Brain abscess associated with isolated left superior vena cava draining into the left atrium in the absence of coronary sinus and atrial septal defect


Erol I., Cetin İ. İ. , Alehan F., Varan B., Ozkan S., Agildere A. M. , ...More

CardioVascular and Interventional Radiology, vol.29, no.3, pp.454-456, 2006 (Peer-Reviewed Journal) identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 3
  • Publication Date: 2006
  • Doi Number: 10.1007/s00270-005-0082-4
  • Journal Name: CardioVascular and Interventional Radiology
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.454-456
  • Keywords: Brain abscess, Persistent left superior vena cava (LSVC)

Abstract

A previously healthy 12-year-old girl presented with severe headache for 2 weeks. On physical examination, there was finger clubbing without apparent cyanosis. Neurological examination revealed only papiledema without focal neurologic signs. Cerebral magnetic resonance imaging showed the characteristic features of brain abscess in the left frontal lobe. Cardiologic workup to exclude a right-to-left shunt showed an abnormality of the systemic venous drainage: presence of isolated left superior vena cava draining into the left atrium in the absence of coronary sinus and atrial septal defect. This anomaly is rare, because only a few other cases have been reported. © Springer Science+Business Media, Inc. 2006.