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      Large Calcified Thrombus Attached to the Eustachian Valve: A Case Report

      case-report
      Author(s): , MBBS, , MD, FACC, FASE
      Publication date (Electronic):
      Journal: CASE : Cardiovascular Imaging Case Reports
      Publisher: Elsevier
      Keywords: Eustachian valve, Cardiac thrombus, Echocardiography

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          Graphical abstract

          Highlights

          • •

            Persistent EV may be associated with thrombosis.

          • •

            EV thrombi can present as asymptomatic right atrial mass.

          • •

            Transesophageal echocardiography is useful to identify site and size of EV thrombi.

          • •

            Surgical excision is diagnostic and therapeutic.

          • •

            Patients with EV thrombi may benefit from long-term anticoagulation.

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          Most cited references3

          • Record: found
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          Prominence of the Eustachian valve in paradoxical embolism.

          Thomas A Vale, James D Newton, Elizabeth Orchard … (2011)
          to investigate the relationship between Eustachian valve (EV) length and degree of atrial septal movement in patients with patent foramen ovale (PFO) and presumed paradoxical cerebral embolism. PFO is a well-established risk factor for cryptogenic stroke. However, due to the high prevalence of PFO, many of these are bystanders rather than true pathological entities. Other studies have sought to define which patients with PFO are particularly at risk of cryptogenic stroke by measuring various parameters of right atrial anatomy. We investigated the relationship between EV length and atrial septal movement.
          Article 0 comments Cited 5 times – based on 0 reviews     Review now
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            The prevalence of eustachian valve on transoesophageal echo examination.

            Dan Marek, Eliska Sovova, Eva Kociánová (2011)
            The Eustachian valve (EV) is an embryonic structure redirecting the blood flow from the inferior vena cava through the foramen ovale. It may persist in adults as a floating membrane in the right atrium. A large EV can be associated with thrombosis, embolization, bacterial endocarditis, etc. The prevalence of EV in the normal population is unknown.
            Article 0 comments Cited 4 times – based on 0 reviews     Review now
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              The Eustachian valve in pulmonary embolism: rescue or perilous?

              Jan L C De Keyser, Marie-Christine Herregods, Karl Dujardin … (2006)
              This case illustrates the Eustachian valve as an ambiguous entity. By tethering a thrombus the valve prevented a major pulmonary embolism. However, in combination with a patent foramen ovale, it directs the thrombus into the left atrium, creating a threat for systemic embolisms.
              Article 0 comments Cited 1 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): CASE (Phila)
                Journal ID (iso-abbrev): CASE (Phila)
                Title: CASE : Cardiovascular Imaging Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2468-6441
                Publication date PMC-release: 03 April 2021
                Publication date Collection: June 2021
                Publication date (Electronic): 03 April 2021
                Volume: 5
                Issue: 3
                Pages: 186-188
                Affiliations
                [1]Department of Internal Medicine, Sinai Hospital of Baltimore, Baltimore, Maryland
                Article
                Publisher Item ID: S2468-6441(21)00029-3
                DOI: 10.1016/j.case.2021.02.006
                PMC ID: 8236393
                PubMed ID: 34195520
                SO-VID: 5868dc82-9fb2-47c2-b4d3-d4546d932458
                Copyright © 2021 by the American Society of Echocardiography. Published by Elsevier Inc.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Categories
                Subject: Residual Ramifications

                Keywords: eustachian valve,cardiac thrombus,echocardiography
                Data availability:
                Keywords: eustachian valve, cardiac thrombus, echocardiography

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