pulmonary thromboembolism in a patent with patent foramen ovale

During the recent years, paradoxical embolism and patent foramen ovale (pfo) have drawn great attention because of their strong correlation with cryptogenic stroke in young patients. the coexistence of pulmonary and paradoxical embolism is even rarer. awareness of this complication with prompt recognition and treatment could prevent significant disability and death. we presented a 51-year-old man with evidence of concomitant pulmonary embolism and overload due to pulmonary thromboembolism and stroke, which suggests the presence of patent foramen ovale. he was successfully treated with anticoagulation and pto closure was performed.