Cardiovascular Division, Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym UniversityMedical Center, Seoul, Republic of Korea.
Clin Cardiol. 2010 Apr;33(4):E51-3. doi: 10.1002/clc.20552.
Brain abscess is a serious complication of congenital heart disease in children and adolescents. This association is rarely observed in adults. This article describes the case of a 41-year-old man who presented with altered mental status. Brain MRI showed a brain abscess at the left frontal lobe. The patient was successfully treated with surgical removal and appropriate antibiotics. Echocardiographic examination showed atrial septal defect (ASD) with bidirectional shunt. Transcatheter closure of ASD was carried out 6 months after neurosurgical treatment. We discuss the association of brain abscess and ASD.
脑脓肿是儿童和青少年先天性心脏病的严重并发症。这种关联在成年人中很少见。本文描述了一例 41 岁男性患者，其表现为精神状态改变。脑 MRI 显示左额叶有脑脓肿。患者经手术切除和适当的抗生素治疗后痊愈。超声心动图检查显示房间隔缺损（ASD）伴双向分流。神经外科治疗 6 个月后，进行了 ASD 的经导管封堵。我们讨论了脑脓肿和 ASD 的关联。
