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Splenic haematoma complicating infective endocarditis: role of preoperative splenic artery embolization
 
Wong NS, Wong RH, Yu SC, Ng CS. Eur J Cardiothorac Surg. 2015 Jan;47(1):191-3. doi: 10.1093/ejcts/ezu179. Epub 2014 Apr 24. PMID: 24771754.

 

Abstract

 

Splenic involvement is not uncommon among patients with infective endocarditis (IE). These patients are susceptible to massive intra-abdominal haemorrhage resulting either from splenic rupture complicating endocarditis or from complication of major splenectomy. We report a patient with splenic haematoma complicating IE with progressive cardiac decompensation and valve destruction warranting early surgery. Preoperative splenic artery embolization was successfully performed and the patient subsequently received life-saving cardiac valvular replacement surgery. The favourable outcome of our patient depicts a pivotal role of preoperative splenic artery embolization in haemodynamically compromised patients undergoing cardiac valvular surgery for IE.

 

Keywords: Cardiac surgery; Infective endocarditis; Splenic haematoma.

 

 

Citation:

Wong NS, Wong RH, Yu SC, Ng CS. Splenic haematoma complicating infective endocarditis: role of preoperative splenic artery embolization. Eur J Cardiothorac Surg. 2015 Jan;47(1):191-3. doi: 10.1093/ejcts/ezu179. Epub 2014 Apr 24. PMID: 24771754.
 

https://pubmed.ncbi.nlm.nih.gov/24771754/

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