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Paradoxical embolism: a rare complication of thrombolysis
  1. Y-F Liu1,
  2. M Bayliss2
  1. 1
    Medical Registrar, University Hospital Lewisham, Lewisham Hospital NHS Trust, London, UK
  2. 2
    Consultant Physician, Royal Sussex and County Hospital, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  1. Dr Y-F Liu, University Hospital Lewisham, Lewisham High Street, London SE13 6LH, UK; yukfunliu{at}


Paradoxical embolus is a rare complication of thrombolysis. With a high prevalence of clinically silent septal defects and widespread use of thrombolysis, recognition of the risks, clinical signs and symptoms is important. A case is reported of paradoxical embolus following thrombolysis in a woman with a previously undiagnosed patent foramen ovale.

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  • Competing interests: None.