A case of pulmonary thromboembolism with synchronous and metachronous paradoxical embolism through the patent foramen ovale—A case report

AbstractA rare case is presented in this article—namely consecutive and synchronous embolizations in the pulmonary artery and paradoxical embolizations in the systemic circulation. Although paradoxical embolizations represent a relatively rare cause of acute ischemic attack of any localization, this nosological unit should always be considered in cases where the source of thrombembolism is unclear, and particularly where pulmonary embolism in the premorbid history or limb phlebothrombosis verified by sonography is present in the history. In the acute phase of treatment it is essential to ensure surgical or endovascular reperfusion of the ischemic organ and then at the next time to prevent further such events especially by occlusion of patent foramen ovale