Transcatheter Arterial Embolization for Atraumatic Splenic Rupture in TEE-negative Endocarditis: A Case Report.

Division

East Florida

Hospital

Aventura Hospital and Medical Center

Document Type

Case Report

Publication Date

5-1-2024

Keywords

splenic rupture, infective endocarditis

Disciplines

Cardiovascular Diseases | Critical Care | Internal Medicine | Medicine and Health Sciences

Abstract

INTRODUCTION: Spontaneous splenic rupture is an extremely rare complication of infective endocarditis.

CASE REPORT: We present a case of a 56-year-old immunocompetent female with porcine bioprosthetic mitral valve replacement, automated implanted cardioverter-defibrillator, and atrial fibrillation on apixaban who was found to have in-hospital atraumatic splenic rupture complicating infective endocarditis with

CONCLUSION: Transcatheter arterial embolization should be considered early in atraumatic splenic rupture. Relevant abdominal and cerebral imaging should be considered in all cases of suspected or confirmed infective endocarditis where unexplained symptoms are present.

Publisher or Conference

Clinical Practice and Cases in Emergency Medicine

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