Journal of Perioperative Echocardiography

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VOLUME 6 , ISSUE 2 ( July-December, 2018 ) > List of Articles

CASE REPORT

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

Krishna Prasad Gourav, Azeez Aspari, Srinath Damodaran, Shyam Thingnam

Keywords : Eustachian valve, Dual stage Cavo-atrial cannula, Transesophageal echocardiography

Citation Information : Gourav KP, Aspari A, Damodaran S, Thingnam S. 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 (2):57-59.

DOI: 10.5005/jp-journals-10034-1091

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Eustachian valve is an embryonic remnant of the right valve of sinus venosus. In adults it may be completely absent or may appear as a thin flap. However, in some cases it may persist as a long mobile structure which can be mistaken as patent foramen ovale or cor-triatrium dexter. Sometimes it can obstruct the single stage cavo-atrial cannula while inserting into inferior vena cava (IVC). We hereby discuss a technique which helped in the successful cannulation of the dual stage cavo-atrial cannula into the IVC in a patient with a giant eustachian valve with the help of transesophageal echocardiography (TEE).


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  1. Grande AM, Fiore A, Massetti M, Viganò M. Iatrogenic circumflex coronary lesion in mitral valve surgery: Case report and review of the literature. Tex Heart Inst J 2008;35:179-183.
  2. Ucar O, Canbay A, Diker E, Aydogdu S. Long Eustachian valve interfering with the access to coronary sinus during biventricular pacemaker implantation. Anadolu Kardiyol Derg. 2010;10(2):185–186.
  3. Schuchlenz HW, Saurer G, Weihs W, Rehak P. Persisting eustachian valve in adults: Relation to patent foramen ovale and cerebrovascular events. J Am Soc Echocardiogr 2004;17:231-233.
  4. Yavuz T, Nazli C, Kinay O, Kutsal A. Giant eustachian valve with echocardiographic appearance of divided right atrium. Tex Heart Inst J 2002;29:336-338.
  5. Becker A, Buss M, Sebening W, Meisner H, Döhlemann C. Acute inferior cardiac inflow obstruction resulting from inadvertent surgical closure of a prominent Eustachian valve mistaken for an atrial septal defect. Pediatr Cardiol 1999;20:155-157.
  6. Barriales V, Tamargo JA, Aguado MG, Martin M, Rondan J, Segovia E, Morís C. Floating thrombi on the Eustachian valve as a complication of venous thromboembolic disease. Int J Cardiol 2004;93:289-291.
  7. Wong RC, Teo SG, Yeo TC. An unusual right-sided endocarditis: a case report of eustachian valve endocarditis. Int J Cardiol 2006;109:406-407.
  8. Iannoli ED. The use of transesophageal echocardiography for differential diagnosis of poor venous return during cardiopulmonary bypass. Anesth Analg. 2007 Jul;105(1):43-44.
  9. Schmid E, Scheule A, Locke A, et al: Echocardiographicguided placement of venous cannula due to inferior vena cava obstruction through a large eustachian valve. Anesth Analg 111:76-78, 2010
  10. Kuroda M, Takahashi T, Mita N, et al: Difficult cannulation of the coronary sinus due to a large Thebesian valve. Anesth Analg 116:563-566, 2013.
  11. Teo EY, Ittleman F, Hamlin MP: A Chiari network and difficult cannulation of the coronary sinus for retrograde perfusion. Anesth Analg 111:79-81, 2010
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