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Paradoxical Embolization With Ebstein's Anomaly

John L. Mathews, MD; William S. Pennington, MD; James H. Isobe, MD; Thomas A. Gaskin, MD; John H. Dumas, MD; Donald R. Kahn, MD
Arch Surg. 1983;118(9):1101. doi:10.1001/archsurg.1983.01390090079019.
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• A 48-year-old woman with known Ebstein's anomaly had bilateral, lower-extremity arterial emboli after a total abdominal hysterectomy. She underwent embolectomy, placement of a Greenfield caval filter, subsequent tricuspid valve replacement, and closure of an atrial septal defect. Antemortem diagnosis of a paradoxical embolus is rare. To our knowledge, this is the first case associated with this congenital cardiac anomaly in a survivor.

(Arch Surg 1983;118:1101)


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