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Calin Vicol
Vladimir Danov
Eberhard Struck
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Ann Thorac Surg 1995;60:1111-1112
© 1995 The Society of Thoracic Surgeons

Case Reports

Paradoxical Embolism in the Presence of Right-to-Left Shunt Due to Tricuspid Occlusion

Calin Vicol, MD, Vladimir Danov, MD, Eberhard Struck, MD

Department of Cardiac Surgery, Central Hospital Augsburg, Augsburg, Germany

Accepted for publication April 11, 1995.

The case of a 33-year-old woman suffering from a paradoxical peripheral embolism in the presence of a right-to-left shunt at the level of an ostium secundum defect is presented. A functional stenosis of the tricuspid valve due to obstruction through a thrombotic atrial mass was found to be responsible for the right-to-left shunt. Treatment consisted of peripheral embolectomy, removal of the atrial mass, and closure of the atrial septum defect.






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