D Siebenlist

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After an attack of pleuropneumonia a 25-year-old woman developed persistent dyspnoea due to pulmonary emboli, as demonstrated by scintigraphy. There was no clinical or phlebographic evidence of the peripheral venous system as the source. Two-dimensional echocardiography demonstrated a floating spherical tumour in the right atrium, attached to the(More)
After one day of dizziness a 28-year-old man experienced a syncope on getting up. ECG revealed a 3 degrees atrioventricular (AV) block unresponsive to drug treatment. A temporary pacemaker was implanted. Erythema migrans 4 weeks before admission suggested Lyme carditis, and the diagnosis was confirmed serologically (ELISA increased polyvalently, IgM(More)
Ten days after surgical treatment of a gastric perforation a 70-year-old woman developed progressive dyspnoea and hypertension without any signs of deep vein thrombosis. Emergency echocardiography revealed acute cor pulmonale with a dilated right atrium and ventricle, as well as paradoxical ventricular septal motion. In addition it demonstrated an(More)
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