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I am glad to see this published.  I have felt that most of the "unexplained" 
CNS hits were the result of right to left shunts such as a PFO.  There are 
other types of right to left shunts.  One is a ventricular septal defect.  
Basically, any defect that allows blood to get from the right side of the 
heart to left, without going through the filter of the lungs, should 
predispose a diver to this problem.

David Horne DVM
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