Published on:
    Journal of Cardiovascular Disease Research, 2011; 2(3):181-185
    CLINICAL CASE REPORT BASED STUDY | doi:10.4103/0975-3583.85266

    Eustachian valve endocarditis: Rare case reports and review of literature


    Gaurav Alreja1, Amir Lotfi1,2

    1Departments of Medicine and

    2Division of Cardiology, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA, USA


    Eustachian valve endocarditis (EVE) is a distinctly rare and underdiagnosed entity. We report 2 new cases caused by vancomycin resistant Staphylococcus aureus and Staphylococcus hominis diagnosed on transesophageal echocardiography (TEE). Although, 63% of Eustachian valve endocarditis is caused by Staphylococcus aureus, we report the first case of vancomycin resistant Staphylococcus aureus and first case related to implantable venous access systems. EVE is now seen more commonly in elderly population with diverse microbial cultures and antibiotic sensitivities. TTE is the first modality for investigation of EVE, however a negative TTE does not preclude the diagnosis, as only 88% of cases were diagnosed on TEE.

    Key words: Echocardiography, endocarditis, Eustachian valve, transesophageal, vancomycin.