Systemic embolic events associated with persistent foramen ovale: A case report

Introduction. Embolization into the systemic circulation through persistent foramen ovale is known as paradoxical embolization. Coexistence of embolism with pulmonary thromboembolism rare and it requires detailed examination. The objective this study was to present an unusual case stroke that complicated by occurrence thromboembolism, thrombosis superior mesenteric artery, arterial infarction numerous visceral organs, a few days after its onset. Case Report. A 60-year-old female patient admitted Emergency Center clinical symptoms acute ischemic stroke, sudden left hemiparesis. Computed tomography showed fresh ischemia in basin right anterior cerebral artery. initial course favorable, gradual regression neurological symptoms. On seventh day hospitalization, presented worsening confirmed multiple infarctions liver, spleen both kidneys, partial well arteries two zones, namely temporal parieto-occipital, cortico- subcortical. found transesophageal echocardiography, which also existence atrial septal aneurysm. In further course, there improvement symtoms. referred for rehabilitation therapy. surgical closure indicated. Conclusion. Paradoxical remains pathology rarely mentioned clinicians, although can affect functional vital status prognosis patient. Good cardiac evaluation detection every embolic great importance.