A Rare Case of Paradoxical Embolization During Thrombolysis for Pulmonary Embolus
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Paradoxical embolization occurs when an embolus formed in the systemic venous circulation enters the systemic arterial circulation via an intracardiac shunt. The most common intracardiac shunt is a patent foramen ovale (PFO) present in approximately 25% of adults . Other shunts which could allow for paradoxical embolization to occur include atrial septal defect, ventricular septal defect or extracardiac communications such as a pulmonary arteriovenous malformation .
MO-A was involved in the acquisition of data and detailing clinical note. WM was involved in the critical revision of manuscript for intellectual content.
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Funding information is not applicable/no funding was received.
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Conflict of interest
Mitchell Onwochei-Ashei and William McGee declare that they have no conflict of interest.