Think twice, look twice: Eustachian valve endocarditis due to Escherichia coli

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• 作者：Ify Mordi ; MBChB ; Nikolaos Tzemos ; MD ; ^{niko.tzemos@glasgow.ac.uk}
• 关键词：Eustachian valve ; Escherichia coli ; Endocarditis
• 刊名：Journal of Cardiology Cases
• 出版年：2013
• 出版时间：February, 2013
• 年：2013
• 卷：7
• 期：2
• 页码：e51-e52
• 全文大小：254 K

文摘

Eustachian valve endocarditis is a rare cause of infective endocarditis. We present the case of a 72-year-old woman in whom this was found after a lengthy search. We then go on to discuss the prevalence and some of the difficulties found in the investigation of this disease.

<Learning objective: The Eustachian valve (EV) is a valve at the junction of the inferior vena cava and right atrium that in fetal life ensures oxygen-rich blood flows through the foramen ovale into the left side of the heart. In adult life it is vestigial, though it can be prominent and can be a site for vegetations. EV endocarditis can be easily missed if not searched for - if the clinical picture appears to be one of endocarditis, one must remember this valve.>