Cerebral symptoms in pulmonary arteriovenous fistula. A result of paradoxical emboli (?)

Two cases of pulmonary arteriovenous fistulas with hemiparesis and other neurologic findings, possibly from paradoxical embolization, are described. Many theories have been put forward to explain the pathophysiology of the frequently present neurologic manifestations. We regard paradoxical embolization through the fistula as the most important factor in the pathogenesis of the neurologic deficit.

Due to the potential hazard of paradoxical cerebral embolization and possible subsequent brain abscess formation, surgical resection of all pulmonary arteriovenous fistulas wherever feasible is recommended.

Recurrent left atrial myxoma. Report of a case

Recurrence of a left atrial myxoma 6 years after the initial resection is reported. This, to our knowledge, is the second such case, and it emphasizes the need for a complete resection of the underlying atrial septum or atrial wall in cases of myxoma.

Left axis deviation. An electrocardiographic study with post-mortem correlation

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