The combination of deep venous thrombosis, patent foramen ovale and ar
terial emboli suggests the diagnosis of paradoxical embolism. In these
cases, only very rarely, a causal relationship between the venous thr
ombus and the patent foramen can be established. An instructive case o
f trapped venous embolism within the foramen ovale is described provin
g a causal relationship between arterial embolism and its venous origi
n.