Key result
Prompt embolectomy within seven hours yields ~27% survival in aortic saddle embolus with mitral stenosis.
Why the study?
Embolization to the abdominal aortic bifurcation is a serious complication in patients with rheumatic mitral stenosis requiring prompt embolectomy to reduce high mortality.
Does prompt embolectomy improve survival in patients with rheumatic mitral stenosis and saddle embolus of the aorta?
Population
11 consecutive patients with rheumatic mitral stenosis and saddle embolus of aorta
Comparison
Timing of aortic embolectomy relative to mitral valvular commissurotomy (prior to, during, or after)
Design
Case series of operative cases
Authors
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May support urgent embolectomy in this setting; leaves open need for modern validation.
Case Report (n=11)
No
Does prompt embolectomy improve survival in patients with rheumatic mitral stenosis and saddle embolus of the aorta?
Prompt embolectomy is critical for survival in patients with rheumatic mitral stenosis who develop a saddle embolus of the abdominal aorta.
Elliott S. Hurwitt (1959) conducted a case report in Rheumatic mitral stenosis with saddle embolus of aorta (n=11). Prompt embolectomy was evaluated on Survival. Prompt embolectomy within seven hours of onset resulted in 3 survivals among 11 consecutive operative cases of saddle embolus of the aorta in patients with rheumatic mitral stenosis.
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