AURICULAR FLUTTER WITH COMPLETE HEART BLOCK: "SADDLE EMBOLUS" IN A CASE OF RHEUMATIC VALVULAR DISEASE
Authors: O H COMESS
Journal: Annals of Internal Medicine (1952)

Case Reports1 August 1952AURICULAR FLUTTER WITH COMPLETE HEART BLOCK: "SADDLE EMBOLUS" IN A CASE OF RHEUMATIC VALVULAR DISEASEOSCAR H. COMESS, M.D.OSCAR H. COMESS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-37-2-394 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe case recorded in this study presents unusual features in two respects: the special type of arrhythmia, and the occurrence of a severe embolism which was successfully operated upon. The various graphic studies and pharmacologic tests proved that the patient had auricular flutter with complete heart block. The coincidence of these two disturbances of rate and rhythm has been recently reviewed.1, 2Among the cases reported, only three were in young adults,2, 3, 4and two of them, like our case, were of rheumatic origin. The successful aortic embolectomy performed in our case also deserves to be reported, because only...Bibliography1. BrandmanMessingerRedischZeltmacher OWJWK: Auricular flutter with complete heart block, Ann. Int. Med. 33: 659, 1950. LinkGoogle Scholar2. Fenichel NM: Chronic auricular flutter, Ann. Int. Med. 29: 144, 1948. LinkGoogle Scholar3. GrayGreenfield II: Auricular flutter with auriculoventricular heart block, Ann. Int. Med. 20: 125, 1944. LinkGoogle Scholar4. Pinto de Moura JP: Complete auriculoventricular block and bundle branch block with recurrent auricular flutter, Am. Heart J. 32: 794, 1946. CrossrefMedlineGoogle Scholar5. McClureHarkins RDHN: Recent advance in the treatment of peripheral arterial embolism, Surgery 14: 747, 1943. Google Scholar6. Keely JL: Saddle embolus of the aorta: report of successful embolectomy, Ann. Surg. 128: 257, 1948. CrossrefMedlineGoogle Scholar7. DavisonLetton TCAH: Embolectomy from the bifurcation of the aorta, J. M. A. Georgia 37: 303, 1942. Google Scholar8. Tendler MJ: Aortic embolectomy, a case report, Memphis M. J. 23: 109, 1948. MedlineGoogle Scholar9. OchsnerDe BakeyDe Camp AMEP: Thrombosis, J. A. M. A. 144: 831, 1950. CrossrefMedlineGoogle Scholar10. Cosgriff SW: Prophylaxis of recurrent embolism of intracardiac origin, J. A. M. A. 143: 870, 1950. CrossrefMedlineGoogle Scholar11. Wright IS: The use of the anticoagulants in the treatment of diseases of the heart and blood vessels, Ann. Int. Med. 30: 80, 1949. LinkGoogle Scholar12. FoleyWright WTIS: Long term anticoagulant therapy for cardiovascular diseases, Am. J. M. Sc. 217: 136, 1949. CrossrefMedlineGoogle Scholar13. SpragueJacobsen HBRP: A case of rheumatic heart disease with periodic arterial embolism. Ambulatory treatment with Dicumarol, M. Clin. North America 37: 1309, 1948. CrossrefGoogle Scholar14. HinesBarker EANW: Anticoagulant therapy in chronic cardiovascular diseases, M. Clin. North America 33: 335, 1949. CrossrefMedlineGoogle Scholar15. Quick AJ: The nature of bleeding in jaundice, J. A. M. A. 110: 1658, 1938. CrossrefGoogle Scholar16. ShapiroSherwinRedischCampbell SSMHA: Prothrombin clinical interpretation, Proc. Soc. Exper. Biol. and Med. 50: 85, 1942. CrossrefGoogle Scholar17. SchaffHurstWilliams RSJWC: The management of auricular flutter, M. Clin. North America 33: 1255, 1949. CrossrefMedlineGoogle Scholar18. AskeyCherey JMCB: Thrombo-embolism associated with auricular fibrillation,—continuous anticoagulant therapy, J. A. M. A. 144: 97, 1950. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chicago, Illinois*Received for publication January 12, 1951.From the Department of Medicine, Mount Sinai Hospital, Chicago, Illinois, and the Department of Medicine, Chicago Medical School, Chicago, Illinois. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAuricular flutter associated with complete heart block 1 August 1952Volume 37, Issue 2Page: 394-399KeywordsArrhythmiaCardiovascular therapyEmbolectomyGratitudeHeartHospital medicineLongitudinal studiesValvular diseases ePublished: 1 December 2008 Issue Published: 1 August 1952 PDF downloadLoading ...