{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T21:41:07Z","timestamp":1789854067063,"version":"4.0.1"},"reference-count":14,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,24]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Rheumatic heart disease (RHD) remains the leading cardiac problem affecting pregnant women, especially in low- to middle-income countries. In nearly one-third of the cases, it is detected during pregnancy when they present with complications. Infective endocarditis (IE) in pregnancy is rare, with an incidence of 1 in 100\u2009000 pregnancies, and carries high maternal and fetal morbidity and mortality. Embolisation of the infective vegetation can lead to inoculation of the arterial wall, causing aneurysm, infarction or abscess formation. Being an end artery, splenic artery aneurysm and infarct can complicate IE; it can even be lethal due to ruptured aneurysm with intraperitoneal bleed. We report a patient who presented with IE complicated with a splenic-artery aneurysm during pregnancy, successfully managed by a multidisciplinary team.<\/jats:p>","DOI":"10.1136\/bcr-2024-260923","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T01:06:53Z","timestamp":1732583213000},"page":"e260923","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Splenic artery aneurysm and infarction during pregnancy from infective endocarditis"],"prefix":"10.1136","volume":"17","author":[{"given":"Divya","family":"Bhukya","sequence":"first","affiliation":[{"name":"Obstetrics and gynecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parvathi","family":"Naik","sequence":"additional","affiliation":[{"name":"Obstetrics and gynecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, 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