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Patent Oval Foramen (FOP) is the persistence of the opening between the atrial primum and atrial secundum in the location of the oval fossa present in about 25% of the adult population1. In generally, it is a casual finding and without hemodynamic repercussions. However, the paradoxical embolism as a cause of ischemic events due to the patency of this foramen is documented since the nineteenth century. Recent studies have shown the association between FOP and various medical conditions, some potentially serious, such as ischemic stroke (AVCi) and pulmonary embolism (TEP).

Pulmonary Thromboembolism and Thrombus in Patent Foramen Ovale