
Клиническая роль рудиментарных структур правого предсердия
Журнал: Кардиология и сердечно-сосудистая хирургия. 2025;18(6):707-712.
DOI: 10.17116/kardio202518061707
Прочитано: 917 раз
Резюме
В настоящем обзоре представлен анализ современной литературы, в которой рассматривается анатомическое строение и функциональное значение рудиментарных структур правого предсердия, а также клиническое значение данных структур, в том числе как потенциальных факторов тромбообразования.
Ключевые слова
- сеть Хиари
- Евстахиев клапан
- правое предсердие
Дата поступления: 23.12.2024
Дата принятия в печать: 20.02.2025
Дата публикации: 03.12.2025
Литература / References
- Vasilev S. Chiari network through the years (1563-2020)–should we worry? A chronological review. PRAEMEDICUS. 2022;40(2):65-70.
- Tan CO, Harley I. Perioperative transesophageal echocardiographic assessment of the right heart and associated structures: a comprehensive update and technical report. J Cardiothorac Vasc Anesth. 2014;28(4):1100-1121. https://doi.org/10.1053/j.jvca.2013.05.031
- Moral S, Ballesteros E, Huguet M, Panaro A, Palet J, Evangelista A. Differential Diagnosis and Clinical Implications of Remnants of the Right Valve of the Sinus Venosus. J Am Soc Echocardiogr. 2016;29(3):183-194. https://doi.org/10.1016/j.echo.2015.11.018
- Steding G, Jinwen X, Seidl W, Männer J, Xia H. Developmental aspects of the sinus valves and the sinus venosus septum of the right atrium in human embryos. Anat Embryol. 1990;181:469-475. https://doi.org/10.1007/BF02433794
- Kadiyala M, Hui K, Banga S, Loomba RS, Pandian NG, Kutty S. Persistent Right Venous Valve: Insights From Multimodality Imaging. Circ Cardiovasc Imaging. 2021;14(5):e010977. https://doi.org/10.1161/CIRCIMAGING.120.010977
- Loukas M, Sullivan A, Tubbs RS, Weinhaus AJ, Derderian T, Hanna M. Chiari’s network: review of the literature. Surg Radiol Anat. 2010;32(10):895-901. https://doi.org/10.1007/s00276-010-0639-z
- Gandy ST, Zimmerle JS, Maldonado S, Lall JS, Sadacharan CM. A Triad of Intricacies: An Exploration of Concomitant Codominant Coronary Artery Pattern, Patent Foramen Ovale, and Chiari Network in a Cadaveric Study. Cureus. 2024;16(3):e55434. https://doi.org/10.7759/cureus.55434
- Cai Q, Ahmad M. Eustachian valve, interatrial shunt, and paradoxical embolism. Echocardiography. 2020;37(6):939-944. https://doi.org/10.1111/echo.14682
- Тараян МВ, Дроздова АИ, Бондарева ИО, Ефремов ЕС, Вишнякова МВ. Персистирующий евстахиев клапан и транзиторная артериальная гипоксемия у новорожденного: клиническое наблюдение. Альманах клинической медицины. 2021;49(5):342-346 https://doi.org/10.18786/2072-0505-2021-49-050
- Schuchlenz HW, Saurer G, Weihs W, Rehak P. Persisting eustachian valve in adults: relation to patent foramen ovale and cerebrovascular events. J Am Soc Echocardiogr. 2004;17(3):231-233. https://doi.org/10.1016/j.echo.2003.12.003
- Marek D, Sovova E, Kocianova E. The prevalence of eustachian valve on transoesophageal echo examination. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2011;155(3):283-285. https://doi.org/10.5507/bp.2011.025
- Onorato EM. Large eustachian valve fostering paradoxical thromboembolism: passive bystander or serial partner in crime? World J Cardiol. 2021;13(7):204-210. https://doi.org/10.4330/wjc.v13.i7.204
- Hołda MK, Klimek-Piotrowska W, Koziej M, Mazur M. Anatomical variations of the coronary sinus valve (Thebesian valve): implications for electrocardiological procedures. Europace. 2015;17(6):921-927. https://doi.org/10.1093/europace/euu397
- Mak GS, Hill, AJ, Moisiuc F, Krishnan SC. Variations in Thebesian valve anatomy and coronary sinus ostium: implications for invasive electrophysiology procedures. EP Europace. 2009; 11(9):1188-1192. https://doi.org/10.1093/europace/eup179
- Christiaens L, Ardilouze P, Ragot S, Mergy J, Allal J. Prospective evaluation of the anatomy of the coronary venous system using multidetector row computed tomography. Int J Cardiol. 2008;126(2):204-208. https://doi.org/10.1016/j.ijcard.2007.03.128
- Habib A, Lachman N, Christensen KN, Asirvatham SJ. The anatomy of the coronary sinus venous system for the cardiac electrophysiologist. Europace. 2009;11 Suppl 5:v15-v21. https://doi.org/10.1093/europace/eup270
- Chiari H (1897) Ueber Netzbildungen im rechten Vorhofedes Herzens. Beitr Pathol Anat. 22:1-10.
- Schneider B, Hofmann T, Justen MH, Meinertz T. Chiari’s network: normal anatomic variant or risk factor for arterial embolic events?. J Am Coll Cardiol. 1995;26(1):203-210. https://doi.org/10.1016/0735-1097(95)00144-o
- Bhatnagar KP, Nettleton GS, Campbell FR, Wagner CE, Kuwabara N, Muresian H. Chiari anomalies in the human right atrium. Clin Anat. 2006;19(6):510-516. https://doi.org/10.1002/ca.20195
- Manerikar A, Malaisrie SC. Chiari network and patent foramen ovale associated with stroke. JTCVS Tech. 2021;11:45-47. Published 2021 Nov 14. https://doi.org/10.1016/j.xjtc.2021.11.006
- Goyal, A, Dalia, T, Chandler, J, Ranka S, Sethi P, Acharya P, Rosamond T, Shah Z. Cryptogenic stroke secondary to big Chiari network in a patient with patent foramen ovale. J Am Coll Cardiol. 2021; 77 (18_Supplement_1):2601. https://doi.org/10.1016/S0735-1097(21)03956-5
- Al-Sabbagh MQ, Eswaradass P. The Covert Impact of Chiari Network and Eustachian Valves on Stroke: A Scoping Review and Meta-Analysis. Neurologist. 2024;29(3):188-193. https://doi.org/10.1097/NRL.0000000000000530
- Obaji SG, Cooper R, Somauroo J. Chiari network: a protective filter against pulmonary embolism in a case of polycythaemia. BMJ Case Rep. 2012;2012:bcr0520114289. https://doi.org/10.1136/bcr.05.2011.4289
- Zuzana M, Petr W, Dana B, et al. An embolus in the right atrium caught in the Chiari network and resistant to thrombolysis. BMJ Case Rep. 2010;2010:bcr0920081019. https://doi.org/10.1136/bcr.09.2008.1019
- Sonaglioni A, Nicolosi GL, Lombardo M, Anza C. A Nonfatal Massive Pulmonary Embolism in a Very Old Patient: The Protective Filter-Effect of the Chiari Network. J Cardiovasc Echogr. 2019;29(1):32-34. https://doi.org/10.4103/jcecho.jcecho_65_18
- Irdem A, Akpinar M, Celebi E, Aygun F, Dursun H. P—Wave Changes Associated with Chiari Network in the Right Atrium. Pediatr Cardiol. 2020;41(8):1773-1776. https://doi.org/10.1007/s00246-020-02441-9
- Schwimmer-Okike N, Niebuhr J, Schramek GG, Frantz S, Kielstein H. The Presence of a Large Chiari Network in a Patient with Atrial Fibrillation and Stroke. Case Rep Cardiol. 2016;2016:4839315. https://doi.org/10.1155/2016/4839315
- Alreja G, Lotfi A. Eustachian valve endocarditis: Rare case reports and review of literature. J Cardiovasc Dis Res. 2011;2(3):181-185. https://doi.org/10.4103/0975-3583.85266
- San Román JA, Vilacosta I, Sarriá C, Garcimartín I, Rollán MJ, Fernández-Avilés F. Eustachian valve endocarditis: Is it worth searching for? Am Heart J. 2001;142(6):1037-1040. https://doi.org/10.1067/mhj.2001.119125
- Ali H, Lupo P, Cristiano E, Nicolì L, Foresti S, De Ambroggi G, Anderson RH, De Lucia C, Turturiello D, Paganini EM, Bessi R, Farghaly AAA, Butera G, Cappato R. Chiari network for the interventional cardiologist: A hidden enemy at the heart gate — A systematic review of the literature. Int J Cardiol. 2023;375:23-28. https://doi.org/10.1016/j.ijcard.2022.12.046
- Nakagawa H, Lazzara R, Khastgir T, Beckman KJ, McClelland JH, Imai S, Pitha JV, Becker AE, Arruda M, Gonzalez MD, Widman LE, Rome M, Neuhauser J, Wang X, Calame JD, Goudeau MD, Jackman WM.Role of the tricuspid annulus and the eustachian valve/ridge on atrial flutter. Relevance to catheter ablation of the septal isthmus and a new technique for rapid identification of ablation success. Circulation. 1996;94(3):407-424. https://doi.org/10.1161/01.cir.94.3.407
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