Right atrial inflow obstruction of the inferior vena cava due to atrial septal aneurysm and an elongated Eustachian valve | Zendy

Jeroen Walpot | Zendy; Corstiaan J. Storm | Zendy; Johan Bosmans | Zendy; Bernard P. Paelinck | Zendy; W. Hans Pasteuning | Zendy; Jenne J. Wielenga | Zendy; Cees Klazen | Zendy; Raymond Hokken | Zendy; Jetze Sorgedrager | Zendy; Jules Teeuwen | Zendy

Open Access

Right atrial inflow obstruction of the inferior vena cava due to atrial septal aneurysm and an elongated Eustachian valve

Author(s) -

Jeroen Walpot,

Corstiaan J. Storm,

Johan Bosmans,

Bernard P. Paelinck,

W. Hans Pasteuning,

Jenne J. Wielenga,

Cees Klazen,

Raymond Hokken,

Jetze Sorgedrager,

Jules Teeuwen

Publication year - 2008

Publication title -

european heart journal - cardiovascular imaging

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.576

H-Index - 92

eISSN - 2047-2412

pISSN - 2047-2404

DOI - 10.1093/ejechocard/jen198

Subject(s) - medicine , interatrial septum , cardiology , superior vena cava , inferior vena cava , thrombus , inflow , atrium (architecture) , atrial fibrillation , left atrium , physics , mechanics

We describe a patient with oedema of the legs and ascites due to right atrial (RA) inflow obstruction, caused by atrial septal aneurysm (ASA) and an elongated Eustachian valve (EV). Both structural abnormalities created a narrow inflow channel to the free RA cavity. RA inflow obstruction is usually related to constrictive pericardial disease and pericardial tamponade. Other cardiac causes of RA inflow obstruction are rare and include lipomatous hypertrophy of interatrial septum, tumour or thrombus in the right atrium (RA). Reports, describing inflow obstruction in the RA as a consequence of an elongated EV or an ASA, are extremely rare.

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