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Chiari network: a case report.

Navindra Phuyal1, Niraj Pandey2, Ananda Kumar Mishra3

  • 1Department of Anatomy, Rapti Academy of Health Sciences, Ghorahi, Dang, Nepal. itsmenavindra@gmail.com.

BMC Cardiovascular Disorders
|July 27, 2025
PubMed
Summary
This summary is machine-generated.

The Chiari network, a remnant of the sinus venosus, is found in about 2% of people. While often incidental, this cardiac anomaly can be linked to arrhythmias and interfere with medical procedures.

Keywords:
Cardiac catheterizationChiari networkEustachian valveRight atrium

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Area of Science:

  • Cardiovascular Anatomy
  • Embryological Remnants

Background:

  • The Chiari network is a reticulated structure arising from the inferior vena cava valve.
  • It occurs in approximately 2% of the general population.

Purpose of the Study:

  • To describe a case of Chiari network identified during routine dissection.
  • To review the clinical significance and diagnostic methods for the Chiari network.

Main Methods:

  • Routine anatomical dissection of a cardiac specimen.
  • Identification and description of the Chiari network's anatomical features.
  • Review of literature regarding clinical associations and diagnosis.

Main Results:

  • A fenestrated Chiari network was observed, attached to the inferior vena cava valve and crista terminalis.
  • The network is associated with potential cardiac events like arrhythmias and guide wire entrapment.
  • It may also prevent pulmonary embolism by entrapping thrombi.
  • Transesophageal echocardiography is the preferred diagnostic method.

Conclusions:

  • The Chiari network is an embryological remnant of the sinus venosus.
  • It is typically found incidentally during echocardiography, dissection, or autopsy.
  • This cardiac anomaly may be associated with various pathologies.