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. 2022 Feb 7;6(2):ytac052. doi: 10.1093/ehjcr/ytac052
Date Event
21 days before presentation Dental scaling
15 days before presentation Headache onset
1 day before presentation Neurological symptoms
Day 0 Emergency department/head computed tomography (CT)
Suspected intracranial tumours
Day 0 Transfer
Day 1 Head magnetic resonance imaging
Confirmed intracerebral abscesses
Day 1 Abscess drainage
Cultivated by bacteria commonly found in the oral flora
Day 2 Transthoracic echocardiography
Findings of the dilated coronary sinus
Day 4 Transoesophageal echocardiography with agitated saline
Confirmation of shunt, suspicion of simultaneous extra- and intracardiac shunting
Day 5 Cardiac magnetic resonance and magnetic resonance angiography
Confirmation of persistent left superior vena cava and right-sided superior vena cava draining into the left atrium. However, intracardiac shunting is not evident
Day 15 Cardiac CT with angiography
Extracardiac sinus venosus defect discovered