Saddle Embolism of the Innominate Artery

Racek, Edward L.; Burnard, Ralph J.; Moreyra, Abel E.; Aharonian, Vicken

doi:10.1378/chest.72.2.228

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Acute IA thromboembolism has been described as secondary to cardiac embolism, 5,6 paradoxical embolism, 7,8 or even as secondary to arterial thoracic outlet syndrome. 9…”

Section: Discussionmentioning

confidence: 99%

“…Acute IA thromboembolism has been described as secondary to cardiac embolism, 5,6 paradoxical embolism, 7,8 or even as secondary to arterial thoracic outlet syndrome. 9 Symptomatic acute in situ thrombosis of the supraaortic vessels with a free-floating thrombus may result in dislodgement and embolism of the thrombus, leading to anterior or posterior cerebral infarction (due to involvement of the right carotid or vertebral circulation, respectively) or upper extremity ischemia, with the potential risk of total or partial limb loss.…”

Section: Discussionmentioning

confidence: 99%

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Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

Torrealba

Valdés

Garrido

et al. 2022

Vasc Endovascular Surg

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Background Innominate artery embolism may result in upper extremity ischemia or stroke. A free-floating thrombus originating from the IA is an unusual and dangerous disorder with embolic potential. Only isolated cases have been described showing different treatment modalities. Purpose To present 3 cases of free-floating thrombus in the IA treated at our institution with 3 different approaches. Cases The first case is a patient with a free-floating thrombus in the IA treated with cervical debranching and ligation of the proximal right carotid artery; another case of a patient treated with a hybrid approach with deployment of an iliac limb in the IA plus right carotid to subclavian bypass; and a third case of a patient operated by open arch thrombectomy. Conclusions Free-floating thrombus in the IA is a threatening condition feasible to be managed through different customized surgical approaches in specialized centers.

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“…Acute IA thromboembolism has been described as secondary to cardiac embolism, 5,6 paradoxical embolism, 7,8 or even as secondary to arterial thoracic outlet syndrome. 9…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

Torrealba

Valdés

Garrido

et al. 2022

Vasc Endovascular Surg

View full text Add to dashboard Cite

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Saddle Embolus of the Carotid Bifurcation. A Late Complication of Mediastinal Radiotherapy

Fox

Banning

Channon

et al. 1999

European Journal of Vascular and Endovascular Surgery

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A case of recanalization of innominate artery and right middle cerebral artery embolism due to cardiogenic cerebral infarction with anticoagulation therapy

et al. 2017

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An 80-year-old woman had an aortic valve replacement 1 month before admission and took warfarin for transient atrial fibrillation. She developed a disturbance of consciousness and left hemiplegia. On admission, the right radial artery was slightly palpable. Head MRI images showed a hyper-intense area in the right middle cerebral artery territory. MRA images showed an occlusion of the right M1 distal site and decreased signal at the right internal carotid artery. Contrast CT images of the ascending aorta showed an embolus in the innominate artery. She was diagnosed with an innominate artery saddle embolus and occlusion of the right cerebral artery due to cardiac embolism. She was treated with a heparin infusion and warfarin. She recovered consciousness and from hemiplegia gradually. Recanalization of the innominate artery and right cerebral artery was confirmed. In cases where the radial artery is slightly palpable, it is necessary to consider an innominate artery saddle embolus in addition to aortic dissection.

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Saddle Embolism of the Innominate Artery

Cited by 3 publications

References 9 publications

Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

Saddle Embolus of the Carotid Bifurcation. A Late Complication of Mediastinal Radiotherapy

A case of recanalization of innominate artery and right middle cerebral artery embolism due to cardiogenic cerebral infarction with anticoagulation therapy

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