Eustachian valve is an embryonic endocardial heart structure; after birth it becomes an embryogenic residue and its persistance in adult life is unusual.The literature reports some cases of association between Eustachian valve and PFO and is known that the prominent Eustachian valve can represent a way facilitating systemic embolism. Several studies also investigated the role of Eustachian valve in the pathophysiology of both migraine and cerebral em-bolism.In addiction is known how Eustachian valve may increase the risk of endocarditis, which mostly affects intravenous drug abusers or those withimplanted medical devices or central venous catheters. The most commonly identified organism is Staphylococcus aureus(approximately 53% of cases).We present a case of a 46-year-old woman with known migraine. She was hos-pitalized in Stroke Unit for a cryptogenic stroke with a right-to -left shunt de-tected with transcranial doppler ultrasound with “bubble test” and a patent foramen ovale with right-to-left shunt with a fenestration of atrial septumand a voluminous Eustachian valve detected with transesophageal echocardiogra-phy; she developed fever with a blood cultures positive for methicillin-resis-tant Staphylococcus aureus(MRSA), even if without evidence of endocarditis vegetations. In summary, the objective of our paper is to present an example of a correlation between the persistence of the Eustachian valve with bothcryptogenetic stroke, possible valve infection and migraine

Congenital Cardiac Defects, Such as Eustachian Valve, May Increase the Risk of Cryptogenic Stroke: A Case Report / Bandinelli, Chiara; Puddu, Giovanni Maria; Balducci, Anna; Bianchi, Giampaolo; Zoli, Marco. - In: WORLD JOURNAL OF CARDIOVASCULAR DISEASES. - ISSN 2164-5329. - STAMPA. - 10:06(2020), pp. 379-384. [10.4236/wjcd.2020.106036]

Congenital Cardiac Defects, Such as Eustachian Valve, May Increase the Risk of Cryptogenic Stroke: A Case Report

Bandinelli, Chiara
Writing – Review & Editing
;
Balducci, Anna
Writing – Review & Editing
;
Bianchi, Giampaolo
Writing – Review & Editing
;
Zoli, Marco
Supervision
2020

Abstract

Eustachian valve is an embryonic endocardial heart structure; after birth it becomes an embryogenic residue and its persistance in adult life is unusual.The literature reports some cases of association between Eustachian valve and PFO and is known that the prominent Eustachian valve can represent a way facilitating systemic embolism. Several studies also investigated the role of Eustachian valve in the pathophysiology of both migraine and cerebral em-bolism.In addiction is known how Eustachian valve may increase the risk of endocarditis, which mostly affects intravenous drug abusers or those withimplanted medical devices or central venous catheters. The most commonly identified organism is Staphylococcus aureus(approximately 53% of cases).We present a case of a 46-year-old woman with known migraine. She was hos-pitalized in Stroke Unit for a cryptogenic stroke with a right-to -left shunt de-tected with transcranial doppler ultrasound with “bubble test” and a patent foramen ovale with right-to-left shunt with a fenestration of atrial septumand a voluminous Eustachian valve detected with transesophageal echocardiogra-phy; she developed fever with a blood cultures positive for methicillin-resis-tant Staphylococcus aureus(MRSA), even if without evidence of endocarditis vegetations. In summary, the objective of our paper is to present an example of a correlation between the persistence of the Eustachian valve with bothcryptogenetic stroke, possible valve infection and migraine
2020
Congenital Cardiac Defects, Such as Eustachian Valve, May Increase the Risk of Cryptogenic Stroke: A Case Report / Bandinelli, Chiara; Puddu, Giovanni Maria; Balducci, Anna; Bianchi, Giampaolo; Zoli, Marco. - In: WORLD JOURNAL OF CARDIOVASCULAR DISEASES. - ISSN 2164-5329. - STAMPA. - 10:06(2020), pp. 379-384. [10.4236/wjcd.2020.106036]
Bandinelli, Chiara; Puddu, Giovanni Maria; Balducci, Anna; Bianchi, Giampaolo; Zoli, Marco
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/763644
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