Recurrent Paradoxical and Pulmonary Embolism, Hypercoagulable State, and Patent Foramen Ovale

Recurrent Paradoxical and Pulmonary Embolism, Hypercoagulable State, and Patent Foramen Ovale.

Paradoxical embolism via a patent foramen ovale.

To cite: Kumar T, Budnur SC, Mahadevappa NC, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-009818 DESCRIPTION A 32-year-old man recently had a right-sided hemiparesis; a head CT scan revealed left middle cerebral artery (MCA) territory infarct. The patient was haemodynamically stable, with no clinical evidence of deep venous thrombosis (DVT) and was...

Paradoxical embolism associated with patent foramen ovale.

Introductioi Paradoxical embolism is generally regarded as a rare event but the 2 cases described presented to a single unit within 6 months. This supports the view of Meister et al. (1972) that paradoxical embolism may be far more common than is frequently thought. The second case demonstrates the value of a high index of suspicion in making a clinical diagnosis so that appropriate and early t...

Simultaneous massive pulmonary embolism and impending paradoxical embolism through a patent foramen ovale.

Patent foramen ovale and recurrent stroke: another paradoxical twist.

Clinical management of patients with acute stroke and the approach used for secondary prevention depends upon clarification of pathogenesis. Although most strokes are a consequence of cerebrovascular disease, 15% to 20% of ischemic (nonhemorrhagic) strokes have been attributed to cardiogenic embolism.1 In practice, determination of the stroke mechanism is fraught with uncertainty, particularly ...