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"apellidos" => "Miramontes González" "email" => array:1 [ 0 => "jpmiramontes@hotmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Atención Primaria, Centro de Salud de Tudela de Duero, Tudela de Duero, Valladolid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Hematología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Clínico Universitario de Valladolid, Valladolid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "IBSAL, Universidad Pontificia de Salamanca, Salamanca, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aorta en porcelana" ] ] "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" => 1219 "Ancho" => 2167 "Tamanyo" => 120276 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 71-year-old male patient with history of ascending aortic aneurysm not indicated for surgical intervention was admitted to the internal medicine ward with right pleural effusion under study and 5 kg weight loss in two months. A chest X-ray was performed prior to admission (<a class="elsevierStyleCrossRef" href="#fig0005">Image 1</a>A). A chest CT was performed upon admission due to a suspected tumour (<a class="elsevierStyleCrossRef" href="#fig0005">Image 1</a>B) and showed previously unreported extensive atherosclerotic calcification of the aorta (porcelain aorta).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Porcelain aorta is an entity described as generalised and circular calcification of the ascending aorta. Aortic calcification can be located within the inner layer of the tunica intima, can be eccentric and start in the base of necrotic fibrofatty plaques (atherosclerotic type), or can be located within the tunica media. The main pathophysiological mechanisms of the disease include the activation of paracrine osteogenic signals; mediastinal radiation that causes aortitis, which generates calcium salt deposits as a sequela of scarring of the intima or tunica media; and, lastly, chronic kidney disease that causes not only accelerated atherosclerosis, but also diffuse calcification of the tunica media of the large arteries (Mönckeberg’s sclerosis).</p><p id="par0015" class="elsevierStylePara elsevierViewall">The current case aims to show how a chest X-ray can diagnose porcelain aorta, with findings subsequently confirmed via more specific tests such as a chest CT to facilitate treatment.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-09-23" "fechaAceptado" => "2019-10-01" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Trigoso Castro C, Tamayo Velasco Á, Miramontes González J.P. Aorta en porcelana. Rev Clin Esp. 2021;221:493–493.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1219 "Ancho" => 2167 "Tamanyo" => 120276 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022100000008/v2_202110011208/S2254887421000904/v2_202110011208/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022100000008/v2_202110011208/S2254887421000904/v2_202110011208/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421000904?idApp=WRCEE" ]
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