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Shut that door: a man with contemporaneous multisite paradoxical embolization
Authors:Gianluca Rigatelli  Fabio Dell'Avvocata  Paolo Cardaioli  Massimo Giordan  Mara Bernasconi  Mariangela Palu'
Institution:1. Department of Psychology, The Pennsylvania State University, University Park, PA 16802, USA;2. Department of Psychology, University of North Carolina, Chapel Hill, NC 27559, USA;3. Department of Psychology, University of Pittsburgh, Pittsburgh, PA, 15260, USA;4. Center for the Neural Basis of Cognition, Pittsburgh, PA 15213, USA
Abstract:Patent foramen ovale (PFO) has been recognized as mediator of paradoxical embolism. Concurrent multisite paradoxical embolization is a quite rarely reported occurrence. We present a case of multisite paradoxical embolism (pulmonary, cerebral, upper limb) mediated by a large right-to-left shunt mediated by a PFO with associated a redundant Eustachian valve, successfully treated with PFO transcatheter closure and vena cava filter placement.
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