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

J Card Surg. 2020 Dec;35(12):3638-3641. doi: 10.1111/jocs.15003. Epub 2020 Sep 16.

Abstract

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 and was discharged home.

Keywords: infective endocarditis; postoperative complications; splenic rupture; valvular endocarditis.

Publication types

  • Case Reports

MeSH terms

  • Endocarditis* / complications
  • Endocarditis* / surgery
  • Endocarditis, Bacterial* / complications
  • Endocarditis, Bacterial* / surgery
  • Humans
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / surgery
  • Rupture, Spontaneous
  • Splenic Artery / diagnostic imaging
  • Splenic Rupture* / diagnostic imaging
  • Splenic Rupture* / etiology
  • Splenic Rupture* / surgery