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            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Axial CT image of the chest with intravenous contrast medium&#44; showing a paraaortic mass in the anterior mediastinum &#40;asterisk&#41;&#46; The straight arrow shows the theoretical path of the biopsy needle in a left parasternal approach between the left inner mammary vessels &#40;circle&#41; and the left edge of the sternum&#46; Note that the aortic arch &#40;Ao&#41; is in the theoretical path of the biopsy needle&#46; The curved arrow shows that the left lung parenchyma would be punctured using this access&#46; &#40;B&#41; Axial CT image of the chest with intravenous contrast medium in which the straight arrow shows the theoretical path of the biopsy needle using a right parasternal medial approach to the right internal mammary vessels &#40;circle&#41;&#46; Note that the aortic arch &#40;Ao&#41; is not in the theoretical path of the biopsy needle&#44; but that this approach also punctures the left pulmonary parenchyma &#40;curved arrow&#41;&#46; &#40;C&#41; Axial CT image of the chest with intravenous contrast medium in which the straight arrow shows the theoretical path of the biopsy needle using a right parasternal lateral approach to the right internal mammary vessels &#40;circle&#41;&#46; Note that the aortic arch &#40;Ao&#41; is also not in the theoretical path of the biopsy needle&#44; but that this approach punctures the right pulmonary parenchyma &#40;curved arrow&#41;&#46; &#40;D&#41; Axial CT image of the chest obtained during the biopsy procedure using the CPLA&#44; with the patient in the semi-right lateral decubitus position&#44; showing an intramuscular needle &#40;arrows&#41; between the right internal mammary vessels &#40;circle&#41; and the right sternum margin for local instillation of saline &#40;hydrodissection&#41;&#46; &#40;E&#41; Axial CT image of the chest obtained during the biopsy procedure using the CPLA with the patient in the semi-right lateral decubitus position&#46; After expanding the anterior mediastinum using hydrodissection &#40;white arrows&#41;&#44; the biopsy needle is inserted &#40;black arrows&#41; into the chest wall&#46; Note that the biopsy needle is directed into the space between the right internal mammary vessels &#40;circle&#41; and the right edge of the sternum&#46; &#40;F&#41; Axial CT image of the chest obtained during the biopsy procedure by CPLA&#44; with the patient in the semi-right lateral decubitus position&#44; where the biopsy needle &#40;arrows&#41; has been advanced to the paraaortic mass &#40;black asterisk&#41; through the space between the right edge of the sternum and the right internal mammary vessels &#40;circle&#41;&#46; Note the presence of a &#8220;salinoma&#8221; &#40;white asterisk&#41; in the anterior mediastinum and the parallel trajectory of the biopsy needle to the aortic arch avoiding any possibility of damaging the aorta &#40;Ao&#41;&#46;</p>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; PA chest X-ray&#46; Multiple high-density nodular opacities in middle and lower left fields and in the epigastrium&#46; &#40;b&#41; Contrast-enhanced CT chest with MIP reconstruction&#46; Hyperdense extravascular embolization material in the middle and lower left field&#46; &#40;c&#41; Contrast-enhanced CT chest with MIP reconstruction&#46; Bilateral hyperdense embolization material in the left lower lobe&#44; larger than the pulmonary vessels&#46; &#40;D&#41; Embolization material inside the stomach&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of an 88-year-old woman with a history of idiopathic stenosis-thrombosis of the splenic vein&#44; portal hypertension and fundic varices&#46; She was admitted for upper gastrointestinal hemorrhage impacting on laboratory values&#46; A gastroscopy was performed revealing fundic varices&#44; with no specific point of bleeding&#46; Therapeutic echoendoscopy was performed with intravariceal injection of cyanoacrylate&#47;lipiodol&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">After the procedure&#44; the patient developed low-grade fever&#44; and a chest X-ray was requested &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41;&#44; in which several hyperdense nodular images were observed in the middle and lower left fields and in the gastric chamber&#46; The examination was extended with a chest computed tomography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b-c&#41;&#44; which confirmed multiple high-density images in the left lung&#46; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>d shows the hyperdense content in the stomach&#46; A diagnosis of bronchoaspiration of embolization material was established&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Complications following treatment of gastric varices with cyanoacrylate&#47;lipiodol are well known&#44; and several cases of pulmonary embolism have been described&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> In our case&#44; the most likely diagnosis was bronchoaspiration&#44; since the patient had radiopaque remains in the gastric chamber&#44; mainly involving the left side &#40;the digestive endoscopy was performed in left lateral decubitus&#41;&#59; the lesions were larger than the vessels and corresponded with the bronchial trajectory&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">This paper has not received any funding&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests&#46;</p></span></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Margallo Iribarnegaray J&#44; Abad G&#243;mez JA&#44; Barreales Valbuena M&#44; de Granda-Orive JI&#46; Aspiraci&#243;n de cianoacrilato&#47;lipiodol tras endoscopia digestiva alta&#46; Arch Bronconeumol&#46; 2021&#59;57&#58;498&#46;</p>"
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                            3 => "P&#46;A&#46; Fourie"
                            4 => "C&#46; Ziady"
                            5 => "J&#46;B&#46; van den Bogaerde"
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                      "doi" => "10.1111/j.1445-5994.2006.01086.x"
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                        "tituloSerie" => "Intern Med J&#46;"
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