“Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”

The Eustachian valve (EV) is an embryonic remnant of the sinus venosus. In adults, this structure may be completely absent or it may appear as a thin flap on echocardiography. However, in some patients, it may persist as a long mobile structure in the right atrium, and simulate structural cardiac de...

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Main Authors: Krishna Prasad Gourav, Subrashish Guha Niyogi, Srinath Damodaran, Sunder Negi, Deepak Rajappa
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:IHJ Cardiovascular Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468600X20300086
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author Krishna Prasad Gourav
Subrashish Guha Niyogi
Srinath Damodaran
Sunder Negi
Deepak Rajappa
author_facet Krishna Prasad Gourav
Subrashish Guha Niyogi
Srinath Damodaran
Sunder Negi
Deepak Rajappa
author_sort Krishna Prasad Gourav
collection DOAJ
description The Eustachian valve (EV) is an embryonic remnant of the sinus venosus. In adults, this structure may be completely absent or it may appear as a thin flap on echocardiography. However, in some patients, it may persist as a long mobile structure in the right atrium, and simulate structural cardiac defects. This case report intends to increase awareness that a giant EV can be mistaken as interatrial septum, leading to a misdiagnosis of patent foramen ovale and can lead to potentially major deleterious consequences. A comprehensive transesophageal echocardiographic examination in multiple views and knowledge of jet direction across the defects will help us in avoiding misdiagnosis of cardiac structures.
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spelling doaj.art-de1554436f3d46d793bbaf6a3a1b90282022-12-22T02:41:12ZengElsevierIHJ Cardiovascular Case Reports2468-600X2019-09-0133112114“Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”Krishna Prasad Gourav0Subrashish Guha Niyogi1Srinath Damodaran2Sunder Negi3Deepak Rajappa4Corresponding author. Department of anesthesia and intensive care, Post graduate institute of medical education and research, Anesthesia Office, 4th floor, Advanced Cardiac Center, PGIMER, Sector 12, Chandigarh, India.; Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, IndiaThe Eustachian valve (EV) is an embryonic remnant of the sinus venosus. In adults, this structure may be completely absent or it may appear as a thin flap on echocardiography. However, in some patients, it may persist as a long mobile structure in the right atrium, and simulate structural cardiac defects. This case report intends to increase awareness that a giant EV can be mistaken as interatrial septum, leading to a misdiagnosis of patent foramen ovale and can lead to potentially major deleterious consequences. A comprehensive transesophageal echocardiographic examination in multiple views and knowledge of jet direction across the defects will help us in avoiding misdiagnosis of cardiac structures.http://www.sciencedirect.com/science/article/pii/S2468600X20300086Eustachian valvePatent foramen ovaleColor Doppler
spellingShingle Krishna Prasad Gourav
Subrashish Guha Niyogi
Srinath Damodaran
Sunder Negi
Deepak Rajappa
“Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”
IHJ Cardiovascular Case Reports
Eustachian valve
Patent foramen ovale
Color Doppler
title “Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”
title_full “Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”
title_fullStr “Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”
title_full_unstemmed “Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”
title_short “Giant eustachian valve with echocardiographic appearance of patent foramen ovale: Role of Color Doppler echocardiography for accurate diagnosis”
title_sort giant eustachian valve with echocardiographic appearance of patent foramen ovale role of color doppler echocardiography for accurate diagnosis
topic Eustachian valve
Patent foramen ovale
Color Doppler
url http://www.sciencedirect.com/science/article/pii/S2468600X20300086
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