Aortic Saddle Embolism
Although the CT diagnosis of acute aortic occlusion is not difficult, it is important to differentiate a thrombosed aorta from a saddle embolus: the therapeutic intervention in the former case is embolectomy, whereas a thrombosed aorta requires revascularization - Giuseppe Mercogliano
image by: Oliver Saddle Shop EST. 1917
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Acute thrombotic occlusion of infrarenal abdominal aorta: A case report
Acute abdominal aortic occlusion is a rare phenomenon that requires rapid diagnosis and intervention on account of high mortality rate. Patients are presented with severe pain and ischemia of the bilateral lower limbs with/without paresthesia or paraplegia.
Acute occlusion can occur via de novo thrombus formation on an atherosclerotic aortic plaque and embolization of a central thrombus.
The Emory study determined that 55% of the patients have sensory or motor deficit. These patients can easliy be misdiagnosed as a neurologic disorder, so meticulous physical examination for pulses is essential. Sudden paraplegia is related with the acute occlusion of the Adamkiewicz artery.…
Resources
How the Ekos Thrombolytic Technology Works to Dissolve Clots
The Ekos system delivers catheter-directed fibrinolytics with the aid of high-frequency, low-energy ultrasound, which allows penetration of the drug deeper into the clot.
Aortic Saddle Embolism: A Common Complaint With Multifaceted Catastrophe Disease
Non-traumatic lower back pain is a common complaint seen in all emergency department (ED) visits... . Among all, acute aortic occlusion is an infrequent occurrence responsible for the non-traumatic low back pain... The most commonly affected groups of people are middle-aged smokers with peripheral vascular disease and elderly individuals plagued with advanced cardiovascular disease.
Case Report of Thrombosis of the Distal Aorta with Occlusion of Iliac Arteries in COVID-19 Infection
There is ample documentation of the relatively high rate of thromboembolic complications in critically ill COVID-19 patients.
Acute Aortic Occlusion with Acute Onset of Paraplegia and Severe Hyposthenia
We present a case of acute aortic and lumbar arteries thrombosis with paraplegia and no clear symptoms of acute limb ischemia, in which the motor deficit in the lower extremities was explained by anterior spinal cord syndrome secondary to acute occlusion of lumbar arteries.
An unusual presentation of aortic saddle embolus
Acute lower limb ischaemia or paraplegia are the commonest presentations of aortic saddle embolus. Interestingly, our patient did not complain of any lower limb symptoms but presented instead with cardiac failure. The pulmonary oedema was probably caused by the sudden increase in afterload from the acute occlusion resulting in back-damming of blood.
Diagnosis and Treatment of Aortic Saddle Embolism
Acute aortic occlusion is a rare but life-threatening medical condition that can result from aortic saddle embolism, thrombosis of an atherosclerotic aorta, or aortic dissection.
Saddle embolism of the aorta with sudden paraplegia
A saddle embolism of the aorta causes an acute ischemia of the lower extremities (LX). In a third of patients, various degrees of sensory and motor deficits occur, but sudden paraplegia is seen rarely and its cause is unclear.
Saddle Embolus of the Aorta
PRACTICALLY every instance of embolism implies a sudden occlusion of the aortic bifurcation by an embolus which has its origin in the left side of the heart. A few exceptions to this rule have been reported.
Acute thrombotic occlusion of infrarenal abdominal aorta: A case report
Acute abdominal aortic occlusion is a rare phenomenon that requires rapid diagnosis and intervention on account of high mortality rate.
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