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The initial descriptions of paradoxical embolism with stroke provide clear evidence of a thrombotic source (e.g., deep-vein thrombosis), evidence of thrombus movement elsewhere (pulmonary embolus, ischemia in other organs, such as the kidney, or both), and a cardiac abnormality.2,3 Curiously, more recent articles have failed to identify an increased risk of deep-vein thrombosis, pulmonary embolism, or ischemia in other organs in patients with cardiac
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