“…[6] Nonetheless, there are potential risks of complications for the LP system, such as vascular damage, cardiac perforation, pericardial effusion, high capture thresholds, and ventricular arrhythmia. [7] Herein, we reported an extremely rare but potentially fatal complication of pulmonary embolism coexisting with cerebellar infarction, which was found to be caused by a paradoxical emboli through the patent foramen ovale (PFO).…”