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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 45-year-old woman who consulted due to dyspnea and bronchial hyperreactivity&#46; She had been operated at the age of 3 years for an ostium secundum atrial septal defect&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Transthoracic echocardiography showed dilated right chambers&#44; and transesophageal echocardiography revealed normal left pulmonary venous drainage&#44; while the right pulmonary veins &#40;PV&#41; were not visualized&#46; We requested a chest spiral CT without intravenous contrast &#40;IVC&#41;&#44; angio-CT of the PVs&#44; and 3-dimensional reconstructions&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The studies showed anomalous PV venous return into a vessel that communicated with the left atrium &#40;LA&#41; at one end and the inferior vena cava &#40;IVC&#41; at the other&#46; There were no other associated malformations&#46; Findings were compatible with a congenital venolobar syndrome &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">An isotope scan was performed&#44; showing increased pulmonary output &#40;Qp&#47;Qs 1&#46;7&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Given the patient&#39;s symptoms and the hemodynamic impact&#44; the end of the vessel that was draining to the IVC was occluded percutaneously with the use of an Amplatzer device&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Scimitar syndrome is a set of abnormalities that includes the abnormal connection of the right PVs to the IVC&#46; Its incidence is low and 25&#37; of patients have other associated malformations&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Our case is unusual because it is a variant of the scimitar syndrome with double drainage to the IVC and LA&#44; which could be treated percutaneously&#44; thus avoiding surgery&#46;</p></span>"
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