|Name||Ahmed Ali Abdel-Gaber Hasan|
|Tel||01062795675 – 01032805903|
History of present illness
|Diagnosis||CHD, ASD with redundant eustachian valve|
|Center||Valley of Hearts|
|Operator||Dr Mahmoud Nafei|
|Measurements||LVEDD=3.6, LVESD=2.4, EF=64%, Sep=0.7, PW=0.7, LA=2.6, AO=2.4, RV=2.0|
|Comment||Prominent Eustachian valve, stretching between the mouth of IVC & the lower part of IAS, squeezed into the tricuspid opening during diastole.|
Moderate size ASD, about 12×15 mm, with narrow aortic rim, but intact other rims.
The shunt is left to right most of the cardiac cycle with minimal reversed shunt during diastole (?? caused by the Prominent Eustachian valve – arterial oxygen saturation = 92-94%).
Mildly dilated RV for age.
Estimated PAP = 37 mmHg
|Conclusion||Redundant Eustachian valve, encroaching upon tricuspid valve, squeezing through its opening during diastole.|
Moderate-size secundum ASD, intact rims, shunt is predominantly left to right with transient reversal (? caused by the prominent valve)
Mild RV dilatation
Mild pulmonary hypertension
Arterial oxygen saturation = 92-94%
(Though the defect is amenable for device closure, open surgery to excise the Eustachian valve is advised)