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European Journal of Echocardiography 2006 7(4):336-338; doi:10.1016/j.euje.2005.06.011
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Copyright © 2005, The European Society of Cardiology

The Eustachian valve in pulmonary embolism: Rescue or perilous?

Jan L.C. De Keyser*, Marie-Christine Herregods, Karl Dujardin and Wilfried Mullens

University Hospital Gasthuisberg, Cardiology Department, Herestraat 49, 3000 Leuven, Belgium

Received 8 March 2005; received in revised form 13 June 2005; accepted after revision 30 June 2005.

* Corresponding author. Tel.: +32 16 34 42 49. jan.dekeyser{at}uz.kuleuven.ac.be


  Abstract

This case illustrates the Eustachian valve as an ambiguous entity. By tethering a thrombus the valve prevented a major pulmonary embolism. However, in combination with a patent foramen ovale, it directs the thrombus into the left atrium, creating a threat for systemic embolisms.

Keywords: Eustachian valve; Patent foramen ovale; Floating right heart thrombus


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