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Article
July 11, 1931

THE SOUNDS PRODUCED BY AN EMBOLUS PASSING THROUGH THE HEART

JAMA. 1931;97(2):101. doi:10.1001/jama.1931.27310020003010a

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Abstract

The experience of hearing an embolus caught in a heart valve is so unusual that it seems worth recording.

A woman, aged 55, had received injections of a proprietary invert sugar solution for the purpose of occluding varicose veins in the leg. The surgeon who had performed the injection had carefully selected the case, having thoroughly investigated and found that none of the contraindications to this procedure existed. In spite of this the patient, shortly after the third injection, had onset of shortness of breath, precordial distress, pain in the chest, and cough. She was confined to bed for three weeks, at which time her symptoms were almost entirely gone and she was allowed to sit up in a chair. After sitting up for about half an hour, she had a recurrence of symptoms similar to those described at the time of the first embolus, accompanied by considerable shock and

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