Aortic Saddle Embolism Caused by Mitral Valve Vegetation.
10.4070/kcj.1998.28.1.103
- Author:
Jong Seon KIM
;
Jin Hwa LEE
;
Ju Hyun CHA
;
Eun Soon HONG
;
Tae Rim SHIN
;
Na Young LEE
;
Hyun Kyung LEE
;
Ki Yeul SEO
;
Hong Keun CHO
;
Seong Hoon PARK
;
Jae Yeul HAN
;
Jae Jin HAN
;
Jae Ho ANN
- Publication Type:Case Report
- Keywords:
Aortic saddle embolism;
Mitral valve vegetation;
Echocardiography
- MeSH:
Angiography;
Atrial Fibrillation;
Catheters;
Cough;
Echocardiography;
Embolectomy;
Embolism*;
Follow-Up Studies;
Humans;
Lower Extremity;
Male;
Mitral Valve Insufficiency;
Mitral Valve*;
Young Adult
- From:Korean Circulation Journal
1998;28(1):103-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortic saddle embolus accounts for approximately 10% of all peripheral arterial emboli. The most common sources of emboli are left atrial thrombi associated with atrial fibrillation and vegetation. A 22-year-old male patient was admitted due to acute onset of orthopnea, tachypea and cough. Transthoracic and transeophageal echocardiography showed huge vegetation (3X2cm) of the posterior mitral valve leaflet which was associated with severe mitral regurgitation. On 14th hospital day, he suffered from sudden onset of weakness, pain, and coldness on both lower extremities. Follow-up echocardiography showed marked size reduction of the original mitral valve vegetation. Angiography showed aortic saddle embolus. The embolectomy of aortic saddle embolus was performed through the transfemoral approach with a Forgarty catheter. At the same time, removal of the infected mitral valve and mitral valve replacement were performed.
