• 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)
Mathews JL, Pennington WS, Isobe JH, Gaskin TA, Dumas JH, Kahn DR. Paradoxical Embolization With Ebstein's Anomaly. Arch Surg. 1983;118(9):1101. doi:10.1001/archsurg.1983.01390090079019