ABSTRACT
A new technique for right heart catheterization using a Mullins' sheath is described. This device allows a Swan-Ganz catheter to reach pulmonary artery position easily and permits simultaneous pressure recordings in right heart chambers, thus avoiding a double venous puncture and two catheters. This new technique, its indications, and our experience in 29 patients are described. It is most useful in patients with severe pulmonary hypertension and in those conditions in which accurate right heart pressure measurements are needed.
Subject(s)
Cardiac Catheterization/methods , Catheterization, Swan-Ganz , Brassica , Cardiac Catheterization/instrumentation , Fatty Acids, Monounsaturated , Humans , Hypertension, Pulmonary/diagnosis , Monitoring, Physiologic/methods , Plant Oils/poisoning , Rapeseed Oil , Rheumatic Heart Disease/diagnosis , Tricuspid Valve Insufficiency/diagnosisABSTRACT
We report a case of angiosarcoma of the heart, manifested as a continuous murmur. Right coronary arteriography disclosed a paracardiac mass with fistulas from the coronary vessel to the right atrium. Histologic study revealed this to be an angiosarcoma with sinusoidal pattern. To our knowledge, this is the first case of this kind of cardiac tumor presenting as a fistula from a coronary artery to the right atrium.
