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Paradoxical embolism of a shotgun pellet ANNALS OF THORACIC SURGERY Ikonomidis, J. S., Nisco, S. J., Liang, D. H., Robbins, R. C. 1998; 66 (2): 562-564

Abstract

Paradoxical embolism of a projectile from the venous to arterial system is a rare occurrence, which can cause diagnostic confusion. We present a case of venous embolism of a shotgun pellet from the left upper extremity to the noncoronary sinus of the aortic valve across a secundum-type atrial septal defect. Prevention of distal embolism of the pellet was presumably a result of its containment by flow vortices created within the sinuses of Valsalva.

View details for Web of Science ID 000075554900054

View details for PubMedID 9725410