The successful surgical treatment of a paradoxical embolus to the carotid bifurcation Academic Article uri icon


MeSH Major

  • Carotid Artery Diseases
  • Embolism, Paradoxical


  • Paradoxical embolism is a rare cause of ischemic stroke. We report the case of a 67-year-old man who had a saddle embolus to the carotid bifurcation successfully treated with emergency embolectomy. Transesophageal echocardiogram revealed a large patent foramen ovale and an easily demonstrable right-to-left shunt. Subsequent investigations revealed proximal deep venous thrombosis in the left femoral and popliteal veins and multiple pulmonary emboli. Long-term anticoagulation was instituted for the diagnosis of paradoxical embolism. The patient's recovery was uneventful, and he remained neurologically intact. A literature review emphasizes the role of transesophageal echocardiography and suggests that paradoxical embolism may be a more common cause of stroke than previously thought.

publication date

  • January 2001



  • Academic Article



  • eng

Digital Object Identifier (DOI)

  • 10.1067/mva.2001.111742

PubMed ID

  • 11296346

Additional Document Info

start page

  • 880

end page

  • 2


  • 33


  • 4