array:24 [
  "pii" => "S087321591530338X"
  "issn" => "08732159"
  "doi" => "10.1016/S0873-2159(15)30338-X"
  "estado" => "S350"
  "fechaPublicacion" => "2007-01-01"
  "aid" => "7"
  "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
  "copyrightAnyo" => "2007"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "rev"
  "cita" => "Rev Port Pneumol. 2007;13:71-81"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2930
    "formatos" => array:3 [
      "EPUB" => 210
      "HTML" => 1588
      "PDF" => 1132
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0873215915303391"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30339-1"
    "estado" => "S350"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "8"
    "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "rev"
    "cita" => "Rev Port Pneumol. 2007;13:83-100"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3097
      "formatos" => array:3 [
        "EPUB" => 223
        "HTML" => 2066
        "PDF" => 808
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo de Revis&#227;o &#47; Revision Article</span>"
      "titulo" => "Manifesta&#231;&#245;es pulmonares de patologias auto-imunes"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "83"
          "paginaFinal" => "100"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Pulmonary manifestations of autoimmune diseases"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Diva Ferreira, Sofia Neves, Agostinho Lira, Isabel Bastos, Jos&#233; Almeida"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Diva"
              "apellidos" => "Ferreira"
            ]
            1 => array:2 [
              "nombre" => "Sofia"
              "apellidos" => "Neves"
            ]
            2 => array:2 [
              "nombre" => "Agostinho"
              "apellidos" => "Lira"
            ]
            3 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Bastos"
            ]
            4 => array:2 [
              "nombre" => "Jos&#233;"
              "apellidos" => "Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915303391?idApp=UINPBA00004E"
    "url" => "/08732159/0000001300000001/v1_201509071333/S0873215915303391/v1_201509071333/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215915303421"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30342-1"
    "estado" => "S350"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "3"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2007;13:137-42"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2760
      "formatos" => array:3 [
        "EPUB" => 215
        "HTML" => 1726
        "PDF" => 819
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico &#47; Clinical Case</span>"
      "titulo" => "Linfoma MALT do pulm&#227;o &#8211; Uma forma rara de linfoma"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "137"
          "paginaFinal" => "142"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Pulmonary MALT lymphoma &#8211; A rare form of lymphoma"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jo&#227;o Meneses Santos, Raed Zakout, Carlos Ferreira, Maria Jo&#227;o Palhano, Rui M&#46;M&#46; Victorino"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Jo&#227;o Meneses"
              "apellidos" => "Santos"
            ]
            1 => array:2 [
              "nombre" => "Raed"
              "apellidos" => "Zakout"
            ]
            2 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Ferreira"
            ]
            3 => array:2 [
              "nombre" => "Maria Jo&#227;o"
              "apellidos" => "Palhano"
            ]
            4 => array:2 [
              "nombre" => "Rui M&#46;M&#46;"
              "apellidos" => "Victorino"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915303421?idApp=UINPBA00004E"
    "url" => "/08732159/0000001300000001/v1_201509071333/S0873215915303421/v1_201509071333/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo de Revis&#227;o &#47; Revision Article</span>"
    "titulo" => "Deriva&#231;&#227;o pericardioperitoneal no tratamento de derrames peric&#225;rdicos em doentes neopl&#225;sicos"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "71"
        "paginaFinal" => "81"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Nuno Cortes&#227;o, Ana Figueiredo, Fernando Barata, Ant&#243;nio Correia de Matos, Carlos Janelas"
        "autores" => array:5 [
          0 => array:3 [
            "nombre" => "Nuno"
            "apellidos" => "Cortes&#227;o"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cr0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Ana"
            "apellidos" => "Figueiredo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "af0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Barata"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "af0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Ant&#243;nio Correia"
            "apellidos" => "de Matos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "af0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Carlos"
            "apellidos" => "Janelas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "af0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Interno Complementar de Pneumologia"
            "etiqueta" => "1"
            "identificador" => "af0005"
          ]
          1 => array:3 [
            "entidad" => "Assistente de Pneumologia"
            "etiqueta" => "2"
            "identificador" => "af0010"
          ]
          2 => array:3 [
            "entidad" => "Assistente Graduado de Pneumologia &#8211; Servi&#231;o de Pneumologia do Centro Hospitalar de Coimbra&#46; Director&#58; Dr&#46; Jorge Pires&#46;"
            "etiqueta" => "3"
            "identificador" => "af0015"
          ]
          3 => array:3 [
            "entidad" => "Chefe de Servi&#231;o &#8211; Sector de Cirurgia Tor&#225;cica do Centro Hospitalar de Coimbra&#46; Director&#58; Dr&#46; Carlos Janelas&#46;"
            "etiqueta" => "4"
            "identificador" => "af0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cr0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "<span class="elsevierStyleBold">Correspond&#234;ncia&#47;Correspondence to&#58;</span> Centro Hospitalar de Coimbra &#40;CHC&#41; Quinta dos Vales S&#46; Martinho do Bispo 3041-801 Coimbra"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Pericardioperitoneal shunt in the treatment of pericardial effusions in neoplasic patients"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2005-09-22"
    "fechaAceptado" => "2006-10-20"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec567929"
          "palabras" => array:4 [
            0 => "Derrame peric&#225;rdico"
            1 => "neoplasia"
            2 => "deriva&#231;&#227;o pericardioperitoneal"
            3 => "drenagem peric&#225;rdica"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec567928"
          "palabras" => array:4 [
            0 => "Pericardial effusion"
            1 => "neoplasia"
            2 => "pericardioperitoneal shunt"
            3 => "pericardial drainage"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Os derrames peric&#225;rdicos que surgem num contexto neopl&#225;sico s&#227;o frequentes e apresentam dificuldades de diagn&#243;stico e tratamento&#46; Apesar de surgirem em doentes com neoplasia&#44; 50&#37; destes derrames t&#234;m uma etiologia benigna&#59; surgem por mecanismos paralelos&#44; indirectamente relacionados com o tumor&#46; Os restantes &#40;derrames peric&#225;rdicos neopl&#225;sicos &#8211; DPN&#41; resultam do atingimento tumoral das estruturas peri ou epic&#225;rdicas e assumem&#44; por si s&#243;&#44; um pior progn&#243;stico&#46; As op&#231;&#245;es de tratamento dispon&#237;veis s&#227;o v&#225;rias&#44; mas a aus&#234;ncia de normas orientadoras da sua aplica&#231;&#227;o tornam dif&#237;cil avaliar perfis de rentabilidade&#44; efic&#225;cia e seguran&#231;a&#46; A deriva&#231;&#227;o pericardioperitoneal &#40;DPP&#41; &#233; um m&#233;todo cir&#250;rgico de drenagem da cavidade peric&#225;rdica que se tem demonstrado muito &#250;til em DPN&#46; No CHC&#44; esta t&#233;cnica &#233; efectuada com o aux&#237;lio de toracoscopia videoassistida &#40;VATS&#41;&#46; Nos &#250;ltimos 8 anos&#44; foram submetidos a esta modalidade terap&#234;utica 18 doentes com DPN&#46; A t&#233;cnica demonstrou ser segura&#44; eficaz e com baixa morbilidade&#47;mortalidade&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 71-81</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Neoplasia-related pericardial effusions are a frequent finding and pose diagnostic and therapeutic challenges&#46; Although they appear in the context of an underlying neoplastic disease&#44; 50&#37; of these effusions have a benign etiology&#59; they are indirectly caused by the tumor&#46; The remaining cases &#40;neoplastic pericardial effusions &#8211; NPE&#41; derive from extension of tumoral disease to the epi and&#47;or pericardium and have&#44; therefore&#44; a worst prognosis&#46; Despite several treatment options&#44; the lack of apropriate guidelines difficults the evaluation of their efficacy and safety&#46; Pericardioperitoneal shunt &#40;PPS&#41; is a surgical pericardial drainage method&#44; which has demonstrated its use fulness in the management of NPE&#46; At the CHC&#44; this procedure is performed under videoassisted toracoscopic guidance &#40;VATS&#41;&#46; During the last 8 years&#44; 18 patients have been submitted to this therapeutic option&#44; which proved to be safe&#44; efficacious and with low morbimortality rates&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 71-81</span></p></span>"
      ]
    ]
    "lecturaRecomendada" => array:1 [
      0 => array:3 [
        "vista" => "all"
        "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>"
        "seccion" => array:1 [
          0 => array:2 [
            "vista" => "all"
            "bibliografiaReferencia" => array:18 [
              0 => array:3 [
                "identificador" => "bb0005"
                "etiqueta" => "1&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:1 [
                        "titulo" => "Guidelines on the diagnosis and management of pericardial diseases &#91;Executive summary&#93;"
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1016/j.ehj.2004.02.002"
                        "Revista" => array:6 [
                          "tituloSerie" => "Eur Heart J"
                          "fecha" => "2004"
                          "volumen" => "25"
                          "paginaInicial" => "587"
                          "paginaFinal" => "610"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15120056"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              1 => array:3 [
                "identificador" => "bb0010"
                "etiqueta" => "2&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pericardioscopy for primary management of pericardial effusion in cancer patients"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "H&#46;L&#46; Porte"
                              1 => "T&#46;J&#46; Janecki-Delebecq"
                              2 => "L&#46; Finzi"
                              3 => "D&#46;G&#46; Metois"
                              4 => "A&#46; Millaire"
                              5 => "A&#46;J&#46; Wurtz"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Eur J Cardiothorac Surg"
                          "fecha" => "1999"
                          "volumen" => "16"
                          "numero" => "3"
                          "paginaInicial" => "287"
                          "paginaFinal" => "291"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10554845"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              2 => array:3 [
                "identificador" => "bb0015"
                "etiqueta" => "3&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "The management of malignant pericardial effusions using permanently implanted devices"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "M&#46;A&#46; Melfi"
                              1 => "G&#46;F&#46; Menconi"
                              2 => "A&#46; Chella"
                              3 => "C&#46;A&#46; Angeletti"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Eur J Cardiothorac Surg"
                          "fecha" => "2002"
                          "volumen" => "21"
                          "paginaInicial" => "345"
                          "paginaFinal" => "347"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11825752"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              3 => array:3 [
                "identificador" => "bb0020"
                "etiqueta" => "4&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Surgical management of pericardial effusion in patients with malignancies"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "J&#46;S&#46; Park"
                              1 => "R&#46; Rentschler"
                              2 => "D&#46; Wilbur"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Cancer"
                          "fecha" => "1991"
                          "volumen" => "67"
                          "paginaInicial" => "76"
                          "paginaFinal" => "80"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1702345"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              4 => array:3 [
                "identificador" => "bb0025"
                "etiqueta" => "5&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Malignant effusive disease of the pleura and pericardium"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "M&#46;M&#46; De Camp"
                              1 => "S&#46;J&#46; Mentzer"
                              2 => "S&#46;J&#46; Swanson"
                              3 => "D&#46;J&#46; Sugarbaker"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "1997"
                          "volumen" => "112"
                          "paginaInicial" => "291S"
                          "paginaFinal" => "295S"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9337306"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              5 => array:3 [
                "identificador" => "bb0030"
                "etiqueta" => "6&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Surgical pathology of the parietal pericardium&#58; a study of 344 case &#40;1993-1994&#41;"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "K&#46;Y&#46; Oh"
                              1 => "M&#46; Shimizu"
                              2 => "W&#46;D&#46; Edwards"
                              3 => "H&#46;D&#46; Tazelaar"
                              4 => "G&#46;K&#46; Danielson"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Cardiovasc Pathol"
                          "fecha" => "2001"
                          "volumen" => "10"
                          "paginaInicial" => "157"
                          "paginaFinal" => "168"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11600333"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S1885585713001667"
                            "estado" => "S300"
                            "issn" => "18855857"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              6 => array:3 [
                "identificador" => "bb0035"
                "etiqueta" => "7&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Surgical Pathology of primary cardiac and pericardial tumors"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "C&#46; Basso"
                              1 => "M&#46; Valente"
                              2 => "A&#46; Poletti"
                              3 => "D&#46; Casarotto"
                              4 => "G&#46; Thiene"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Eur J Cardiothorac Surg"
                          "fecha" => "1997"
                          "volumen" => "12"
                          "paginaInicial" => "730"
                          "paginaFinal" => "738"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9458144"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              7 => array:3 [
                "identificador" => "bb0040"
                "etiqueta" => "8&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Malignancies involving the pericardium"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "W&#46;H&#46; Warren"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:8 [
                          "tituloSerie" => "Semin Thorac Cardiovasc Surg"
                          "fecha" => "2000"
                          "volumen" => "12"
                          "numero" => "2"
                          "paginaInicial" => "119"
                          "paginaFinal" => "129"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10807434"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S1885585712003970"
                            "estado" => "S300"
                            "issn" => "18855857"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              8 => array:3 [
                "identificador" => "bb0045"
                "etiqueta" => "9&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Treatment of malignant pericardial effusions"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "P&#46;T&#46; Vaitkus"
                              1 => "H&#46;C&#46; Herrmann"
                              2 => "M&#46;M&#46; LeWinter"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "JAMA"
                          "fecha" => "1994"
                          "volumen" => "272"
                          "numero" => "1"
                          "paginaInicial" => "59"
                          "paginaFinal" => "64"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8007081"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              9 => array:3 [
                "identificador" => "bb0050"
                "etiqueta" => "10&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Videoassisted thoracoscopic pericardial fenestration for loculated or recurrent effusions"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "K&#46; Geissb&#252;hler"
                              1 => "A&#46; Leiser"
                              2 => "J&#46; Fuhrer"
                              3 => "H&#46;B&#46; Ris"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Eur J Cardiothorac Surg"
                          "fecha" => "1998"
                          "volumen" => "14"
                          "numero" => "4"
                          "paginaInicial" => "403"
                          "paginaFinal" => "408"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9845146"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              10 => array:3 [
                "identificador" => "bb0055"
                "etiqueta" => "11&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Risk factors affecting the survival of patients with pericardial effusion subnitted to subxiphoid pericardiostomy"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "T&#46; Dosios"
                              1 => "N&#46; Theakos"
                              2 => "D&#46; Angouras"
                              3 => "P&#46; Asimacopoulos"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Chest"
                          "fecha" => "2003"
                          "volumen" => "124"
                          "paginaInicial" => "242"
                          "paginaFinal" => "246"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12853529"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S0002934313003495"
                            "estado" => "S300"
                            "issn" => "00029343"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              11 => array:3 [
                "identificador" => "bb0060"
                "etiqueta" => "12&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pericardioperitoneal shunt&#58; an alternative treatment for malignant pericardial effusion"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "N&#46; Wang"
                              1 => "J&#46;R&#46; Feikes"
                              2 => "T&#46; Mogensen"
                              3 => "E&#46;E&#46; Vyhmeister"
                              4 => "L&#46;L&#46; Baley"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Ann Thorac Surg"
                          "fecha" => "1994"
                          "volumen" => "57"
                          "numero" => "2"
                          "paginaInicial" => "289"
                          "paginaFinal" => "292"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8311586"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              12 => array:3 [
                "identificador" => "bb0065"
                "etiqueta" => "13&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pericadioperitoneal window for malignant pericardial effusions"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "T&#46;J&#46; Krause"
                              1 => "M&#46; Margiotta"
                              2 => "J&#46; Chandler"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Surg Gynecol Obstet"
                          "fecha" => "1991"
                          "volumen" => "172"
                          "paginaInicial" => "487"
                          "paginaFinal" => "488"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2035140"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              13 => array:3 [
                "identificador" => "bb0070"
                "etiqueta" => "14&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Outcomes of primary and secondary treatment of pericardial effusion in patients with malignancy"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:7 [
                              0 => "T&#46;S&#46; Tsang"
                              1 => "J&#46;B&#46; Seward"
                              2 => "M&#46;E&#46; Barnes"
                              3 => "K&#46;R&#46; Bailey"
                              4 => "L&#46;J&#46; Sinak"
                              5 => "L&#46;H&#46; Urban"
                              6 => "S&#46;N&#46; Hayes"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.4065/75.3.248"
                        "Revista" => array:7 [
                          "tituloSerie" => "Mayo Clin Proc"
                          "fecha" => "2000"
                          "volumen" => "75"
                          "numero" => "3"
                          "paginaInicial" => "248"
                          "paginaFinal" => "253"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10725950"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              14 => array:3 [
                "identificador" => "bb0075"
                "etiqueta" => "15&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pericardioperitoneal shunt for persistent pericadial effusions&#58; a new drainage procedure"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "T&#46;F&#46; Molnar"
                              1 => "K&#46; Jeyasingham"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Ann Thorac Surg"
                          "fecha" => "1992"
                          "volumen" => "54"
                          "paginaInicial" => "569"
                          "paginaFinal" => "570"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1510531"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              15 => array:3 [
                "identificador" => "bb0080"
                "etiqueta" => "16&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pericardioperitoneal window for recurrent postoperative effusion &#8211; case report"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "K&#46; Saatvedt"
                              1 => "K&#46; Nordstrand"
                              2 => "T&#46; Fr&#248;ysaker"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Scand J Thor Cardiovasc Surg"
                          "fecha" => "1994"
                          "volumen" => "28"
                          "paginaInicial" => "43"
                          "paginaFinal" => "44"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              16 => array:3 [
                "identificador" => "bb0085"
                "etiqueta" => "17&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Eleven years&#8216; experience with pericardioperitoneal window in the management of malignant and benign pericardial effusions"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "J&#46;E&#46; Olson"
                              1 => "M&#46;B&#46; Ryan"
                              2 => "D&#46;A&#46; Blumenstock"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Ann Surg Oncol"
                          "fecha" => "1995"
                          "volumen" => "2"
                          "paginaInicial" => "165"
                          "paginaFinal" => "169"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7728571"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              17 => array:3 [
                "identificador" => "bb0090"
                "etiqueta" => "18&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pericardioperitoneal Shunt&#58; Further development of the procedure using VATS technic"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "T&#46; Molnar"
                              1 => "B&#46; Biki"
                              2 => "&#214;&#46;P&#46; Horv&#225;th"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Ann Thorac Surg"
                          "fecha" => "2002"
                          "volumen" => "74"
                          "paginaInicial" => "593"
                          "paginaFinal" => "595"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12173860"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001300000001/v1_201509071333/S087321591530338X/v1_201509071333/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "43356"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Artigos de revis&#227;o"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001300000001/v1_201509071333/S087321591530338X/v1_201509071333/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087321591530338X?idApp=UINPBA00004E"
]
Share
Journal Information
Vol. 13. Issue 1.
Pages 71-81 (January - February 2007)
Share
Share
Download PDF
More article options
Vol. 13. Issue 1.
Pages 71-81 (January - February 2007)
Artigo de Revisão / Revision Article
Open Access
Derivação pericardioperitoneal no tratamento de derrames pericárdicos em doentes neoplásicos
Pericardioperitoneal shunt in the treatment of pericardial effusions in neoplasic patients
Visits
5856
Nuno Cortesão1,*, Ana Figueiredo2, Fernando Barata3, António Correia de Matos4, Carlos Janelas4
1 Interno Complementar de Pneumologia
2 Assistente de Pneumologia
3 Assistente Graduado de Pneumologia – Serviço de Pneumologia do Centro Hospitalar de Coimbra. Director: Dr. Jorge Pires.
4 Chefe de Serviço – Sector de Cirurgia Torácica do Centro Hospitalar de Coimbra. Director: Dr. Carlos Janelas.
This item has received

Under a Creative Commons license
Article information
Resumo

Os derrames pericárdicos que surgem num contexto neoplásico são frequentes e apresentam dificuldades de diagnóstico e tratamento. Apesar de surgirem em doentes com neoplasia, 50% destes derrames têm uma etiologia benigna; surgem por mecanismos paralelos, indirectamente relacionados com o tumor. Os restantes (derrames pericárdicos neoplásicos – DPN) resultam do atingimento tumoral das estruturas peri ou epicárdicas e assumem, por si só, um pior prognóstico. As opções de tratamento disponíveis são várias, mas a ausência de normas orientadoras da sua aplicação tornam difícil avaliar perfis de rentabilidade, eficácia e segurança. A derivação pericardioperitoneal (DPP) é um método cirúrgico de drenagem da cavidade pericárdica que se tem demonstrado muito útil em DPN. No CHC, esta técnica é efectuada com o auxílio de toracoscopia videoassistida (VATS). Nos últimos 8 anos, foram submetidos a esta modalidade terapêutica 18 doentes com DPN. A técnica demonstrou ser segura, eficaz e com baixa morbilidade/mortalidade.

Rev Port Pneumol 2007; XIII (1): 71-81

Palavras-chave:
Derrame pericárdico
neoplasia
derivação pericardioperitoneal
drenagem pericárdica
Abstract

Neoplasia-related pericardial effusions are a frequent finding and pose diagnostic and therapeutic challenges. Although they appear in the context of an underlying neoplastic disease, 50% of these effusions have a benign etiology; they are indirectly caused by the tumor. The remaining cases (neoplastic pericardial effusions – NPE) derive from extension of tumoral disease to the epi and/or pericardium and have, therefore, a worst prognosis. Despite several treatment options, the lack of apropriate guidelines difficults the evaluation of their efficacy and safety. Pericardioperitoneal shunt (PPS) is a surgical pericardial drainage method, which has demonstrated its use fulness in the management of NPE. At the CHC, this procedure is performed under videoassisted toracoscopic guidance (VATS). During the last 8 years, 18 patients have been submitted to this therapeutic option, which proved to be safe, efficacious and with low morbimortality rates.

Rev Port Pneumol 2007; XIII (1): 71-81

Key-words:
Pericardial effusion
neoplasia
pericardioperitoneal shunt
pericardial drainage
Full text is only aviable in PDF
Bibliografia
[1.]
Guidelines on the diagnosis and management of pericardial diseases [Executive summary].
Eur Heart J, 25 (2004), pp. 587-610
[2.]
H.L. Porte, T.J. Janecki-Delebecq, L. Finzi, D.G. Metois, A. Millaire, A.J. Wurtz.
Pericardioscopy for primary management of pericardial effusion in cancer patients.
Eur J Cardiothorac Surg, 16 (1999), pp. 287-291
[3.]
M.A. Melfi, G.F. Menconi, A. Chella, C.A. Angeletti.
The management of malignant pericardial effusions using permanently implanted devices.
Eur J Cardiothorac Surg, 21 (2002), pp. 345-347
[4.]
J.S. Park, R. Rentschler, D. Wilbur.
Surgical management of pericardial effusion in patients with malignancies.
Cancer, 67 (1991), pp. 76-80
[5.]
M.M. De Camp, S.J. Mentzer, S.J. Swanson, D.J. Sugarbaker.
Malignant effusive disease of the pleura and pericardium.
Chest, 112 (1997), pp. 291S-295S
[6.]
K.Y. Oh, M. Shimizu, W.D. Edwards, H.D. Tazelaar, G.K. Danielson.
Surgical pathology of the parietal pericardium: a study of 344 case (1993-1994).
Cardiovasc Pathol, 10 (2001), pp. 157-168
[7.]
C. Basso, M. Valente, A. Poletti, D. Casarotto, G. Thiene.
Surgical Pathology of primary cardiac and pericardial tumors.
Eur J Cardiothorac Surg, 12 (1997), pp. 730-738
[8.]
W.H. Warren.
Malignancies involving the pericardium.
Semin Thorac Cardiovasc Surg, 12 (2000), pp. 119-129
[9.]
P.T. Vaitkus, H.C. Herrmann, M.M. LeWinter.
Treatment of malignant pericardial effusions.
JAMA, 272 (1994), pp. 59-64
[10.]
K. Geissbühler, A. Leiser, J. Fuhrer, H.B. Ris.
Videoassisted thoracoscopic pericardial fenestration for loculated or recurrent effusions.
Eur J Cardiothorac Surg, 14 (1998), pp. 403-408
[11.]
T. Dosios, N. Theakos, D. Angouras, P. Asimacopoulos.
Risk factors affecting the survival of patients with pericardial effusion subnitted to subxiphoid pericardiostomy.
Chest, 124 (2003), pp. 242-246
[12.]
N. Wang, J.R. Feikes, T. Mogensen, E.E. Vyhmeister, L.L. Baley.
Pericardioperitoneal shunt: an alternative treatment for malignant pericardial effusion.
Ann Thorac Surg, 57 (1994), pp. 289-292
[13.]
T.J. Krause, M. Margiotta, J. Chandler.
Pericadioperitoneal window for malignant pericardial effusions.
Surg Gynecol Obstet, 172 (1991), pp. 487-488
[14.]
T.S. Tsang, J.B. Seward, M.E. Barnes, K.R. Bailey, L.J. Sinak, L.H. Urban, S.N. Hayes.
Outcomes of primary and secondary treatment of pericardial effusion in patients with malignancy.
Mayo Clin Proc, 75 (2000), pp. 248-253
[15.]
T.F. Molnar, K. Jeyasingham.
Pericardioperitoneal shunt for persistent pericadial effusions: a new drainage procedure.
Ann Thorac Surg, 54 (1992), pp. 569-570
[16.]
K. Saatvedt, K. Nordstrand, T. Frøysaker.
Pericardioperitoneal window for recurrent postoperative effusion – case report.
Scand J Thor Cardiovasc Surg, 28 (1994), pp. 43-44
[17.]
J.E. Olson, M.B. Ryan, D.A. Blumenstock.
Eleven years‘ experience with pericardioperitoneal window in the management of malignant and benign pericardial effusions.
Ann Surg Oncol, 2 (1995), pp. 165-169
[18.]
T. Molnar, B. Biki, Ö.P. Horváth.
Pericardioperitoneal Shunt: Further development of the procedure using VATS technic.
Ann Thorac Surg, 74 (2002), pp. 593-595
Copyright © 2007. Sociedade Portuguesa de Pneumologia/SPP
Download PDF
Pulmonology
Article options
Tools

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