{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:34:06Z","timestamp":1777458846403,"version":"3.51.4"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,7,11]]},"abstract":"<jats:p>Patent foramen ovale (PFO) is one of the most important causes of paradoxical embolism;\u00a0it is found in about 25\u201330% of the population. In most patients, it is asymptomatic and diagnosis is usually made during routine echocardiography. In a small proportion of patients, PFO is diagnosed after paradoxical embolism is suspected. We present a case of a middle-aged smoker who was admitted with lower limb deep vein thrombosis and pulmonary embolism, who developed acute upper limb ischaemia during his inpatient stay. Since doctors might dismiss such cases as routine, this report highlights the importance of detailed history taking and examination in patients with venous thromboembolism. Paradoxical embolism should always be considered as a possible diagnosis when managing patients with concomitant venous and arterial embolism.<\/jats:p>","DOI":"10.1136\/bcr-2015-211174","type":"journal-article","created":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T12:11:46Z","timestamp":1438085506000},"page":"bcr2015211174","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Systemic and venous thromboembolism: think about paradoxical embolism"],"prefix":"10.1136","volume":"2015","author":[{"given":"Monique","family":"Cachia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Pace Bardon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Fsadni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Montefort","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,7,28]]},"reference":[{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.1","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.arbres.2013.05.008","article-title":"Pulmonary embolism and concomitant paradoxical embolism. A case report","volume":"50","author":"Abad-Arranz","year":"2014","journal-title":"Arch Bronconeumol"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crvasa.2012.08.001"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.04.063"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2007.03.001"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.5","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.031500"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.6","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jeq120"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.524371"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2003.12.003"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2014.03.020"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.10","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu292"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2012.11.046"},{"key":"2025042706515789000_2015.jul28_1.bcr2015211174.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2003.12.097"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-211174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:52:03Z","timestamp":1745761923000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-211174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,28]]},"references-count":12,"alternative-id":["10.1136\/bcr-2015-211174"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-211174","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,28]]}}}