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Ann Thorac Surg 1985;40:614-616
© 1985 The Society of Thoracic Surgeons

Articles

Cyanosis in Atrial Septal Defect due to Persistent Eustachian Valve

Yasuo Morishita, M.D.*, Masafumi Yamashita, M.D., Kazuhiko Yamada, M.D., Kazuhiro Arikawa, M.D., Akira Taira, M.D.

From the Second Department of Surgery, Kagoshima University School of Medicine, Kagoshima, Japan

Accepted for publication February 20, 1985.

* Address reprint requests to Dr. Morishita, The Second Department of Surgery, Kagoshima University School of Medicine, 1208-1 Usuki-Cho, Kagoshima 890, Japan

Two cyanotic patients had venoarterial shunting from the inferior vena cava to the left atrium in an uncomplicated atrial septal defect with normal right ventricular pressures. Cyanosis was due to a large, anomalous inferior vena caval valve, the eustachian valve. The mechanism of cyanosis and technical problems for surgical repair are discussed.




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