Abstract
We report the case of a 20-year-old woman who received corrective surgery for a secundum
atrial septal defect, during which right atrial inflow obstruction developed because
of inadvertent suturing of the eustachian valve to the interatrial septum. Although
reliable cardiac surgical techniques are available, this rather rare complication
may have deleterious results for patients. If a previously absent murmur is detected
in the lower left parasternal border after atrial septal defect surgery, right atrial
inflow obstruction caused by the eustachian valve should be kept in mind and further
careful examination undertaken.
Résumé
Nous rapportons le cas d'une femme de 20 ans qui a subi une chirurgie correctrice
pour une communication interauriculaire de type secundum, durant laquelle une obstruction au remplissage de l'oreillette droite est apparue
en raison d'une suture accidentelle de la valvule d'Eustachi à la cloison interauriculaire.
Bien que des techniques chirurgicales cardiaques fiables soient disponibles, cette
complication plutôt rare peut avoir des résultats nuisibles pour les patients. Si
un souffle préalablement absent est maintenant détecté dans la partie inférieure du
bord parasternal gauche après la chirurgie de la communication interauriculaire, l'obstruction
au remplissage de l'oreillette droite causée par la valvule d'Eustachi devrait être
gardée à l'esprit et un autre examen attentif entrepris.
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References
- Giant eustachian valve with echocardiographic appearance of divided right atrium.Tex Heart Inst J. 2002; 29: 336-338
- Right atrial inflow obstruction of the inferior vena cava due to atrial septal aneurysm and an elongated eustachian valve.Eur J Echocardiogr. 2008; 9: 861-864
- Lipomatous hypertrophy of the interatrial septum and upper right atrial inflow obstruction.Eur J Cardiothorac Surg. 2002; 22: 1023-1025
- Contrast echocardiography of right atrial mass due to hepatocellular carcinoma.Acta Cardiol. 2006; 61: 471-473
- Metastatic right atrial tumor in colon cancer with superior vena cava syndrome and tricuspid regurgitation.Heart Vessels. 1991; 6: 125-127
Article info
Publication history
Published online: October 20, 2011
Accepted:
August 9,
2011
Received:
July 4,
2011
Footnotes
See page 868.e10 for disclosure information.
Identification
Copyright
© 2011 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
