Interesting case report on Chiari network

Authors

  • Dheeraj Kumar Department of Cardiology Technology, Faculty of Paramedical Sciences, UPUMS, Saifai, Etawah, Uttar Pradesh, India
  • Gajram Singh Department of Dialysis Technology, Faculty of Paramedical Sciences, UPUMS, Saifai, Etawah, Uttar Pradesh, India
  • Mahendra Singh Department of Operation Theatre Technology, Faculty of Paramedical Sciences, UPUMS, Saifai, Etawah, Uttar Pradesh, India
  • Jyotsana Singh Department of Cardiology Technology, Faculty of Paramedical Sciences, UPUMS, Saifai, Etawah, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240642

Keywords:

Congenital, Chiari network, 2D echocardiography, Tricuspid regurgitation, Pulmonary regurgitation

Abstract

The Chiari network is a congenital remnant that is typically found in the right atrium and is generally not associated with significant pathophysiological implications. Usually, this is detected on general routine health checkup screening or casual examination. But, occasionally in certain cases, it is possible for this condition to results in diagnostic ambiguity when assessing right atrial disorders. Additionally, it has potential to contribute to the development of thromboembolism by inducing flow blockage. The Chiari network can be accurately diagnosed by echocardiography. This network appear as a highly mobile, highly reflectant echo target at many regions in the right atrium during transthoracic and transesophageal echocardiography. In this study, we provide a case involving an 18 year old male students studying cardiac technology who was diagnosed incidentally during echocardiography practical classes with Chiari network, mild TR and mild PR. The value and precision of echocardiography are becoming more widely recognized and being used more frequently. The potential for finding normal anatomical variations and their potential incorrect interpretation as pathological states coincides with the wider implementation of this imaging method.

References

Monwarul I, Lima AS, Shanah Z. Chiari Network: A case report and brief overview. J Saudi Heart Assoc. 2013;25(3):225-9.

Schneider B, Hofmann T, Justen MH, Meinertz T. Chiari network: normal anatomical variant or risk factor for arterial embolic event?. J Am College Cardiol. 1995;6:23-9.

Schwimmer-Okike N, Niebuhr J, Schramek GGR, Frantz S, Kielstein H. Case Report: The presence of large chiari network in a patient with atrial fibrillation and strok. Hindwai J. 2016;3:483.

Chiari H. Ueber Netzbildungen im rechten Vorhofe des Herzens. Beitr Path Anat 1897;22:1.

Franck D. Über atypische Diaphragmen und Sehnenfäden des menschlichen Herzens. Virchows Arch. 1970;349(2):152-62.

Chiari H. Über netzbildungen im rechten vorhofe des herzens. Virch Arch. 1897;22:1-10.

Edwards P, Wozniak M, Corretti M, Price TR. Cardiac Chiari network as an etiology for embolic stroke. J Stroke Cerebrovasc Dis. 1994;4(4):238-41.

Mousavi N, Bhagirath K, Ariyarajah V, Fang T, Ahmadie R, Lytwyn M, Jassal DS, Seifer C. Chiari network endocarditis: not just an innocent bystander. Echocardiography. 2008;25(6):642-5.

Dregoesc D, Rejent M, Zhang A, Abousy R. Incidental discovery of Chiari network in a patient with new onset of atrial fibrillation. J Clin Case Rep. 2013;4(2):1-2.

Warner JA, Cheitlin MD, Gross BW, Speck SM, Ivey TD. Echocardiographic appearance of the Chiari Network: Differentiation from the right heart pathology. Am Heart J. 2018;23:32-9.

Werner JA, Cheitlin MD, Gross BW. Echocardiographic appearance of Chiari network: differentiation from right heart pathology. Circulation. 1981;5:1104-9.

Pothineni KP, Nanda NC, Burri MV, Singh A, Panwar SR, Gandhari S. Live/real time three-dimensional transthoracic echocardiography visualization of chiari network. Echocardiography. 2007:24(9):995-7.

Jen-Ping CJP. Tricuspid regurgitation as a result of chairi network attachment. J Thorac Cardiovasc Surg. 2012:143:235.

Hansing CE, Young WP, Rowe GG, Cor triatriatum dexter. AM J Cardiol. 1992;30:559-64.

Salama S, Gallachera D, Uzna O. Cor Traitratum dexter. Pediatr Cardiol. 2002;23:103-5.

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Published

2024-02-29

How to Cite

Kumar, D., Singh, G., Singh, M., & Singh, J. (2024). Interesting case report on Chiari network. International Journal Of Community Medicine And Public Health, 11(3), 1342–1344. https://doi.org/10.18203/2394-6040.ijcmph20240642

Issue

Section

Case Reports