Exercise right heart catheterization for inferior vena cava obstruction: Confirming the hemodynamic significance of an anatomic lesion

Mackram F. Eleid, Haraldur Bjarnason, Robert L. Frye, Rick A. Nishimura

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Retroperitoneal fibrosis is a rare condition characterized by the presence of inflammatory and fibrous retroperitoneal tissue that surrounds and often encases abdominal structures. In this report we describe an unusual presentation of retroperitoneal fibrosis and inferior vena cava (IVC) obstruction that was unidentified by noninvasive testing and ultimately diagnosed using exercise right heart catheterization and venography. Exercise hemodynamic catheterization revealed a high pressure gradient across the IVC obstruction during exercise that resulted in reduced preload and inappropriately low cardiac output reserve. The patient ultimately underwent angioplasty and stenting of the obstruction resulting in resolution of his symptoms. © 2013 Wiley Periodicals, Inc.

Original languageEnglish (US)
Pages (from-to)E105-E108
JournalCatheterization and Cardiovascular Interventions
Volume83
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • diagnostic cardiac catheterization
  • hemodynamics
  • peripheral vascular disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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