Korean Circ J.  1999 Jan;29(1):79-83. 10.4070/kcj.1999.29.1.79.

A Case of Eisenmenger Syndrome with Brain Abscess

• Kim HY
• Park DG
• Doo YC
• Hong KS
• Han KR
• Oh DJ
• Ryu KH
• Rim CY
• Koh YB
• Lee KH
• Lee Y

• KMID: 1858333
• DOI: http://doi.org/10.4070/kcj.1999.29.1.79

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.

Keyword

Eisenmenger syndrome; Brain abscess

MeSH Terms

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