Recurrent decompression sickness and late repermeabilization of patent foramen oval closure prosthesis: a diver’s dilemma—case report
2024
Deney, Antoine | Lairez, Olivier | Coulange, Mathieu | Riu, Béatrice | Hunt, Jennifer | Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research (C2VN) ; Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)
International audience
Mostrar más [+] Menos [-]Inglés. Decompression sickness (DCS) is a well-known risk associated with scuba diving, particularly in people with right-to-left shunt, such as patent foramen oval (PFO). Herein, we present a unique case of late PFO permeabilization after closure.<p>Case summary A 26-year-old male diver was diagnosed with DCS following a dive at 36 m. He underwent PFO closure with a STARFLEX® pros- thesis. Ten years later, the patient was presented with recurrent manifestations suggestive of DCS. The performed diagnostic workup detects a permeabilization of the implanted prosthesis, and he was treated with a conservative approach.</p> <div>Discussion<p>This case highlights the challenges in the management of PFO in divers and raises concerns about the long-term efficiency of PFO closure and the impact of diving-related factors on prosthesis patency.</p></div>
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