Case Report: A successful percutaneous revascularization of bilateral acute limb ischemia caused by an aortic saddle embolism in a patient with mitral stenosis - Takeaways - MDSpire

Case Report: A successful percutaneous revascularization of bilateral acute limb ischemia caused by an aortic saddle embolism in a patient with mitral stenosis

  • By

  • Muhamad Sofan Dhani

  • Sulistiyati Bayu Utami

  • Safir Safir

  • Ilham Uddin

  • July 15, 2026

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  • 1

    Aortic saddle embolism (ASE) causes sudden aortoiliac occlusion, leading to bilateral lower-extremity arterial occlusion and potential limb loss.

  • 2

    A 40-year-old woman with ASE presented with severe leg pain, numbness, and bluish toes, alongside atrial fibrillation and severe mitral stenosis.

  • 3

    Percutaneous mechanical thrombectomy using a vacuum-assisted device restored blood flow to the left lower extremity in the patient.

  • 4

    A second percutaneous thromboaspiration and balloon angioplasty restored flow to the right distal extremity, with normal blood flow confirmed by duplex ultrasound.

  • 5

    The patient recovered fully without significant complications and later underwent successful mitral valve replacement one year later.

Original Source(s)

Case Report: A successful percutaneous revascularization of bilateral acute limb ischemia caused by an aortic saddle embolism in a patient with mitral stenosis

  • by Muhamad Sofan Dhani, Sulistiyati Bayu Utami, Safir Safir, Ilham Uddin

  • July 15, 2026

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