Spontaneous splenic rupture following mitral valve replacement for infective endocarditis successfully managed with splenic artery embolisation

  title={Spontaneous splenic rupture following mitral valve replacement for infective endocarditis successfully managed with splenic artery embolisation},
  author={A. Shafi and Michelle Lee and D. Balmforth and K. Lall},
  journal={Journal of Cardiac Surgery},
  pages={3638 - 3641}
We report a rare case of infective endocarditis complicated by postoperative splenic rupture. A patient underwent urgent mitral valve replacement for infective endocarditis believed to be associated with a recent spinal surgical intervention. The patient developed haemodynamic compromise on the third day postoperatively. Computed tomography showed a splenic rupture as the cause. The patient underwent emergency radiological intervention with coil embolization avoiding the need for a splenectomy… Expand
1 Citations
Splenic artery embolization for atraumatic splenic rupture
  • Z. Miller
  • Medicine
  • Journal of cardiac surgery
  • 2020


Spleen rupture after mitral valve replacement for infective endocarditis.
This case suggests that, in addition to more common causes of unstable vital signs after valvular surgery, such as cardiac tamponade or bleeding at the operation site, splenic rupture, although rare, should be considered in the differential diagnosis. Expand
Splenic haematoma complicating infective endocarditis: role of preoperative splenic artery embolization.
  • N. Wong, R. Wong, S. Yu, C. Ng
  • Medicine
  • European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
  • 2015
The favourable outcome of a patient with splenic haematoma complicating IE with progressive cardiac decompensation and valve destruction warranting early surgery depicts a pivotal role of preoperative splenic artery embolization in haemodynamically compromised patients undergoing cardiac valvular surgery for IE. Expand
Splenic rupture complicating aortic valve replacement for bacterial endocarditis.
A rare case of bacterial endocarditis of the aortic valve complicated by intracranial haemorrhage, splenic and renal infarcts and the successful surgical management is described. Expand
Splenic rupture as a presenting feature of endocarditis.
The need to consider endocarditis in spontaneous splenic rupture particularly in those patients in a high risk group, such as IV drug users, especially if they lack a clear history of trauma is highlighted. Expand
[Spontaneous splenic rupture after mitral valve replacement for infective endocarditis].
We report a successful treatment of massive bleeding due to spontaneous splenic rupture after mitral valve replacement. A 61-year-old man was admitted to our hospital for intermittent high fever. AnExpand
Ischemic Stroke and Splenic Rupture in a Case of Streptococcus bovis Endocarditis
ABSTRACT A 58-year-old man with an acute stroke suffered from splenic rupture. Streptococcus bovis was found in blood cultures, and gram-negative cocci were found in the infarcted spleen. HemorrhagicExpand
Spontaneous splenic rupture as complication of infective endocarditis.
A case is reported of spontaneously ruptured spleen occurring as a fatal complication of Group B streptococcal endocarditis, despite control of infection with antibiotics and early surgery.
Splenic septic emboli in endocarditis.
Splenic septic embolus is common in endocarditis and abdominal computed tomography should be performed for all patients to determine the proper management of splenic infarcts and abscess due to sepsis. Expand
The changing epidemiology of infective endocarditis: the paradox of prophylaxis in the current and future eras.
  • Andrew Wang
  • Medicine
  • Journal of the American College of Cardiology
  • 2012
Infective endocarditis, or infection of an endocardial surface of the heart, remains an uncommon disease associated with significant morbidity, including complications of heart failure, stroke, systemic embolization, and sepsis. Expand
Complicated left-sided native valve endocarditis in adults: risk classification for mortality.
Adults with complicated left-sided native valve endocarditis can be accurately risk stratified using baseline features into 4 groups of prognostic severity, and this prognostic classification system might be useful for facilitating management decisions. Expand