Brain abscess associated with ventricular septal defect and Eisenmenger syndrome

INTRODUCTION AND IMPORTANCE: Brain abscess is a potentially fatal neurological infection, despite the development of new antimicrobial agents and modern neurosurgical techniques. CASE PRESENTATION: We present an uncommon case where a large brain abscess was treated successfully in a patient with Eisenmenger syndrome. He was underwent neurosurgical treatment and eventually recovered. CLINNICAL DISCUSSION: The etiology of a brain abscess in patients with congenital cyanotic heart disease has multiple aspects. In this patient population was high risk for developing perioperative complications.The preoperative evaluation, intraoperative management and postoperative care are important steps in the treatment of cardiac patients undergoing noncardiac surgery, and essential for patient's safe and fast recovery. CONCLUSIONS: We highlight the importance of the diagnosis and management of Eisenmenger syndrome to help us further understand this rare and fatal disease.