Eustachian valve endocarditis in the context of right atrial embryonic remnants: A systematic review and meta-analysis.
Background: Eustachian valve endocarditis (EVE) is a rare right-sided infective endocarditis (RSIE) manifestation. This condition has scattered and limited clinical characteristics that require collection and systematization. This meta-analysis evaluates the predisposing factors, pathogens, and asso...
| Publicado en: | Cardiology Journal Vol. 32; no. 6; pp. 615 - 625 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
VM Medica-VM Group (Via Medica)
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190565162&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190565162 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18975593 8Z8O jtl: Cardiology Journal issn: 18975593 maglogo: N pubinfo: dt: 2025 vid: 32 iid: 6 pid: 21698 pub: VM Medica-VM Group (Via Medica) artinfo: ui: 190565162 190565162 190565162 10.5603/cj.105139 190565162 ppf: 615 ppct: 10 formats: tig: atl: Eustachian valve endocarditis in the context of right atrial embryonic remnants: A systematic review and meta-analysis. aug: au: Nawrot, Luiza Szczepanik, Marcin Kuniewicz, Marcin Rams, Daniel Baran, Marta Karkowski, Grzegorz Stąpór, Maciej Gach-Kuniewicz, Barbara affil: Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland sug: subj: Endocarditis Risk Factors Heart Valve Diseases Risk Factors Heart Atrium, Right Abnormalities Heart Atrium, Right Embryology Risk Assessment Disease Susceptibility Evaluation Endocarditis Prognosis Heart Valve Diseases Microbiology Endocarditis Microbiology Heart Valve Diseases Prognosis Human Systematic Review Meta Analysis PubMed Embase Cochrane Library Univariate Statistics Prevalence Endocarditis Epidemiology Heart Valve Diseases Epidemiology Staphylococcus Aureus Age Factors Persons Who Use Intravenous Drugs Logistic Regression Central Venous Catheters Defibrillators, Implantable Endocarditis, Bacterial Microbiology Endocarditis, Bacterial Risk Factors Endocarditis, Bacterial Prognosis Heart Defects, Congenital Symptoms Endocarditis, Bacterial Epidemiology Echocardiography Mycoses Methicillin-Resistant Staphylococcus Aureus Klebsiella Actinomycetales Mycobacterium Enterobacteriaceae Streptococcus Gram-Negative Bacteria Staphylococcus Candida Albicans Cryptococcus Mann-Whitney U Test Chi Square Test Fisher's Exact Test Confidence Intervals Descriptive Statistics Odds Ratio Male Female Adult Middle Age Aged Checklists Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Eustachian valve endocarditis (EVE) is a rare right-sided infective endocarditis (RSIE) manifestation. This condition has scattered and limited clinical characteristics that require collection and systematization. This meta-analysis evaluates the predisposing factors, pathogens, and associated risk profiles in EVE cases. Methods: The meta-analysis included 68 cases of EVE from 57 reports published between 1986 and 2024 from PubMed, Embase, Scopus, Cochrane, and Web of Science. Data on demographics, clinical characteristics, risk factors, and microbiological findings were extracted and analyzed using descriptive and univariate statistical methods. Pooled prevalence rates from observational studies were calculated using a fixed effects model. Results: The pooled prevalence of EVE in RSIE among the analyzed cases was 2.54%. Single-valve infections accounted for 70.6% of cases, with the Eustachian valve as the sole affected structure. The most common pathogen was Staphylococcus aureus (60%), predominantly affecting younger intravenous drug users (IVDU) with an odds ratio [OR (odds ratio) = 6.27; 95% CI (confidence interval): 1.62-24.31] in univariate logistic regression analysis. Other predisposing factors, including central venous catheters (CVCs) and cardiac implantable electronic devices (CIED), were not significantly associated with Staphylococcus aureus or other bacterial non-Staphylococcus aureus or fungal infections. Conclusions: Eustachian valve endocarditis is relatively rare and primarily associated with IVDU and younger age, whereas CVCs and CIEDs are insignificant predictors. Identifying embryonic remnants like the Eustachian valve or Chiari network using echocardiography may facilitate early diagnosis in at-risk populations. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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