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Large Eustachian valve: An incidental finding yet perplexing


1 Department of Cardiac Anaesthesia, Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India
2 Department of CTVS, Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India

Correspondence Address:
Anju Sarupria
3rd Floor, Department of Cardiac Anaesthesia, Puspanjali Crosslay Hospital, Vaishali,
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.142073

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Year : 2014  |  Volume : 17  |  Issue : 4  |  Page : 309-310

 

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Eustachian valve (EV), a remnant of the right valve of sinus venosus in the right atrium can be puzzling. Often it is confused with Chiari network or atrial adhesions and is reported with unusual complications. We report a case of large EV impeding cannulation of inferior vena cava (IVC) during aortic valve replacement. Transesophageal echocardiography diagnosed the presence of large EV and warned of the difficulty with IVC cannulation and helped preparedness for an alternative plan during surgery.






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1 Department of Cardiac Anaesthesia, Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India
2 Department of CTVS, Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India

Correspondence Address:
Anju Sarupria
3rd Floor, Department of Cardiac Anaesthesia, Puspanjali Crosslay Hospital, Vaishali,
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.142073

Rights and Permissions

Eustachian valve (EV), a remnant of the right valve of sinus venosus in the right atrium can be puzzling. Often it is confused with Chiari network or atrial adhesions and is reported with unusual complications. We report a case of large EV impeding cannulation of inferior vena cava (IVC) during aortic valve replacement. Transesophageal echocardiography diagnosed the presence of large EV and warned of the difficulty with IVC cannulation and helped preparedness for an alternative plan during surgery.






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