An unusual case of paradoxical embolism through a patent for
A 59-year-old man presented to the Emergency Room with dyspnoea. An echocardiogram showed pulmonary artery pressure (PAPs). Contrast-enhanced computed tomography (CT) highlighted pulmonary embolism, renal ischemic lesions, and kidney mass. Contrast echocardiography showed interatrial right-to-left shunt through patent foramen ovale (PFO). The clinical picture suggested that increase in PAPs due to paraneoplastic pulmonary embolism created a paradoxical embolization in the kidneys.

Source: https://journals.lww.com/jcardiovascularmedicine/Abstract/9900/From_kidney_to_kidney__an_unusual_case_of.9.aspx
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