Aortic saddle embolism

Acute Paraplegia as a Presentation of Aortic Saddle Embolism

Background. Acute onset paraplegia has a myriad of causes most often of a nonvascular origin. Vascular etiologies are infrequent causes and most often associated with postsurgical complications. Objective. To describe the occurrence and possible mechanism for aortic saddle embolism as a rare cause of acute paraplegia. Case Report. Described is a case of a 46-year-old female who presented with t...

Saddle pulmonary embolism visualized by transthoracic echocardiography.

Thrombolysis for saddle pulmonary embolism and 3-chamber thrombus.

Currently, the only widely accepted indication for thrombolysis in cases of pulmonary embolism is hemodynamic instability. However, the presence of a right-heart thrombus along with pulmonary embolism is a poor prognostic indicator, and the use of thrombolytic agents should also be considered in this circumstance. Furthermore, despite a risk of distal embolization, thrombolytic therapy may be i...

Saddle embolism of the aorta with sudden paraplegia.

On March 5, 2002, a woman 85 years of age (body surface area, 1.5 m2) had a sudden episode of severe pain in both groins with radiation to the LX. Ten minutes later, she was affected by paraplegia. Her pulse and heart rate were rapid and irregular; abdominal tenderness precluded the exclusion of an abdominal aortic aneurysm. Both LX were bluish and cold. She lost her sensory and motor function ...

Large Substernal Thyroid Goiter Associated with Saddle Pulmonary Embolism

A 75-year-old woman with a longstanding history of a substernal thyroid goiter presented with acute shortness of breath, and she was intubated due to respiratory distress. Computed tomography (CT) scan revealed a compressive substernal goiter with associated vascular compression, axillosubclavian thrombosis, and saddle pulmonary embolism. Weight-based heparin was immediately administered, and t...