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Case Reports
. 2018 Jan 31:2018:5193976.
doi: 10.1155/2018/5193976. eCollection 2018.

Eustachian Valve Endocarditis: Echocardiographic Diagnosis in a Critical Care Patient

Mariana Alves  1   2 , Rita Faria  3 , António Messias  3 , Carlos Meneses-Oliveira  3
Affiliations
Case Reports

Eustachian Valve Endocarditis: Echocardiographic Diagnosis in a Critical Care Patient

Mariana Alves et al. Case Rep Crit Care. .

Abstract

Eustachian valve endocarditis is rare. A literature review revealed that only 29 cases have been reported and, among them, there is only one mention of an intensive care unit (ICU) admission. We present an 82-year-old man without previous medical records who presented with septic shock with multiple organ dysfunction. The patient was admitted to the ICU and deteriorated with combined shock (septic + cardiogenic). A second ultrasound screen detected a prominent Eustachian valve with mobile multilobulated vegetation attached. Transesophageal echocardiography confirmed a 12 mm oscillating mass attached to a visible Eustachian valve.

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Figures

Figure 1
Figure 1
Transthoracic echocardiogram (subcostal window) with mobile vegetation attached to Eustachian valve.
Figure 2
Figure 2
Transesophageal echocardiogram, multilobular heterogeneous vegetation attached to Eustachian valve.
See this image and copyright information in PMC

References

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