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John L. Mathews, MD; William S. Pennington, MD; James H. Isobe, MD; Thomas A. Gaskin, MD; John H. Dumas, MD; Donald R. Kahn, MD

Arch Surg. 1983;118(9):1101.

Abstract
• 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)

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

Footnotes
Accepted for publication March 31, 1983.

Reprint requests to Medical Education Department, Baptist Medical Center—Princeton, 701 Princeton Ave SW, Birmingham, AL 35211 (Dianne Champion).

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