Paradoxical embolism after a femoral fracture

  title={Paradoxical embolism after a femoral fracture},
  author={Lars M{\"u}ller and Th. Seidel and Klaus Wenda and Prof. Dr. Dr. h. c. P. M. Rommens},
  journal={Der Unfallchirurg},
The foramen ovale is anatomically open in 25 % of individuals, but functionally closed by the higher pressure in the left antrum. Right-to-left shunt and subsequent paradoxical embolism may occur when pressure in the left antrum rises, for example, as a result of pulmonary embolism. In the present case we demonstrate a patient who presented 20 days after osteosynthetic treatment of a femoral fracture with word-finding deficits. Cerebral MRT revealed a fresh ischemic insult. Duplex ultrasound… CONTINUE READING


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