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.