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Elongated Eustachian Valve Dividing the Right Atrium
Author(s) -
Wessman Dylan E.,
Blanchard Daniel G.,
Kahn Andrew M.
Publication year - 2011
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2010.01297.x
Subject(s) - interatrial septum , medicine , patent foramen ovale , right atrium , superior vena cava , cardiology , inferior vena cava , anatomy , color doppler , foramen ovale (heart) , left atrium , radiology , atrial fibrillation , ultrasonography , migraine
A 64‐year‐old man underwent transthoracic echocardiography after a syncopal event. Two‐dimensional imaging demonstrated a linear density that appeared to divide the right atrium. Color doppler imaging demonstrated that inflow from the inferior vena cava, but not from the superior vena cava, was obstructed by this density. Injection of agitated saline through an upper extremity vein demonstrated that the linear density did create a functional separation of the right atrium. The contrast material also crossed the interatrial septum within two cardiac cycles. This constellation of findings is consistent with an elongated eustachian valve and a patent foramen ovale. (Echocardiography 2011;28:E53‐E55)