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{
    "pk": 1399,
    "title": "Transcatheter Arterial Embolization for Atraumatic Splenic Rupture in TEE-negative Endocarditis: A Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction: </b>Spontaneous splenic rupture is an extremely rare complication of infective endocarditis.<p></p><p><b>Case Report:</b> 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 Haemophilus parainfluenza. The rupture was treated successfully by endovascular embolization. Usual treatment with six weeks of antibiotics provided durable cure without further complication, and no surgical intervention was needed for either the valve or spleen.</p><p></p><p><b>Conclusion: </b>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.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "atraumatic splenic rupture"
        },
        {
            "word": "splenic artery embolization"
        },
        {
            "word": "endocarditis"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/38w7j8tc",
    "frozenauthors": [
        {
            "first_name": "Daniel",
            "middle_name": "P.",
            "last_name": "High",
            "name_suffix": "",
            "institution": "HCA Florida Aventura Hospital, Department of Pulmonary and Critical Care Medicine, Aventura, Florida",
            "department": "Pulmonary and Critical Care Medicine"
        },
        {
            "first_name": "Jose",
            "middle_name": "M.",
            "last_name": "Acosta-Rullán",
            "name_suffix": "",
            "institution": "HCA Florida Aventura Hospital, Department of Internal Medicine, Aventura, Florida",
            "department": "Internal Medicine"
        },
        {
            "first_name": "Danay",
            "middle_name": "",
            "last_name": "Herrera",
            "name_suffix": "",
            "institution": "HCA Florida Aventura Hospital, Department of Internal Medicine, Aventura, Florida",
            "department": "Internal Medicine"
        },
        {
            "first_name": "Mauricio",
            "middle_name": "",
            "last_name": "Danckers",
            "name_suffix": "",
            "institution": "HCA Florida Aventura Hospital, Department of Pulmonary and Critical Care Medicine, Aventura, Florida",
            "department": "Pulmonary and Critical Care Medicine"
        },
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Heller",
            "name_suffix": "",
            "institution": "HCA Florida Aventura Hospital, Department of Pulmonary and Critical Care Medicine, Aventura, Florida",
            "department": "Pulmonary and Critical Care Medicine"
        },
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Zapata",
            "name_suffix": "",
            "institution": "HCA Florida Kendall Hospital, Department of Pulmonary and Critical Care Medicine, Miami, Florida",
            "department": "Pulmonary and Critical Care Medicine"
        }
    ],
    "date_submitted": "2023-05-24T13:57:44.018000-04:00",
    "date_accepted": "2023-10-25T17:11:41.122000-03:00",
    "date_published": "2024-02-13T11:00:00-03:00",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1399/galley/9613/download/"
    },
    "galleys": [
        {
            "label": "Layout",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1399/galley/3855/download/"
        },
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1399/galley/9613/download/"
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    ]
}