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Case Reports
Journal Article
Transient Ischemic Attack while Injecting Intravenous Saline Contrast in a Patient with Persistent Left Superior Vena Cava.
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association 2018 July
In this case report, we describe a patient who has a persistent left superior vena cava (PLSVC) manifesting as a transient ischemic attack (TIA) and a remote brain abscess. PLSCV, when draining in the left atrium, is a cause of right to left shunt, and it has been related to brain abscesses and, as reported in a few cases, to ischemic stroke. After admission, our patient experienced 2 new episodes of TIA while being injected with agitated saline contrast through the left arm, producing echocardiographic images of right to left shunt, which gave the clue to the diagnosis.
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