Abstract: Objective To summarize our experience in diagnosis and treatments of abdominal aorta saddle embolism (ASE). Method we analysised the clinical datas of the 19 patients and explored the Fogarty catheter thrombolectomy and the perioprative treatments. Results Ten patients were completely cured and two patients received amputations of one limb. Six patients died in the postoperative stage, of two died of sudden cardiac asystole; two died of multiple organ dysfunction syndrome (MODS); one died of acute heart failure; and one died of hernia secondary from sever infarction. Conclusion The key points for reducing mortality and amputative rate of ASE are the sufficient evaluation of preoperative, early thrombolectomy and accurate curing of postoperative.

Key words: abdominal aorta saddle embolism, femoral Fogarty catheter thrombolectomy, myonephropathic-metabolic syndrome