Conflict of interest: Nothing to report.
E-ONLY: Peripheral Vascular Disease
Exercise right heart catheterization for inferior vena cava obstruction: Confirming the hemodynamic significance of an anatomic lesion
Article first published online: 16 JUL 2013
Copyright © 2013 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 83, Issue 1, pages E105–E108, 1 January 2014
How to Cite
Eleid, M. F., Bjarnason, H., Frye, R. L. and Nishimura, R. A. (2014), Exercise right heart catheterization for inferior vena cava obstruction: Confirming the hemodynamic significance of an anatomic lesion. Cathet. Cardiovasc. Intervent., 83: E105–E108. doi: 10.1002/ccd.25062
- Issue published online: 18 DEC 2013
- Article first published online: 16 JUL 2013
- Accepted manuscript online: 13 JUN 2013 05:01PM EST
- Manuscript Accepted: 1 JUN 2013
- Manuscript Received: 3 MAY 2013
- diagnostic cardiac catheterization;
- peripheral vascular disease
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.