Prominent Eustachian Valve Mimicking Inferior Rim of Atrial Septum Causing Iatrogenic Inferior Vena Cava Type Sinus Venosus Atrial Septal Defect.

Autor: Wang AT; Anesthesiology and Perioperative Medicine, Loma Linda University Medical Center, Loma Linda, USA., Kim U; Anesthesiology and Perioperative Medicine, Loma Linda University Medical Center, Loma Linda, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2021 Jun 02; Vol. 13 (6), pp. e15387. Date of Electronic Publication: 2021 Jun 02 (Print Publication: 2021).
DOI: 10.7759/cureus.15387
Abstrakt: The Eustachian valve is an embryologic remnant at the junction of the inferior vena cava (IVC) and right atrium (RA). While it typically does not have any pathologic significance, veno-arterial shunting can rarely occur in patients with prominent eustachian valves and atrial septal defects (ASD), causing cyanosis and hypoxemia despite normal pulmonary pressures. We present a case of a patient with iatrogenic residual sinus venosus IVC-type ASD secondary to a prominent Eustachian valve that was misinterpreted as the inferior rim of the atrial septum during initial ASD repair.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Wang et al.)
Databáze: MEDLINE