Uncorrected Ebsteinʼs anomaly with atrial septal defect complicated by brain abscess in an adult patient

2016 ◽  
Vol 17 ◽  
pp. e225-e227
Author(s):  
Roberto Scarsini ◽  
Maria A. Prioli ◽  
Elena G. Milano ◽  
Valentina Benetti ◽  
Micol Rebonato ◽  
...  
2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Navin Mathew ◽  
Nischal N Hegde

Abstract Background Brain abscess is a common complication in children with cyanotic congenital heart disease. The presence of an underlying acyanotic congenital heart disease is usually not suspected in an adult patient presenting with brain abscess. Case summary A 51-year-old male patient with no known co-morbidities came with complaints of recent onset right lower limb weakness needing support while walking and on evaluation was found to have brain abscess. He underwent robotic endoscope assisted endoport excision of the brain abscess. Two-dimensional transthoracic echocardiography showed right atrial and right ventricular dilatation with mild low-pressure tricuspid regurgitation. Transoesophageal echocardiography (TOE) revealed sinus venosus atrial septal defect (ASD) with left-to-right shunt with the right upper pulmonary vein draining into superior vena cava. Contrast echocardiography revealed a small transient right-to-left shunt. He has been advised to undergo elective surgical closure of ASD with partial anomalous pulmonary venous connection repair. Discussion Right-to-left shunting in ASDs can occur in the early systole even in the absence of raised pressures in the right side of the heart, even when the predominant shunt is left to right, but the magnitude of such a shunt is small and transient and is easily missed. Contrast echocardiography and TOE should be done as a part of evaluation of patients presenting with brain abscess.


2009 ◽  
Vol 4 (1) ◽  
pp. 76
Author(s):  
James Slater ◽  
Mark Fisch ◽  
◽  

William Harvey was the first scientist to describe the heart as consisting of separate right- and left-sided circulations. Our understanding of the heart’s anatomy and physiology has grown significantly since this landmark discovery in 1628. Today, we recognise not only the importance of these separate systems, but also the specific tissue that divides them. Our growing understanding of the inter-atrial septum has allowed us to identify defects within this structure and develop effective percutaneous devices for closure of these defects in the adult patient. This article discusses the formation of a patent foramen ovale (PFO) and atrial septal defect (ASD). In addition, we describe the medical illnesses caused by these defects and summarise the indications and risks related to percutaneous closure of these defects. We also report the most up-to-date transcatheter therapeutic options for closure of these common congenital defects in the adult patient.


2017 ◽  
Vol 3 (2(S)) ◽  
pp. 23
Author(s):  
Jomanzyah MUA., et al

Atrioventricular Node Dysfunction in Adult Patient With Atrial Septal Defect: Focus on Pacemaker Management


Cor et Vasa ◽  
2016 ◽  
Vol 58 (4) ◽  
pp. e439-e443 ◽  
Author(s):  
Stefan Naydenov Naydenov ◽  
Nikolay Margaritov Runev ◽  
Emil Ivanov Manov ◽  
Rabhat Ahmet Shabani ◽  
Temenuga Ivanova Donova ◽  
...  

2017 ◽  
Vol 12 (4) ◽  
pp. 743 ◽  
Author(s):  
RanjithKrishna Moorthy ◽  
BijeshRavindran Nair ◽  
Edmond Jonathan ◽  
Vedantam Rajshekhar ◽  
Oommen George

2021 ◽  
Vol 3 (2) ◽  
pp. e200561
Author(s):  
Andrea C. Furlani ◽  
Matthew Lazarus ◽  
Anna Shmukler ◽  
Jeffrey M. Levsky ◽  
Nicole J. Sutton ◽  
...  

2019 ◽  
Vol 11 (4) ◽  
pp. 322-324
Author(s):  
Roghayeh Pourkia ◽  
Seyed Habibollah Hassani ◽  
Simin Mouodi

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.


2018 ◽  
Vol 71 (11) ◽  
pp. A2500
Author(s):  
Ahmed Kheiwa ◽  
Elyse Foster ◽  
Vaikom Mahadevan ◽  
Anushree Agarwal ◽  
Ian Harris

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