@article{Bova_Calcaterra_de Vuono_Pignataro_Fiaschi_2022, title={Pulmonary embolism and renal artery thrombosis in a patient with patent foramen ovale}, volume={93}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/12948}, DOI={10.23750/abm.v93iS1.12948}, abstractNote={<p><em>Background and aim</em>: Paradoxical embolism is a rare condition in which a thrombus migrates from the venous system to the arterial circulation, usually through a patent foramen ovale (PFO). Pulmonary embolism (PE) and isolated occlusion of one renal artery has been seldom reported. <em>Methods.</em> We describe a case of a 47-year old white man with a one-month history of exertional dyspnea who was admitted to our hospital for  severe pain in the right lumbar region. <em>Results.</em> A computed tomography showed  PE and a thrombotic occlusion of the right renal artery. A trans-thoracic echocardiogram documented a PFO with right to left shunt. Magnetic resonance imaging of the brain and venous compression ultrasonography of the lower extremities were normal. Therapeutic anticoagulation was started. <em>Conclusions.</em> Pulmonary embolism and thrombotic occlusion of one renal artery is a rare manifestation of paradoxical embolism. Exertional dyspnea is an atypical manifestation of PE and can delay the diagnosis</p>}, number={S1}, journal={Acta Biomedica Atenei Parmensis}, author={Bova, Carlo and Calcaterra, Rossana and de Vuono, Andrea and Pignataro, Francesca Serena and Fiaschi, Elio}, year={2022}, month={Jun.}, pages={e2022209} }