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 diagnosis of a paradoxical embolus is rare. To our knowledge, this is the first case associated with this congenital cardiac anomaly in a survivor.
D004437:Ebstein Anomaly / Q000150:complications*; D004617:Embolism / Q000209:etiology*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007866:Leg / Q000098:blood supply; D008875:Middle Aged; D011150:Popliteal Artery; D011183:Postoperative Complications / Q000209:etiology