title: Uncorrected Ebstein's anomaly with atrial septal defect complicated by brain abscess in an adult patient.
abstract: : We report the case of a 56-year-old male patient affected by a severe form of Ebstein's anomaly (type C of Carpentier classification) with secundum atrial septal defect, who presented to the emergency department with impaired consciousness, seizures, and trismus. The brain computed tomography scan showed evidence of a mass located in the frontal lobe, confirmed by brain MRI consistent with brain abscess. Both echocardiography and cardiac MRI showed no evidence of valvular vegetation. This case shows how the combination of increased atrial pressure and bidirectional shunt through atrial septal defect may lead to paradoxical embolization.
authors: aSection of Cardiology, Department of Medicine bSection of Radiology cSection of Neuroradiology, Department of Pathology and Diagnostics, University of Verona, Verona, Italy.
authors: Roberto
authors: R
authors: Scarsini
authors: Maria A
authors: MA
authors: Prioli
authors: Elena G
authors: EG
authors: Milano
authors: Valentina
authors: V
authors: Benetti
authors: Micol
authors: M
authors: Rebonato
authors: Giovanni
authors: G
authors: Puppini
authors: Franco
authors: F
authors: Alessandrini
authors: Corrado
authors: C
authors: Vassanelli
mesh_terms: D000015:Abnormalities, Multiple; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D062185:Atrial Pressure; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D003326:Coronary Circulation; D004437:Ebstein Anomaly / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D018618:Echocardiography, Doppler, Color; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging / Q000382:microbiology*; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000382:microbiology*; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012640:Seizures / Q000382:microbiology; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000503:physiopathology; D014313:Trismus / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents