Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man
This study aimed to present a case of 33-year old man who was admitted with a history of one week headache and acute diplopia. No important finding was reported in his past medical history. Brain CT-scan revealed a large mass lesion in left parieto-occipital area with prominent vasogenic edema and m...
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Tabriz University of Medical Sciences
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doaj-442b83dc010f44768574f1308cca40662021-06-26T05:03:28ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302019-11-0111432232410.15171/jcvtr.2019.53jcvtr-28539Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old manRoghayeh Pourkia0Seyed Habibollah Hassani1Simin Mouodi2Department of Cardiology, School of Medicine, Babol University of Medical Sciences, Babol, IranDepartment of Neurosurgery, School of Medicine, Babol University of Medical Sciences, Babol, IranSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranThis study aimed to present a case of 33-year old man who was admitted with a history of one week headache and acute diplopia. No important finding was reported in his past medical history. Brain CT-scan revealed a large mass lesion in left parieto-occipital area with prominent vasogenic edema and midline shift. Brain magnetic resonance imaging (MRI) showed a mass with size of 5*4*5 centimeter with ring enhancement. After cranial surgery and removing the mass, transthoracic and transesophageal echocardiography (TEE) were conducted to find the source of brain abscess. Right ventricular (RV) and right atrial (RA) enlargement, significant left to right shunt, normal left ventricular (LV) and RV function, bidirectional shunt in addition to moderate size superior sinus venosus type atrial septal defect (ASD) were detected. Considering that most of brain abscesses have hematogenous source, a complete cardiac evaluation including TEE with contrast study is suggested for evaluation of patients with brain abscess.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-11-322.pdfbrain abscessatrial septal defecttransesophagealechocardiography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Roghayeh Pourkia Seyed Habibollah Hassani Simin Mouodi |
spellingShingle |
Roghayeh Pourkia Seyed Habibollah Hassani Simin Mouodi Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man Journal of Cardiovascular and Thoracic Research brain abscess atrial septal defect transesophageal echocardiography |
author_facet |
Roghayeh Pourkia Seyed Habibollah Hassani Simin Mouodi |
author_sort |
Roghayeh Pourkia |
title |
Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man |
title_short |
Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man |
title_full |
Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man |
title_fullStr |
Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man |
title_full_unstemmed |
Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man |
title_sort |
sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man |
publisher |
Tabriz University of Medical Sciences |
series |
Journal of Cardiovascular and Thoracic Research |
issn |
2008-5117 2008-6830 |
publishDate |
2019-11-01 |
description |
This study aimed to present a case of 33-year old man who was admitted with a history of one week headache and acute diplopia. No important finding was reported in his past medical history. Brain CT-scan revealed a large mass lesion in left parieto-occipital area with prominent vasogenic edema and midline shift. Brain magnetic resonance imaging (MRI) showed a mass with size of 5*4*5 centimeter with ring enhancement. After cranial surgery and removing the mass, transthoracic and transesophageal echocardiography (TEE) were conducted to find the source of brain abscess. Right ventricular (RV) and right atrial (RA) enlargement, significant left to right shunt, normal left ventricular (LV) and RV function, bidirectional shunt in addition to moderate size superior sinus venosus type atrial septal defect (ASD) were detected. Considering that most of brain abscesses have hematogenous source, a complete cardiac evaluation including TEE with contrast study is suggested for evaluation of patients with brain abscess. |
topic |
brain abscess atrial septal defect transesophageal echocardiography |
url |
https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-11-322.pdf |
work_keys_str_mv |
AT roghayehpourkia sinusvenosusatrialseptaldefectpresentingwithbrainabscessina33yearoldman AT seyedhabibollahhassani sinusvenosusatrialseptaldefectpresentingwithbrainabscessina33yearoldman AT siminmouodi sinusvenosusatrialseptaldefectpresentingwithbrainabscessina33yearoldman |
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