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January 16, 1932


Author Affiliations

University, Va.

From the Department of Pathology, University of Virginia Medical School.

JAMA. 1932;98(3):218-219. doi:10.1001/jama.1932.27320290001008a

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Thrombosis and embolism are common pathologic phenomena. Among the more common sites of thrombus formation is the region of the apex of the left ventricle. Emboli originating here may lodge in any artery, large or small. Because it is rare, if not unique, it is felt that this case of multiple emboli in the aortic sinuses of Valsalva (complicating acute bacterial endocarditis with mural thrombosis of the left ventricle) should be reported:

V. W., a white girl, aged 4 years, was admitted to the University of Virginia Hospital on account of extensive purpuric hemorrhages. The history, given by the mother, was that the child, who had always tired easily, had cut her foot nine days before admission. The next day both feet were swollen and there were red areas on her legs, possibly lymphangitis. The edema and red areas had disappeared and the lesion on her foot had healed when