Pulmonary artery catheterization: the right heart should not be left out--a case report.
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.
Cook
D J
DJ
Department of Medicine, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Davis
S F
SF
Barr
J A
JA
Pearl
R G
RG
D000328:Adult; D002177:Candidiasis / Q000175:diagnosis*; D004696:Endocarditis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D016459:Prosthesis-Related Infections / Q000150:complications / Q000175:diagnosis*; D011651:Pulmonary Artery; D011669:Pulmonary Wedge Pressure; D015819:Substance Abuse, Intravenous / Q000150:complications; D014264:Tricuspid Valve Stenosis / Q000175:diagnosis* / Q000209:etiology; D016278:Ventricular Function, Right / Q000502:physiology*