title: Paradoxical embolism in the presence of right-to-left shunt due to tricuspid occlusion.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Central Hospital Augsburg, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Vicol
authors.forename: V
authors.initials: V
authors.lastname: Danov
authors.forename: E
authors.initials: E
authors.lastname: Struck
mesh_terms: 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