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change, and gait imbalance. His history was significant for multiple transient ischemic attacks in the past and for PFO, for which he underwent repair. Specifically, he had no history of any immunosuppressive disease. His presentation elicited concern with regard to another cerebrovascular accident. H erein we present images of vegetation on a transcatheter-introduced cardioSEAL occluder device used for patent foramen ovale (PFO) and which had been implanted 11 years previously. A 62-year-old man presented with fever, body ache, vision

Infective Endocarditis of a Completely Endothelialized CardioSEAL Patent Foramen Ovale Closure Device ― Extremely Rare Entity ―