Endovascular treatment of an aortic saddle embolism resulting in full neurologic recovery.

Abstract

Aortic saddle embolism (ASE) and aortic saddle thrombosis are rare and occasionally associated with spinal ischemia and paraplegia. Patients have traditionally been treated with transfemoral balloon thromboembolectomy. In the following case report, we present a patient with suspected ASE and paraplegia, who was successfully treated by an endovascular approach using covered stents. Following intervention, the patient regained full neurologic function. To our knowledge, it is the first time that this type of endovascular treatment for ASE has been applied successfully.

• Authors: Jane Kim Yang, Alexander Nguyen, Hilene De Amorim, Lee Joshua Goldstein, Arash Bornak
• Journal: Annals of vascular surgery (Ann Vasc Surg) Vol. 29 Issue 4 Pg. 839.e9-12 (May 2015) ISSN: 1615-5947 [Electronic] Netherlands
• PMID: 25725282 (Publication Type: Case Reports, Journal Article)
• Copyright: Published by Elsevier Inc.

Topics

• Adult
• Aortic Aneurysm, Thoracic (complications, surgery)
• Blood Vessel Prosthesis
• Endovascular Procedures (methods)
• Humans
• Male
• Recovery of Function
• Spinal Cord Ischemia (etiology, physiopathology)