Neurologic injury subsequent to decompression from diving may be due to par
adoxical arterialization of venous gas emboli. Of 40 divers who performed 5
3 open water dives after being tested for a patent foremen ovale (PFO), art
erial gas emboli were detected in 7 of 13 dives, which resulted in venous b
ubbles. In five of these seven dives, there was evidence of a PFO by contra
st transcranial Doppler sonography, indicating an increased risk of arteria
lizing venous bubbles in divers with a PFO.