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Pulmonary Artery Catheterization: The Right Heart Should not be Left Out—A Case Report

Department of Medicine, Division of Critical Care, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada

Stacy F. Davis

department of Anesthesia, Division of Critical Care, Stanford University Medical Center, Stanford, California

Juliana A. Barr

department of Anesthesia, Division of Critical Care, Stanford University Medical Center, Stanford, California

Ronald G. Pearl

department of Anesthesia, Division of Critical Care, Stanford University Medical Center, Stanford, California

Tricuspid valve stenosis in the setting of endocarditis is associated with a high morbidity. Diagnostic approaches incorporate a high clinical index of suspicion, echocardiographic evidence, and inferences about hemodynamic data derived from pulmonary artery catheterization. As demonstrated by the case presented herein, inadequate initial evaluation of right-sided pressures delayed the diagnosis and treatment of prosthetic tricuspid valve stenosis.

Angiology, Vol. 43, No. 11, 952-956 (1992)
DOI: 10.1177/000331979204301111


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