Obstruction of Inferior Vena Cava by a Persistent Eustachian Valve in a Young Adult

Abnormal Eustachian Valve

“…Significant inferior vena cava obstruction has been previously reported in only one patient (Rossall and Caldwell 1957). In our case, it was most likely responsible for his sudden demise .…”

“…This obstruction to systemic venous return, evidenced by marked degree of congestion of the neck veins, liver, spleen, kidneys and other intraabdominal organs, was of acute nature. The young adult reported by Rossall and Caldwell (1957) had chronic obstruction and had as a consequence developed collateral venous pathways and centrolobular necrosis of the liver prior to his eventual demise.…”

Chronic Budd-Chiari syndrome due to obstruction of the intrahepatic portion of the inferior vena cava

“…Kimura et al (1963) thought it was a congenital developmental anomaly related to the closure of the ductus venosus. Rossall and Caldwell (1957) and Kibel and Marsden (1950) attribute it to a persistent eustachian valve. If the lesions are congenital in origin the delayed appearance of clinical mani-festations would probably indicate a deterioration in the compensating collateral circulation or a superadded thrombosis.…”

Pitfalls in the diagnosis of tricuspid atresia: Report of a new angiocardiographic sign

“…In contrast to innocent remnants of the venous valves without hemodynamic significance, persistent venous valves can be so large, that they give rise to obstructive complications (Battle-Diaz et al, 1979;Hansing et a / . , 1972;Rossall and Caldwell, 1957;Runcie, 1968). Battle-Diaz et al (1979) reported such as case with a grotesque enlarged eustachian valve that prolapsed into the right ventricle and gave rise to right ventricular outflow tract obstruction.…”