Deney Antoine, Lairez Olivier, Coulange Mathieu, Riu Béatrice, Hunt Jennifer
Department of Cardiology, Rangueil University Hospital, 1, Avenue Jean Poulhès, TSA 50032, 31059 Toulouse, France.
Medical School, Toulouse III Paul Sabatier University, Toulouse, France.
Eur Heart J Case Rep. 2024 Jul 31;8(8):ytae371. doi: 10.1093/ehjcr/ytae371. eCollection 2024 Aug.
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.
A 26-year-old male diver was diagnosed with DCS following a dive at 36 m. He underwent PFO closure with a STARFLEX® 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.
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.
减压病（DCS）是与水肺潜水相关的一种已知风险，特别是在存在右向左分流的人群中，如卵圆孔未闭（PFO）。在此，我们报告一例封堵术后迟发性PFO通透性增加的独特病例。
一名26岁男性潜水员在36米深度潜水后被诊断为DCS。他接受了使用STARFLEX®假体进行的PFO封堵术。十年后，该患者出现提示DCS的复发症状。所进行的诊断检查发现植入的假体出现通透性增加，随后对其采取了保守治疗方法。
该病例凸显了潜水员PFO管理中的挑战，并引发了对PFO封堵术长期有效性以及潜水相关因素对假体通畅性影响的担忧。
