Paradoxical embolization with Ebstein's anomaly

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 dia...

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Bibliographic Details
Published inArchives of surgery (Chicago. 1960) Vol. 118; no. 9; p. 1101
Main Authors Mathews, J L, Pennington, W S, Isobe, J H, Gaskin, T A, Dumas, J H, Kahn, D R
Format Journal Article
LanguageEnglish
Published United States 01.09.1983
Subjects
Ebstein Anomaly - complications
Embolism - etiology
Female
Humans
Hysterectomy
Leg - blood supply
Middle Aged
Popliteal Artery
Postoperative Complications - etiology
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Summary: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.
ISSN:0004-0010
DOI:10.1001/archsurg.1983.01390090079019