Peripartum cardiomyopathy and arterial embolism

A severely pre-eclamptic patient developed peripartum cardiomyopathy and bilateral femmoral emboli. Medical therapy for cardiac failure was commenced prior to delivery by caesarean section. Bilateral femoral embolectomy was performed on the sixth postpartum day. (AU)

Sub-aortic septal perforation associated with pulmonary and systemic embolism

The fourth case of 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 (Summary)