Publication Date
5-1-2023
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-22-8039
PMID
37302148
PMCID
PMC10353280
PubMedCentral® Posted Date
6-5-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Humans, Middle Aged, Tricuspid Valve, Heart Valve Prosthesis, Cardiac Catheterization, Tricuspid Valve Insufficiency, Pulmonary Artery, Cardiac catheterization, tricuspid valve, heart valve prosthesis, hemodynamic monitoring, methods
Abstract
A 47-year-old patient was experiencing dyspnea and fatigue concerning for right ventricular hypertension and new heart failure. Because of the risks associated with catheter entrapment, prosthetic valve leaflet damage, and valve thrombosis associated with crossing a mechanical valve, a novel technique was used for diagnostic left and right heart catheterization in a patient with mechanical tricuspid valve replacement and tortuous pulmonary arteries. Using a percutaneous subxiphoid approach to avoid traversing the mechanical valve without discontinuing anticoagulation, a Volcano fractional flow reserve pressure wire (Philips Volcano) was advanced for distal measurements of pressures and saturations.