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2015 ; 2015
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Systemic and venous thromboembolism: think about paradoxical embolism
#MMPMID26220984
Cachia M
; Pace Bardon M
; Fsadni P
; Montefort S
BMJ Case Rep
2015[Jul]; 2015
(ä): ä PMID26220984
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Patent foramen ovale (PFO) is one of the most important causes of paradoxical
embolism; it is found in about 25-30% of the population. In most patients, it is
asymptomatic and diagnosis is usually made during routine echocardiography. In a
small proportion of patients, PFO is diagnosed after paradoxical embolism is
suspected. We present a case of a middle-aged smoker who was admitted with lower
limb deep vein thrombosis and pulmonary embolism, who developed acute upper limb
ischaemia during his inpatient stay. Since doctors might dismiss such cases as
routine, this report highlights the importance of detailed history taking and
examination in patients with venous thromboembolism. Paradoxical embolism should
always be considered as a possible diagnosis when managing patients with
concomitant venous and arterial embolism.