{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:04Z","timestamp":1753876204704,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004718","name":"Toulouse University Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004718","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 26-year-old male diver was diagnosed with DCS following a dive at 36\u2005m. He underwent PFO closure with a STARFLEX\u00ae prosthesis. Ten years later, the patient was presented with recurrent manifestations suggestive of DCS. The performed diagnostic work-up detects a permeabilization of the implanted prosthesis, and he was treated with a conservative approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats: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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae371","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T02:42:39Z","timestamp":1722480159000},"source":"Crossref","is-referenced-by-count":0,"title":["Recurrent decompression sickness and late repermeabilization of patent foramen oval closure prosthesis: a diver\u2019s dilemma\u2014case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0880-7506","authenticated-orcid":false,"given":"Antoine","family":"Deney","sequence":"first","affiliation":[{"name":"Department of Cardiology, Rangueil University Hospital , 1, Avenue Jean Poulh\u00e8s, TSA 50032, 31059 Toulouse , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8141-6582","authenticated-orcid":false,"given":"Olivier","family":"Lairez","sequence":"additional","affiliation":[{"name":"Medical School, Toulouse III Paul Sabatier University , Toulouse , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Coulange","sequence":"additional","affiliation":[{"name":"Department of Hyperbaric Medicine, Sainte Marguerite Hospital, APHM , Marseille , France"},{"name":"Inserm 1263\u2014Inra 1260, Team V: Adenosinergic System and Cardiovascular Disease , Bd Jean Moulin, Marseille , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9atrice","family":"Riu","sequence":"additional","affiliation":[{"name":"Critical Care Unit, University Hospital of Purpan , 31300 Toulouse , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Hunt","sequence":"additional","affiliation":[{"name":"Hyperbaric Center, University Hospital of Purpan , 31300 Toulouse , France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,7,31]]},"reference":[{"key":"2024082122393527500_ytae371-B1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0140-6736(10)61085-9","article-title":"Decompression illness","volume":"377","author":"Vann","year":"2011","journal-title":"Lancet"},{"key":"2024082122393527500_ytae371-B2","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1016\/j.jacc.2020.06.072","article-title":"Patent foramen ovale closure is effective in divers: long-term results from the DIVE-PFO Registry","volume":"76","author":"Hon\u011bk","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"2024082122393527500_ytae371-B3","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1080\/17461391.2019.1587522","article-title":"Indirect clinical markers for the detection of anabolic steroid abuse beyond the conventional doping control in athletes","volume":"19","author":"Christou","year":"2019","journal-title":"Eur J Sport Sci"},{"key":"2024082122393527500_ytae371-B4","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1016\/j.jacc.2017.12.059","article-title":"Cryptogenic stroke and patent foramen Ovale","volume":"71","author":"Mojadidi","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"2024082122393527500_ytae371-B5","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/j.amjcard.2004.12.026","article-title":"Evidence for increasing patency of the foramen ovale in 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