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Volume 350:1472 April 1, 2004 Number 14
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Peripheral Embolism from an Aortic-Arch Atheroma

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by Lee, J. S.
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To the Editor: In Images in Clinical Medicine (Dec. 11 issue),1 Lee and Chandraratna provide evidence of dry gangrene in the right foot of a 62-year-old man and evidence of a mobile arch atheroma. They suggest that thromboembolism from atheroma is an important cause of stroke and peripheral embolism. We agree. However, we would suggest that this is not a case of "thromboembolism," as it is characterized in the second paragraph. The presence of both the dorsalis pedis and posterior tibial pulses in the affected foot suggests that there has not been a fibroplatelet embolic event. Indeed, this constellation is . . . [Full Text of this Article]



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