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The aim is to highlight the diagnostic process and management of paradoxical embolism without visible deep vein thrombosis.

June 6, 2026Radiology Case ReportsOpen Access

Middle cerebral artery occlusion due to paradoxical embolism diagnosed by pulmonary artery thrombosis in the absence of deep vein thrombosis: A case report

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The aim is to highlight the diagnostic process and management of paradoxical embolism without visible deep vein thrombosis.
Case report of a 54-year-old woman with pulmonary embolism and no detectable deep vein thrombosis.
Transesophageal echocardiography and contrast-enhanced computed tomography were utilized for diagnosis.
Thrombectomy was performed, followed by anticoagulation therapy.
Successful thrombectomy led to neurological improvement.
No deep vein thrombosis was found postoperatively via ultrasonography.
Anticoagulation therapy resulted in complete resolution of the thrombus and no recurrence.

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Case report demonstrates paradoxical embolism in a patient without deep vein thrombosis, revealing critical diagnostic challenges.

Ito et al. (2026) studied this question.

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