Zhu Yan-Lei, Deng Hong-Ru, Zhou Mi, Li Mingxuan, Chen Lei
Department of Vascular Surgery, FuXing Hospital, Capital Medical University, Beijing, China.
J Card Surg. 2021 Feb;36(2):726-730. doi: 10.1111/jocs.15229. Epub 2020 Dec 18.
Although peripheral arterial embolism is a common vascular disease, abdominal aortic saddle embolism (ASE) is rare. However, ASE is considered to be quite severe. A rapid and accurate diagnosis followed by timely and appropriate medical intervention is the key to minimize the risk of severe complications and reduce the risk of mortality. We report the case of an 84-year-old female patient who was diagnosed with acute ASE. She was successfully treated using thrombolytic therapy through a bilateral femoral arterial puncture catheter. Our report aims at raising awareness of this potentially fatal disease, highlighting the importance of rapid diagnosis and timely treatment, and exploring the possibility of endovascular treatment for ASE in the future.
尽管周围动脉栓塞是一种常见的血管疾病，但腹主动脉骑跨栓塞（ASE）却很罕见。然而，ASE被认为相当严重。快速准确的诊断并及时进行适当的医学干预是将严重并发症风险降至最低并降低死亡率的关键。我们报告一例84岁女性患者被诊断为急性ASE的病例。她通过双侧股动脉穿刺导管进行溶栓治疗获得成功。我们的报告旨在提高对这种潜在致命疾病的认识，强调快速诊断和及时治疗的重要性，并探索未来ASE血管内治疗的可能性。
