S0210569124000548/v1_202408290622/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "440"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Im&#225;genes en medicina intensiva"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004800000009/v1_202408290622/S0210569124000548/v1_202408290622/en/main.pdf?idApp=WMIE&text.app=https://www.medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124000548?idApp=WMIE"
]
Article information
ISSN: 02105691
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 October 7 1 8
2024 September 139 12 151
2024 August 24 7 31

Follow this link to access the full text of the article

Idiomas
Medicina Intensiva (English Edition)
es en

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

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