Paradoxical embolism: A report of 2 cases

Paradoxical embolism (PDE) refers to direct passage of venous thrombi into the arterial circulation through an arteriovenous shunt. Case 1 presented with initial symptoms of shock and cerebral infarction. Case 2 developed middle cerebral artery occlusion during angiography. 2 cases were diagnosed as PDE. They received thrombolytic therapy and anticoagulant therapy. The patients had recovery. This report highlights the myriad clinical manifestations of PDE and underlines the importance of meticulous history taking and physical examination for early diagnosis.