Giant Eustachian valve and Thebesian valve-A highly deceptive structures as atrial septal defect rims.


Journal

Journal of clinical ultrasound : JCU
ISSN: 1097-0096
Titre abrégé: J Clin Ultrasound
Pays: United States
ID NLM: 0401663

Informations de publication

Date de publication:
Jun 2021
Historique:
revised: 06 09 2020
received: 30 07 2020
accepted: 07 10 2020
pubmed: 18 10 2020
medline: 27 5 2021
entrez: 17 10 2020
Statut: ppublish

Résumé

The Eustachian valve (EV) of the inferior vena cava and the Thebesian valve (TV) of the coronary sinus are incompletely regressed structures of embryonic sinus venosus. In the majority of cases, the EV and TV disappear completely after birth or are represented only by a thin crescentic fold. On echocardiography, these vestiges may mimic abnormal structures. We report a case with giant EV and TV which were initially misinterpreted as rims of an atrial septal defect (ASD) leading to the false diagnosis of ostium secundum ASD.

Identifiants

pubmed: 33067871
doi: 10.1002/jcu.22937
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

506-508

Informations de copyright

© 2020 Wiley Periodicals LLC.

Références

Weyman AE. Principles and Practice of Echocardiography. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 1994.
Gourav KP, Aspari A, Negi SL, et al. Transesophageal echocardiography guided novel technique for the negotiation of dual stage cavo-atrial cannula into inferior vena cava in a patient with large Eustachian valve: a case report. J Perioper Echocardiogr. 2018;6:57.
Butera G, Montinaro A, Carminati M. The "pull-push" technique to deal with a redundant eustachian valve interfering with placement of a PFO occluder. Catheter Cardiovasc Interv. 2006;68:961-964.
Dissmann R, Schroder J, Voller H, et al. Entrapment of pacemaker lead by a large net-like Eustachian valve within the right atrium. Clin Res Cardiol. 2006;95:241-243.
Krishnamoorthy KM, Gopalakrishnan A, Kumar DS, Sivasankaran SS. Eustachian valve-masquerading ASD rim. Indian Heart J. 2017;69:422-423.
Grecu M, Floria M, Tinică G. Complication due to entrapment in the Chiari apparatus. Europace. 2014;16:577.
Noheria A, Desimone CV, Lachman N, et al. Anatomy of the coronary sinus and epicardial coronary venous system in 620 hearts: an electrophysiology perspective. J Cardiovasc Electrophysiol. 2013;24(1):1-6.
Shinbane JS, Girsky MJ, Mao S, et al. Thebesian valve imaging with electron beam CT angiography: implications for resynchronization therapy. Pacing Clin Electrophysiol. 2004;27:1566-1567.
Kuroda M, Takahashi T, Mita N, Kagaya S, Miyoshi S, Saito S. Difficult cannulation of the coronary sinus due to a large Thebesian valve. Anesth Analg. 2013;116:563-566.

Auteurs

Srinath Damodaran (S)

Department of Anaesthesia & Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Krishna Prasad Gourav (KP)

Department of Anaesthesia & Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Sunder Negi (S)

Department of Anaesthesia & Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Vikram Halder (V)

Department of Cardiothoracic and vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Sreenivas Azmeera (S)

Department of Anaesthesia & Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

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