Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses | Zendy

Addie B. Spier | Zendy; Diana David | Zendy; Moamen Al Zoubi | Zendy; Montoya Taylor | Zendy; Colin E. Evans | Zendy

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Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses

Author(s) -

Addie B. Spier,

Diana David,

Moamen Al Zoubi,

Montoya Taylor,

Colin E. Evans

Publication year - 2022

Publication title -

open forum infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.546

H-Index - 35

ISSN - 2328-8957

DOI - 10.1093/ofid/ofac160

Subject(s) - medicine , right to left shunt , persistent left superior vena cava , left behind , shunt (medical) , brain abscess , left and right , right to left , gauche effect , cardiology , radiology , surgery , abscess , coronary sinus , patent foramen ovale , percutaneous , structural engineering , engineering , psychiatry , computer science , mental health , operating system

We present a novel case of recurrent brain abscesses found to be the result of a silent congenital right-to-left extracardiac shunt, a persistent left superior vena cava draining into the left atrium. The patient’s brain abscess was evacuated surgically and treated with antibiotics, and his shunt was subsequently repaired. The case suggests that attention should be paid to evaluation for shunt physiology allowing for bypass of the pulmonary circulation in those with recurrent brain abscesses.

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