Paradoxical Peripheral Embolism

 

Symptoms of pulmonary thromboembolism and associated peripheral arterial embolism suggest a diagnosis of paradoxical embolism. This condition requires the presence of a venous thrombus and a right-to-left shunt as patent foramen ovale (PFO).

PFO is present in as many as 35% of the normal population: however, in literature, there have been few case reports of paradoxical embolism in peripheral arteries coincident with acute pulmonary thromboembolism and deep venous thrombosis.

This case report describes a patient with paradoxical peripheral embolism associated with PFO (large shunt) who was diagnosed by transcranial Doppler with contrast agent: mixture of saline solution (9ml) and air (1 ml).

 

 

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