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Question:

Saddle thrombus is it death sentence?

I'm hoping for some advice or shared experiences because I'm feeling pretty lost right now. My cat, Max, who is my absolute world, was just diagnosed with saddle thrombus by the vet. It’s when a blood clot blocks the blood flow to his hind legs. I noticed he started limping and crying out in pain suddenly, and he’s usually such a tough guy. The vet said the words "poor prognosis," and my heart just sank. I've been Googling all night and some places say it’s pretty much the end, while others mention treatments, but I really don’t know what to believe. Has anyone here gone through this with their cat? Are there success stories? I don’t want to put him through unnecessary suffering, but I also don’t want to give up on him if there’s a chance. Any advice or thoughts would be really appreciated. Thanks so much.

Answer:

Hello there,



I'm sorry to hear you're worried about saddle thrombus in your pet. Let's talk about what this means and what you can do. Saddle thrombus, also known as aortic thromboembolism, is a serious condition where a blood clot blocks the main artery at the back legs. This is most common in cats.



Unfortunately, it can be life-threatening, but it's not an automatic death sentence. Some pets with saddle thrombus can recover with intensive veterinary care, which may include pain management and medications to dissolve or manage the clot, and in some cases, surgery.



At home, you should keep your pet comfortable and try to minimize stress. You can help your pet by making sure they have easy access to food, water, and a litter box if they're a cat.



Watch out for signs like sudden pain and inability to use the back legs, crying or vocalizing due to discomfort, cold back limbs, and heavy or fast breathing. These signs mean that blood flow is restricted and immediate veterinary help is crucial.



For personalized advice, I'd really recommend scheduling a video consult with one of our vets at Dial A Vet. They can give you a more detailed plan tailored to your pet's specific situation. Take care!

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 23, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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