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Splenic rupture complicating aortic valve replacement for bacterial endocarditis

^a Department of Cardiothoracic Surgery, University Hospital of Wales, Heath Park, Cardiff, UK
^b Department of General Surgery, University Hospital of Wales, Heath Park, Cardiff, UK

*Corresponding author. Tel.: +44 29 2074 7747; fax: +44 29 2074 7747.

E-mail address: gdimitrakakis{at}yahoo.com (G. Dimitrakakis).

We present a rare case of bacterial endocarditis of the aortic valve complicated by intracranial haemorrhage, splenic and renal infarcts. Aortic valve replacement was complicated by delayed splenic rupture. The successful surgical management of this case is described as well as a review of the literature.

Key Words: Splenic rupture; Endocarditis; Stroke; Valve replacement