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

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

doi:10.1093/ofid/ofac160

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

Addie B. Spier^*, Diana David, Moamen Al Zoubi, Montoya Taylor, Colin E. Evans

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Original language	English (US)
Article number	ofac160
Journal	Open Forum Infectious Diseases
Volume	9
Issue number	5
DOIs	https://doi.org/10.1093/ofid/ofac160
State	Published - May 1 2022

Keywords

Abscess
Brain
Shunt

ASJC Scopus subject areas

Oncology
Clinical Neurology

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10.1093/ofid/ofac160

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

abstract = "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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author = "Spier, {Addie B.} and Diana David and {Al Zoubi}, Moamen and Montoya Taylor and Evans, {Colin E.}",

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AU - David, Diana

AU - Al Zoubi, Moamen

AU - Taylor, Montoya

AU - Evans, Colin E.

PY - 2022/5/1

Y1 - 2022/5/1

N2 - 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.

AB - 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.

KW - Abscess

KW - Brain

KW - Shunt

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

Abstract

Keywords

ASJC Scopus subject areas

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