Aortic Saddle Embolus

Saddle embolus of the aortic bifurcation treated by embolectomy.

Sudden occlusion of the aorta usually occurs at its bifurcation and is due to lodgement of an embolus. A blood clot sufficiently large to straddle the aorta usually comes from the atrium in a case of mitral stenosis. The importance of this aetiological factor was stressed by Banowitch and Ira (1928). Hermann et al. (1943) discussed the clinical manifestations and treatment of this condition. By...

Large saddle embolus during cancer therapy.

To cite: Brown TJ, Khan SA. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-215837 DESCRIPTION A 67-year-old non-smoking man with stage IV (T2N2cM0) p16-positive squamous cell carcinoma of the tongue, undergoing curative-intent hypofractionated radiation as part of a clinical trial, uneventfully received his fourth dose of weekly cisplatin 30 mg/m. Later, he...

Type A aortic dissection mimicking a saddle pulmonary embolus on computed tomographic angiography.

A 21-year-old man presented with acute onset of severe, ripping chest pain. He reported mild dyspnea but denied other associated symptoms, including leg swelling, palpitations , or neurological symptoms. He had a long-standing personal history of hypertension and reported a family history of venous thromboembolism and diabetes mellitus. On physical examination, the patient was tachycardic and h...

Atrial myxoma producing a saddle embolus in a child.

Septic saddle embolus causing basilar artery rupture without mycotic aneurysm.

A 27-year-old man had been in excellent health until 2 months earlier, when he was admitted to another hospital with a 3-week history of fever , night sweats , and rapid, pounding pulse. Examination showed aortic regurgitation , and blood cultures grew viridans streptococci. A diagnosis of subacute bacterial endocarditis was made, and the patient was treated with penicillin and gentamicin intra...