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September 1966

Superior Mesenteric Embolectomy: Report of Two Successful Cases Using the Fogarty Catheter

Author Affiliations

From the departments of surgery, Tufts University School of Medicine and the New England Medical Center Hospitals, Boston; and the Surgical Division, Montefiore Hospital and Medical Center, New York.

Arch Surg. 1966;93(3):421-424. doi:10.1001/archsurg.1966.01330030051011

ALTHOUGH superior mesenteric artery embolectomy has been shown to be clinically feasible for over ten years, we have been able to find only 24 successful cases recorded in the English language literature. Two additional successful cases are the substance of this report and emphasize the salvageability of this type of patient. In these cases the Fogarty catheter proved to be a new and useful technical adjunct to the operative procedure.

Report of Cases 

Case 1.  —This 26-year-old housewife was admitted to the Medical Service of the New England Medical Center Hospitals on Dec 17, 1965, because of eosinophilia and severe weakness. Eleven months prior to her admission, cough and shortness of breath developed. Seven months later diffuse pulmonary infiltrates appeared along with the development of malaise, frontal headaches, and high fever. On admission to another hospital, marked eosinophilia was found both peripherally and in the bone marrow. Skin and muscle

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