Paradoxical embolism in the presence of right-to-left shunt due to tricuspid occlusion.
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.
Vicol
C
C
Department of Cardiac Surgery, Central Hospital Augsburg, Germany.
Danov
V
V
Struck
E
E
D000328:Adult; D003326:Coronary Circulation; D003328:Coronary Thrombosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D014264:Tricuspid Valve Stenosis / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D014463:Ultrasonography