AI Article Synopsis

  • Chiari network is a result of incomplete resorption of the right valve of the sinus venosus, often appearing as a membranous or reticular structure in the inferior vena cava and coronary sinus.
  • A study of 80 cadaveric hearts found Chiari network incidence at 3.75% and remnants of the left venous valve at 7.5%, with various morphological presentations observed.
  • Understanding these embryological remnants is crucial due to their potential to cause diagnostic confusion and complications during medical procedures.

Article Abstract

Chiari network occurs due to incomplete resorption of right valve of sinus venosus. It is often noticed as fenestrated membranous structure or reticular network like structure in the valve of inferior vena cava and coronary sinus. The remnant of left venous valve is observed as trabeculae over the fossa ovalis. The incidence of Chiari network and the remnant of left venous valve were studied in 80 cadaveric hearts utilized for teaching the undergraduates. The right atrium was opened anterior to sulcus terminalis and the interior was examined for the presence of these embryological remnants. The incidence of Chiari network and left venous valve in the present study is 3.75% and 7.5%, respectively. Chiari network was observed as a fenestrated membranous structure in 2 specimens and a reticular network in 1 specimen, with variable extension to coronary sinus opening and right atrial wall. The remnant of left venous valve was observed as multiple fine strands in 3 specimens and trabecular structure in 3 specimens. These structures may create diagnostic confusion, difficulty in interventional procedures, and complications like thromboembolic events. Hence, the knowledge about the incidence, morphology, and clinical manifestations of these rare embryological remnants is mandatory.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4579302PMC
http://dx.doi.org/10.1155/2015/247680DOI Listing

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