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(Chest. 1973;64:534-537.)
© 1973 American College of Chest Physicians

Sub-aortic Septal Perforation Associated with Pulmonary and Systemic Embolism

Cyril S. Nelson M.B.1

1 Consultant Thoracic Surgeon and Lecturer in Surgery, University of the West Indies, Queen Elizabeth Hospital, Barbados, W.I.

The fourth case of subaortic septal perforation, in a 92-year-old woman, is reported. Interesting clinical and autopsy findings were the high diastolic and systolic murmurs. Paradoxic embolism or shorn dumb-bell clot caused her systemic and pulmonary embolism. Diagnosis is difficult, as Leatham's (1883) classic acquired VSD description does not hold.






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Copyright © 1973 by the American College of Chest Physicians.