Intraparenchymal Brain Abscess in an Adult Male With Underlying Ebstein Anomaly and Cor Triatriatum Dexter

Andrei Minciunescu; Emmanuel Ekanem; Bradley Nitta; Felix Castro; Hussain Dhanani

doi:10.1016/j.jaccas.2020.11.021

Intraparenchymal Brain Abscess in an Adult Male With Underlying Ebstein Anomaly and Cor Triatriatum Dexter

JACC Case Rep. 2021 Jan 27;3(2):194-197. doi: 10.1016/j.jaccas.2020.11.021. eCollection 2021 Feb.

Authors

Andrei Minciunescu¹, Emmanuel Ekanem², Bradley Nitta¹, Felix Castro², Hussain Dhanani³

Affiliations

¹ Department of General Internal Medicine, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
² Department of Cardiovascular Disease, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
³ Department of Critical Care Medicine, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.

Abstract

A 21-year-old man presented with new-onset seizures and brain abscess. Echocardiography and cardiac magnetic resonance imaging revealed underlying Ebstein anomaly, secundum atrial septal defect, and cor triatriatum dexter. The elevated right heart pressures shunting through the septal defect and transient bacteremia were the likely mechanisms for his presentation. (Level of Difficulty: Intermediate.).

Keywords: ASD, atrial septal defect; ECG, electrocardiography; Ebstein anomaly; MRI, magnetic resonance imaging; RV, right ventricle; congenital heart defect; echocardiography.

Publication types

Case Reports