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June 1958

Aortic "Saddle" EmbolismReview and Report of Three Cases, One Twice Recurrent

Author Affiliations

Rochester, N. Y.
From the University of Rochester School of Medicine and Dentistry, Department of Surgery.

AMA Arch Surg. 1958;76(6):930-943. doi:10.1001/archsurg.1958.01280240088015

Although available methods have improved the results of treatment of aortic bifurcation embolism, only 64 successful operative results could be found in the English literature. No doubt many are unreported. Five recent successful aortic embolectomies in three patients, combined with improving embolectomy results in other vessels, encourage continued efforts to salvage limbs and life in such patients.

Previous Reports  In 1911 Labey reported the first successful arterial embolectomy, and Bauer did the first successful aortic embolectomy in 1913. McClure and Harkins,35 in 1943, in a comprehensive review, surveyed the 690 reported arterial embolectomies and found 21 successes at the aortic level.In 1950 Albright and Leonard1 reviewed 193 recorded aortic embolisms and found 8 patients surviving conservative treatment and 26 living after embolectomy. They added a successful case. The same year the Lancet noted editorially17 that over three-quarters of the approximately 200 reported patients had died and

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