A delayed splenic rupture after transcatheter arterial embolization required total splenectomy in a patient with an implantable left ventricular assist device

Hiroto Kitahara, Kan Nawata, Osamu Kinoshita, Yoshifumi Itoda, Mitsutoshi Kimura, Haruo Yamauchi, Minoru Ono

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We successfully managed a splenic injury and delayed splenic rupture in a patient with an implantable left ventricular assist device (iLVAD). A 42-year-old man with an iLVAD for idiopathic dilated cardiomyopathy was admitted to our department complaining of dizziness. Laboratory data showed severe anemia, and computed tomography demonstrated a traumatic splenic injury. Following conservative treatment, partial splenic embolization was performed. Fifteen days after the intervention, the patient went into hemorrhagic shock due to delayed splenic rupture. Emergency total splenic embolization was performed, and total splenectomy was conducted later to prevent re-bleeding or abscess formation. His postoperative course was uneventful, and he was discharged on postoperative day 22. Finally, he underwent orthotropic heart transplantation without post-splenectomy sepsis or thrombotic complications 472 days after splenectomy. Splenic injury should be considered as a possible complication of iLVAD. In addition, careful follow-up after transcatheter arterial embolization for splenic injury is essential for managing delayed splenic rupture.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalJournal of Artificial Organs
DOIs
Publication statusAccepted/In press - 2016 Jul 18
Externally publishedYes

Keywords

  • Delayed splenic rupture
  • Embolization
  • Left ventricular assist device
  • Splenectomy
  • Transcatheter arterial embolization

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering
  • Cardiology and Cardiovascular Medicine

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