Persistent redundant Eustachian valve interfering with Amplatzer PFO occluder placement: Anatomico‐clinical and technical implications

Onorato, Eustaquio; Pera, Isidoro G.; Melzi, Gloria; Rigatelli, Gianluca

doi:10.1002/ccd.10141

Cited by 27 publications

(15 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cowley et al remarked that when they compared the results of surgical and interventional treatments for the anatomical correction of ASDs, the interventional treatments were able to avoid cardiac arrest, had a shorter period of hospitalization, and decreased patient discomfort and the need for transfusion. Nonetheless, about 5% of complications such as temporary arrhythmia, embolism by an instrument, formation of a thrombus, and incomplete closure have been reported, and interventional treatments were not indicated for ASDs over 27 mm [16]. We refer patients with ASDs over 25 mm to surgical correction in our hospital.…”

Section: Discussionmentioning

confidence: 99%

Mid- to Long-term Results of Surgical Treatment of ASD in Patients over 60 Years Old

Jeong

Ahn

Soonjin

et al. 2011

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

BackgroundThere is controversy about the benefit of surgical correction of an atrial septal defect (ASD) in patients over 60 years old. The purpose of this study was to determine whether surgical treatment is beneficial in those 60 years of age or older.Materials and MethodsWe reviewed the clinical course of 57 patients (mean age: 63.54±5.59 years) diagnosed with an isolated secundum ASD after the age of 60. The 24 patients (group A) who underwent surgical repair were compared with the 33 patients (group B) who were treated non-surgically. The mean follow-up period was 6.8±4.5 years.ResultsOne operative death, 5 late deaths (20.8%) in group A, and 9 deaths (27.3%) in group B occurred in the study period. Symptomatic improvement was noted in 18 patients (75%) of group A after surgery. However 13 patients (39.4%) of group B showed symptomatic improvement during the follow-up period (p=0.012). The incidence of new atrial arrhythmia of the two groups was significantly different (16.7% vs 36.7%, p=0.038). The actuarial 10 year survival rate was 79% in group A and 73% in group B.ConclusionAlthough surgical correction of ASD did not increase survival in patients over 60 years old, the surgical outcomes of ASD showed low operative mortality and resulted in symptomatic improvement in the majority of these patients. This study has shown the benefits of surgical closure of ASD even in advanced age in comparison to medical treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Mid- to Long-term Results of Surgical Treatment of ASD in Patients over 60 Years Old

Jeong

Ahn

Soonjin

et al. 2011

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…20) It can cause difficulties and complications in percutaneous closure of an atrial septal defect. 21,22) A large persistent EV with an echocardiographic appearance of a divided right atrium may be mistaken for cor triatriatum dexter. 2) Since the elongated EV did not lead to any abnormal physical or laboratory findings, we believed that the dyspnea and fatigue of the patient at admission were coincidental findings and were not related to the EV.…”

Section: Discussionmentioning

confidence: 99%

Unusual Elongation of the Eustachian Valve

2007

View full text Add to dashboard Cite

SUMMARYWe report a patient with a snake-shaped, mobile mass in the right atrium. The mass was determined to be an elongated Eustachian valve which was a persistent part of the embryologic valve of the sinus venosus. (Int Heart J 2007; 48: 113-116) Key words: Eustachian valve, Right atrium, Mass IN fetal life, the direction of oxygen-rich blood from the inferior vena cava into the systemic circulation through the foramen ovale is controlled by the Eustachian valve (EV).1) After birth, it may disappear or may be seen in echocardiographic examinations as a nonfunctional, thin, filamentous structure originating from the orifice of the inferior vena cava.2) Here we report an unusually elongated EV in a 20-year-old man. CASE REPORTA 20-year-old man was admitted to our hospital due to mild dyspnea and fatigue on exertion. There were no specific findings in his medical history. At admission, the systolic blood pressure was 120 mmHg, diastolic blood pressure 70 mmHg, pulse rate 90/minute, respiration rate 20/minute, and body temperature 37.0°C. A physical examination was normal. The cardiothoracic ratio was within normal limits in teleradiography. Normal sinus rhythm was present in an electrocardiographic examination. Routine blood tests were normal. Transthoracic echocardiography (TTE) was performed in an attempt to explain the etiology of the dyspnea. Left ventricular (LV) wall thickness, LV systolic and diastolic dimensions, and LV ejection fraction were normal. There were no abnormalities in the valvular structures. Systolic pulmonary artery pressure was normal. However, a snake-shaped, thin, linear and mobile mass (about 35 mm in length) was seen in the right atrium on apical 4-chamber view (Figure 1). One edge of the mass was attached to the wall of the right atrium and the other edge was free. The structure was not obstructing transtricuspid blood flow. When transesophageal From the

show abstract

“…During a PFO percutaneous closure with a 25 mm Amplatzer PFO occluder, Onorato et al [3] experienced entrapment of the EV on the delivery cable and a piece of the valve was unintentionally extracted during maneuvers for device unscrewing and delivery cable retrieval. This is why, in these cases it is wise to approach the long sheath up the screwing system of the device in order to avoid entrapment between the EV and the rotating delivery cable and to be sure that the delivery cable is turning completely free inside the long sheath before unscrewing the device.…”

Section: Discussionmentioning

confidence: 99%

“…It can sometimes be large and redundant and it can interfere with devices used for percutaneous defect closure [1–3]. In this article we set out to describe a new technique devised to deal with a large and redundant EV, interfering with the correct deployment of an Amplatzer PFO occluder in three patients.…”

Section: Introductionmentioning

confidence: 99%

The “pull–push” technique to deal with a redundant eustachian valve interfering with placement of a PFO occluder

Butera

Montinaro

Carminati

2006

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

Persistent redundant Eustachian valve interfering with Amplatzer PFO occluder placement: Anatomico‐clinical and technical implications

Cited by 27 publications

References 18 publications

Mid- to Long-term Results of Surgical Treatment of ASD in Patients over 60 Years Old

Mid- to Long-term Results of Surgical Treatment of ASD in Patients over 60 Years Old

Unusual Elongation of the Eustachian Valve

The “pull–push” technique to deal with a redundant eustachian valve interfering with placement of a PFO occluder

Contact Info

Product

Resources

About