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Occasionally, the eustachian valve crosses the floor of the right atrium from the orifice of the IVC and inserts into the lower portion of the interatrial septum adjacent to the atrioventricular valves. [2] However, higher insertion of a giant eustachian valve, which mimics the echocardiographic appearance of divided right atrium, is very rare.
The first is the foramen ovale (the valve present between them called eustachian valve) which shunts blood from the right atrium to the left atrium. The second is the ductus arteriosus which shunts blood from the pulmonary artery (which, after birth, carries blood from the right side of the heart to the lungs) to the descending aorta.
The base is formed by the coronary sinus orifice and the vestibule of the right atrium, and the hypotenuse is formed by the tendon of Todaro, which is often a continuation off the Eustachian valve. Other structures near to it are the membranous septum and the Eustachian ridge. Variations in the size of Koch's triangle are common.
The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra. [1] [2]
The opening of the inferior vena cava is guarded by the Eustachian valve, while next to it lies the Thebesian valve that guards the orifice of the coronary sinus. [15] The thebesian veins also drain into the right atrium. [16] Most of the right atrium is trabeculated, as it is covered with pectinate muscles that run parallel to one another. [17]
As oxygenated blood arrives at the right atrium, the eustachian valve helps direct the oxygenated blood into the foramen ovale, an opening between the right and left atrium. As the blood flows through the left atrium, it will move through the mitral valve into the left ventricle and will be pumped through the aorta into the body. The shunting ...
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The valve of the coronary sinus is a thin, semilunar (half-moon-shaped) valve located on the anteroinferior part of the opening into the right atrium. [5] It is formed by a semicircular fold of the lining membrane of the right atrium. It is situated at the base of the inferior vena cava. [citation needed]