title: Large Eustachian valve: an incidental finding yet perplexing.
abstract: Eustachian valve (EV), a remnant of the right valve of sinus venosus in the right atrium can be puzzling. Often it is confused with Chiari network or atrial adhesions and is reported with unusual complications. We report a case of large EV impeding cannulation of inferior vena cava (IVC) during aortic valve replacement. Transesophageal echocardiography diagnosed the presence of large EV and warned of the difficulty with IVC cannulation and helped preparedness for an alternative plan during surgery.
authors.affiliation: Department of Cardiac Anaesthesia, Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India.
authors.forename: Anju
authors.initials: A
authors.lastname: Sarupria
authors.forename: V
authors.initials: V
authors.lastname: Bhuvana
authors.forename: Manju
authors.initials: M
authors.lastname: Mani
authors.forename: A Sampath
authors.initials: AS
authors.lastname: Kumar
mesh_terms: D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006351:Heart Valves / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*