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    Right heart ventriculography

    Angiography - right heart

    Right heart ventriculography is a study that images the right chambers (atrium and ventricle) of the heart.

    How the Test is Performed

    You will get a mild sedative 30 minutes before the procedure. A cardiologist will cleanse the site and numb the area with a local anesthetic. Then a catheter will be inserted into a vein in your neck or groin.

    The catheter will be moved forward into the right side of the heart. As the catheter is advanced, the doctor can record pressures from the right atrium and right ventricle.

    Contrast material ("dye") is injected into the right side of the heart. It helps the cardiologist determine the size and shape of the heart's chambers.

    The procedure will last 1 to several hours.

    How to Prepare for the Test

    You will not be allowed to eat or drink for 6 - 8 hours before the test. The procedure takes place in the hospital. Generally, you will be admitted the morning of the procedure. However, you may need to be admitted the night before.

    A health care provider will explain the procedure and its risks. You must sign a consent form.

    How the Test Will Feel

    You will be given local anesthesia where the catheter is inserted. The only thing you should feel is pressure at the site. You will not feel the catheter as it is moved through your veins into the right side of the heart.

    Why the Test is Performed

    Right heart angiography is performed to detect the cause of abnormal blood flow through the right side of the heart.

    Normal Results

    See Swan-Ganz catheterization.

    What Abnormal Results Mean

    • Abnormal connections between the right and left side of the heart
    • Abnormalities of the right atrium, such as atrial myxoma (rarely)
    • Abnormalities of the valve on the right side of the heart
    • Abnormal pressures or volumes
    • Weakened pumping function of the right ventricle (this could be due to many causes)

    Risks

    • Cardiac arrhythmias
    • Cardiac tamponade
    • Embolism from blood clots at the tip of the catheter
    • Heart attack
    • Hemorrhage
    • Infection
    • Kidney damage
    • Low blood pressure
    • Reaction to contrast dye
    • Stroke
    • Trauma to the vein or artery

    Considerations

    This test may be combined with coronary angiography.

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    A Closer Look

    Self Care

      Tests for Right heart ventriculography

      Review Date: 5/22/2010

      Reviewed By: Issam Mikati, MD, Associate Professor of Medicine, Feinberg School of Medicine, Director, Northwestern Clinic Echocardiography Lab, Northwestern University, Chicago, IL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

      The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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      St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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