Athero-embolic isolated splenic infarction following left cardiac catheterization

Ahmed Hussein, Rahil Kasmani, Farzan Irani, Geetali Mohan

Research output: Contribution to journalArticlepeer-review


Instrumentation of the aorta during cardiac catheterization, resulting in peripheral embolization, is an underdiagnosed clinical entity. Such an atheromatous embolization can present in a subtle way or could be catastrophic. Isolated splenic infarction as a complication of the procedure is extreme rare. We report a 59-year-old man with risk factors for atherosclerotic vascular disease who underwent percutaneous coronary intervention and presented 3 days later with isolated splenic infarction. He was managed conservatively with heparin. Further evaluation revealed a concomitant mural thrombus in an abdominal aortic aneurysm, which could be a contributing factor along with atheroembolization from advanced atherosclerosis. Our case highlights the importance of using a right brachial or radial approach in an individual with significant atherosclerotic vascular disease and with an abdominal aortic aneurysm.

Original languageEnglish (US)
Pages (from-to)271-272
Number of pages2
JournalJournal of Cardiovascular Medicine
Issue number3
StatePublished - Mar 2009
Externally publishedYes


  • Abdominal aneurysm
  • Cardiac catheterization
  • Splenic infarct

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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