TY - JOUR
T1 - Multimodality imaging approach to paradoxical embolism: a cauliflower mass on the Eustachian valve
AU - Novo, Giuseppina
AU - Manno, Girolamo
AU - Lavanco, Vincenzo
AU - Donghi, Valeria
AU - Curzi, Mirko
AU - Cozzi, Ottavia
AU - Fazzari, Fabio
AU - Bragato, Renato M.
AU - Pappalardo, Andrea
AU - Fazzari, Fabio
PY - 2019
Y1 - 2019
N2 - The Eustachian valve was first described by BartolomeoEustachio (Italian anatomist) at 1552. It is an embryological remnant of the inferior vena cava valve that prenatally directs the oxygenated blood from inferior vena cavaacross the patent foramen ovale (PFO) into systemiccirculation. Generally, following birth, after the closureof the foramen ovale it gradually regresses and not have aspecific function, but it may persist in some patients as afloating membrane in the right atrium (RA), a nonpathological functionless structure.1 The prevalence ofEustachian valve in the normal population is unknown.Generally, it is an incidental finding without any significant pathophysiological consequences, but in some particular cases, unfortunately, it can become the site ofthrombus formation and paradoxical embolic source.1In our case report we describe a particular case of paradoxical systemic embolism due to a giant cauliflowerthrombus on Eustachian valve, which caused ischemicstroke, pulmonary embolism and splenic infarction
AB - The Eustachian valve was first described by BartolomeoEustachio (Italian anatomist) at 1552. It is an embryological remnant of the inferior vena cava valve that prenatally directs the oxygenated blood from inferior vena cavaacross the patent foramen ovale (PFO) into systemiccirculation. Generally, following birth, after the closureof the foramen ovale it gradually regresses and not have aspecific function, but it may persist in some patients as afloating membrane in the right atrium (RA), a nonpathological functionless structure.1 The prevalence ofEustachian valve in the normal population is unknown.Generally, it is an incidental finding without any significant pathophysiological consequences, but in some particular cases, unfortunately, it can become the site ofthrombus formation and paradoxical embolic source.1In our case report we describe a particular case of paradoxical systemic embolism due to a giant cauliflowerthrombus on Eustachian valve, which caused ischemicstroke, pulmonary embolism and splenic infarction
UR - http://hdl.handle.net/10447/386517
M3 - Article
VL - 21
SP - 75
EP - 77
JO - Journal of Cardiovascular Medicine
JF - Journal of Cardiovascular Medicine
SN - 1558-2027
ER -