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HTML

<div><img src="http://gooo.free.fr/jsfiddle/red_star.png">Loem Ipsum</div>

CSS

div
{
	font-size:2em;
	height:2em;
	line-height:2em;
	position:relative;
	top:0;
	margin:0 auto;
	background:#eee;
	padding-left:3.5em;
	vertical-align:middle;
}
div:before,
div:after
{
	top:0;
	position:absolute;
	content:"";
	border-width:0;
	border-style:solid;
	border-color:transparent #00f;
}
div:before
{
	height:100%;
	left:0;
	border-width:0 0 0 2em;
}
div:after
{
	height:0;
	left:2em;
	border-width:1em 0 1em 1em;
}
img
{
	display:block;
	position:absolute;
	height:1.5em;
	width:1.5em;
	left:0.25em;
	top:0.25em;
}