Eustachian Valve Endocarditis: Echocardiographic Diagnosis in a Critical Care Patient.
Mariana AlvesRita FariaAntónio MessiasCarlos Meneses-OliveiraPublished in: Case reports in critical care (2018)
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.
Keyphrases
- mitral valve
- intensive care unit
- aortic valve
- aortic stenosis
- case report
- left ventricular
- septic shock
- mechanical ventilation
- ejection fraction
- transcatheter aortic valve replacement
- left atrial
- pulmonary hypertension
- healthcare
- magnetic resonance imaging
- emergency department
- oxidative stress
- high throughput
- computed tomography
- acute kidney injury
- coronary artery disease
- left atrial appendage
- extracorporeal membrane oxygenation
- contrast enhanced ultrasound