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Persistent valve of systemic venous sinus: a cause of neonatal cyanosis

Published online by Cambridge University Press:  09 September 2013

Ahmad U. Qureshi*
Affiliation:
Department of Paediatric Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
Haifa A. Latiff
Affiliation:
Department of Paediatric Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
Sivakumar Sivalingam
Affiliation:
Department of Paediatric Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
*
Correspondence to: Dr A. U. Qureshi, 348 Block B, Revenue Employees Cooperative Housing Society, Lahore 54700, Pakistan. Tel: +6016-3953795; Fax: +92-333-4485306; E-mail: qureshiahmad@yahoo.com

Abstract

Incomplete involution of valve of systemic venous sinus can present across a spectrum of anatomical lesions ranging from eustachian valve to division of right atrium (cor triatriatum dexter) with overlapping features. We present the case of a neonate presenting with cyanosis, having persistent valve of systemic venous sinus with anatomical details of the redundant tissue in right atrium suggesting an intermediate form between Chiari network and division of right atrium.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Loukas, M, Sullivan, A, Tubbs, RS, Weinhaus, AJ, Derderian, T, Hanna, M. Chiari's network: review of the literature. Surg Radiol Anat 2010; 32: 895901.Google Scholar
2. Smallhorn, JF, Anderson, RH. Anomalous systemic venous return. In: Anderson RH, Baker EI, Penny D (eds). Paediatric Cardiology, 3rd edn. Churchill Livingstone Elsevier, Philadelphia, 2010: 485496.CrossRefGoogle Scholar
3. Blasco, PB, Torres, RS, Domènech, MAP, Blanch, CM, Herrera, VP, Comas, JG. Three-dimensional imaging of redundant Chiari's network prolapsing into right ventricle. J Am Soc Echocardiogr 2008; 21: 188, e1–2.Google Scholar
4. Barrea, C, Rubay, J, Wagner, K, Ovaert, C. Cor Triatriatum Dexter Mimicking Ebstein Disease. Circulation 2009; 120: e86e88.Google Scholar
5. Martínez-Quintana, E, Rodríguez-González, F, Marrero-Santiago, H, Santana-Montesdeoca, J, López-Gude, MJ. Cor triatriatum dexter versus prominent eustachian valve in an adult congenital heart disease patient. Congenit Heart Dis 2012, . doi: 10.1111/j.1747-0803.2012.00648.x. [Epub ahead of print].Google Scholar
6. Aypar, E, Sert, A, Odabas, D. Unusually prominent Chiari's network prolapsing into the right ventricle in an asymptomatic newborn. Pediatr Cardiol 2013; 34: 10171019.Google Scholar
7. Bowers, J, Krimsky, W, Gradon, JD. The pitfalls of transthoracic echocardiography. A case of eustachian valve endocarditis. Tex Heart Inst J 2001; 28: 5759.Google Scholar
8. Ko, HS, Chen, MR, Lin, YC. A huge Chiari network presenting with persistent cyanosis in a neonate. Pediatr Cardiol 2011; 32: 239240.Google Scholar
9. Trento, A, Zuberbuhler, JR, Anderson, RH, Park, SC, Siewers, RD. Divided right atrium (prominence of the eustachian and thebesian valves). J Thorac Cardiovasc Surg 1988; 96: 457463.Google Scholar
10. Bendadi, F, van Tijn, DA, Pistorius, L, Freund, MW. Chiari's network as a cause of fetal and neonatal pathology. Pediatr Cardiol 2012; 33: 188191.Google Scholar
11. Aydin, A, Gürol, T, Yilmazer, MS, Dagdeviren, B. Catheter entrapment around the Chiari network during percutaneous atrial septal defect closure. Anadolu Kardiyol Derg 2011; 11: E6E7.Google Scholar

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