Abstract
A 36-year old man with history of combined mechanical mitral and tricuspid valve replacement was referred for cardiogenic shock. The patient was considered for cardiac transplantation. To investigate the feasibility, a right heart catheterization was performed to obtain transpulmonary pressure gradient. A 7 F Swan-Ganz catheter (Edwards Lifesciences, CA, USA) was introduced inside an 8 F Fast-Cath™ Ramp guiding introducer (St Jude Medical, MN, USA) positioned in front of the tricuspid mechanical prosthesis through the right femoral vein. A 0.025 inch Starter™ guidewire (Boston Scientific, MA, USA) was introduced in the Swan-Ganz catheter and pushed through the prosthesis, permitting the guiding of the Swan-Ganz catheter through the valve then the ascent in the pulmonary artery with the inflated balloon. There was no complication of the procedure.
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