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Correspondence
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Volume 356:1277 March 22, 2007 Number 12
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Medical Mystery — Paradoxical Embolism

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To the Editor: With regard to Mathura and Jampol's answer to the Medical Mystery about the visual-field defect (Dec. 7 issue),1 we would like to raise a small point about the path taken by the paradoxical embolism to a left retinal artery branch in the patient with Eisenmenger's syndrome associated with ventriculoseptal defect and a patent ductus arteriosus. Although the embolism is attributed to the clot passing through the patent ductus arteriosus, it is more likely that it passed through the septal defect. The ductus enters the aorta distal to the left common carotid artery and subclavian artery. A clot . . . [Full Text of this Article]


Related Letters:

Medical Mystery: Visual-Field Defect — The Answer
Mathura J. R. Jr., Jampol L. M.
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N Engl J Med 2006; 355:2493, Dec 7, 2006. Correspondence

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