Limb Ischemia and Dyspnea; A Plausible Indication of Paradoxical Embolism

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Coexistence of pulmonary embolism and systemic arterial embolism can be one of the most life threatening conditions, diagnosed as paradoxical embolism which suggests the presence of intra-cardiac defects. The case presented herein, is a 46-year old male with paradoxical emboli. The patient was diagnosed as having pulmonary embolism and unilateral lower extremity arterial emboli through a previously undetected Patent oval foramen oval (PFO). This case shows the importance of evaluating paradoxical embolism in unexplained cases of acute limb ischemia.

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