Muhammad Jamil, Rashid Usman, Amna Shahab.
Clinical Outcome Of Aortic Saddle Embolism - A 10 Years` Experience.
J Uni Med Dent Coll Jan ;8(1):44-8.

Objectives: To analyse the outcome of aortic saddle embolism (ASE) in patients reporting late to the vascular surgeon. Study design: Descriptive analytical study Place and Duration of study: Department of Vascular Surgery, Combined Military Hospitals Lahore, Gujranwala, Kharian and Quetta from March 2006 to March 2016. Methodology: Data of all the patients with aortic saddle embolism were analyzed for demographic characteristics, co morbidity, surgical intervention performed and outcome in terms of limb salvage and revision procedures. Results: A total of 36 patients were managed during the study period. Thirty (83.3%) patients reported to us six days after the onset of symptoms. Of the total 36, thirty (83.3%) patients had paralysis at the time of presentation. Bilateral femoral embolectomy under local anaesthesia was performed in thirty (83.3%) patients. Three (8.3%) patients underwent open exploration of distal aorta. Amputation rate was 58.3% while 8.3% patients died. Conclusion: Successful management of ASE include high index of suspicion for an early diagnosis, timely referral to and surgical intervention with adequate perioperative anticoagulation.

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