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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 70-year-old man with cardiovascular risk factors and a history of a heart murmur diagnosed during infancy&#44; presenting with worsening exertional dyspnea during the previous six months&#46; The physical examination showed a slow-rising carotid pulse&#44; a grade III&#47;VI mid-systolic murmur&#44; crepitant rales on pulmonary auscultation and peripheral edema&#46; Laboratory tests revealed a normal complete blood count&#44; plasma brain natriuretic peptide level of 2500 pg&#47;ml&#44; normal levels of ionized calcium and phosphate and normal renal function&#46; Echocardiographic study showed concentric left ventricular &#40;LV&#41; hypertrophy with preserved ejection fraction&#44; mild diastolic dysfunction &#40;impaired relaxation&#41; and severe aortic valve stenosis with a valve area of 0&#46;6 cm<span class="elsevierStyleSup">2</span>&#47;m<span class="elsevierStyleSup">2</span>&#46; Calcified masses were also observed in the mid-LV cavity on 2D and 3D echocardiography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and B&#44; arrows&#59; Videos 1 and 2&#41;&#44; causing turbulent flow depicted by color Doppler &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C&#59; Video 3&#41;&#46; Steady-state free precession cine cardiac magnetic resonance &#40;CMR&#41; confirmed the presence of a transversely arranged membrane&#44; suggestive of an anomalous&#44; abnormally thickened and calcified band &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D and E&#44; arrowheads&#59; Video 4&#41;&#46; This non-obstructive structure was connected to the anterolateral papillary muscle and the lateral LV wall by multiple fibrous filaments&#46; The presence of fibrosis was excluded by late gadolinium enhancement CMR&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">LV false tendons are fibromuscular structures of varying length and thickness that traverse the ventricular cavity and are accepted as anatomic variants&#46; Calcium deposits in the heart are common in older persons and have been described in association with coronary artery disease&#44; dilated cardiomyopathy&#44; aorto-mitral valvular disease and renal disease&#46; We report a case of massive left ventricular false tendon calcification associated with aortic valve calcification and stenosis&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association &#40;Declaration of Helsinki&#41;&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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