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HighlightsConservative management alone, in certain cases, can be an effective method of treating large cerebral abscesses that would normally warrant surgical intervention in patients with complex congenital heart conditions.Having an alternative, non-surgical, method of treating large brain abscesses in patients with underlying complex congenital heart conditions, in which brain abscesses is a known complication, is of great clinical importance.Due to the increasing number of patients living longer with congenital heart conditions, further study into the conservative management of larger abscesses is warranted.

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