A Case of Eisenmenger Syndrome with Brain Abscess.
10.4070/kcj.1999.29.1.79
- Author:
Hong Yul KIM
;
Dae Gyun PARK
;
Young Cheoul DOO
;
Kyung Soon HONG
;
Kyoo Rok HAN
;
Dong Jin OH
;
Kyu Hyung RYU
;
Chong Yun RIM
;
Young Bahk KOH
;
Kwang Hack LEE
;
Yung LEE
- Publication Type:Case Report
- Keywords:
Eisenmenger syndrome;
Brain abscess
- MeSH:
Anoxia;
Brain Abscess*;
Brain*;
Cause of Death;
Chest Pain;
Cyanosis;
Dyspnea;
Eisenmenger Complex*;
Embolism, Paradoxical;
Fatigue;
Heart Defects, Congenital;
Hemoptysis;
Humans;
Hypertension, Pulmonary;
Stroke;
Syncope
- From:Korean Circulation Journal
1999;29(1):79-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Eisenmenger syndrome is characterized by severe irreversible pulmonary hypertension and right-to-left shunting of blood through the pulmonary-systemic communication. The resultant right-to-left shunt leads to clinical cyanosis and secondary manifestations of chronic hypoxemia. Clinical features include dyspnea on exertion, fatigue, palpitation, hemoptysis, syncope, chest pain and predisposition to brain abscess and cerebrovascular accident. Brain abscess is a serious complication of cyanotic congenital heart disease and major cause of death. We report a patient with Eisenmenger syndrome in whom the presence of right-to-left shunt and paradoxical embolism appears to be critical for the development of brain abscess.