Patent Foramen Ovale Closure for Splenic Infarction: An Unusual Presentation and an Unusual Indication

BACKGROUND: Splenic infarction is a rare clinical condition. It is generally attributed to hematologic, vascular, cardioembolic, and infectious diseases or trauma. Case Presentation. We describe a rare case in an otherwise asymptomatic 41-year-old overweight woman with acute abdominal pain. Imaging...

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Detalles Bibliográficos
Autores principales: Lamas, Edgar Stroppa, Osti, Alan Vinicius Gamero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115189/
https://www.ncbi.nlm.nih.gov/pubmed/32257452
http://dx.doi.org/10.1155/2020/9802908
Descripción
Sumario:BACKGROUND: Splenic infarction is a rare clinical condition. It is generally attributed to hematologic, vascular, cardioembolic, and infectious diseases or trauma. Case Presentation. We describe a rare case in an otherwise asymptomatic 41-year-old overweight woman with acute abdominal pain. Imaging work-up revealed splenic infarction. Common etiologies were excluded. A transesophageal echocardiography (TEE) revealed a patent foramen ovale (PFO). The patient was sent to closure with good outcome. CONCLUSION: Paradoxical embolism due to PFO can be a cause of splenic infarction, and its investigation and subsequent closure may be considered when there are no other causative disorders.

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