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September 1983

Paradoxical Embolization With Ebstein's Anomaly

Author Affiliations

From the Baptist Medical Center—Princeton, Birmingham, Ala.

Arch Surg. 1983;118(9):1101. doi:10.1001/archsurg.1983.01390090079019

• 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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