Paradoxical embolism: A report of 2 cases

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Abstract

Rationale:

Paradoxical embolism (PDE) refers to direct passage of venous thrombi into the arterial circulation through an arteriovenous shunt.

Patient concerns:

Case 1 presented with initial symptoms of shock and cerebral infarction. Case 2 developed middle cerebral artery occlusion during angiography.

Diagnoses:

2 cases were diagnosed as PDE.

Interventions:

They received thrombolytic therapy and anticoagulant therapy.

Outcomes:

The patients had recovery.

Lessons:

This report highlights the myriad clinical manifestations of PDE and underlines the importance of meticulous history taking and physical examination for early diagnosis.

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