Successful application of a PressureWire retrogradely across an ATS prosthetic aortic valve to diagnose constrictive pericarditis.
Assessment of the left ventricular pressure measured across an aortic valve prosthesis is occasionally necessary when noninvasive imaging and Doppler echocardiographic data are inconclusive or differ from the clinical findings for specific scenarios, such as diagnosing constrictive or restrictive physiology. We present a case in which we safely and effectively replicate the previous successful application of a PressureWire in diagnosing constrictive pericarditis in a patient with a bileafltet mechanical aortic and mitral valves.
Cardiac Investigation Unit, St Vincent's Hospital Melbourne, Fitzroy Victoria, Australia. sonnycpalmer@gmail.com
Sonny
S
Palmer
Justin A
JA
Mariani
Andrew
A
Newcomb
Michael B
MB
Stokes
Andrew T
AT
Burns
D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods*; D062906:Cardiac Catheters; D004867:Equipment Design; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006439:Hemodynamics; D006801:Humans; D008943:Mitral Valve / Q000601:surgery; D010494:Pericarditis, Constrictive / Q000175:diagnosis* / Q000503:physiopathology; D011237:Predictive Value of Tests; D016277:Ventricular Function, Left; D017725:Ventricular Pressure