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Left heart ventricular angiography

Angiography - left heart; Left ventriculography

Left heart ventricular angiography is a procedure to look at the left-sided heart chambers and the function of the left-sided valves. It is sometimes combined with coronary angiography.

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How the Test is Performed

Before the test, you will be given medicine to help you relax. You will be awake and able to follow instructions during the test.

An intravenous line is placed in your arm. The health care provider cleans and numbs an area on your arm or groin. A cardiologist makes a small cut in the area, and inserts a thin flexible tube (catheter) into an artery. Using x-rays as a guide, the doctor carefully moves the thin tube (catheter) into your heart.

When the tube is in place, dye is injected through it. The dye flows through the blood vessels, making them easier to see. X-rays are taken as the dye moves through the blood vessels. These x-ray pictures create a "movie" of the left ventricle as it contracts rhythmically.

The procedure may last from one to several hours.

How to Prepare for the Test

You will be told not to eat or drink for 6 to 8 hours before the test. The procedure takes place in the hospital. Some people may need to stay in the hospital the night before the test.

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

How the Test will Feel

You will feel a sting and burn when the local anesthetic is injected. You may feel pressure when the catheter is inserted. Occasionally, a flushing sensation or a feeling that you need to urinate occurs when the dye is injected.

Why the Test is Performed

Left heart angiography is performed to assess the blood flow through the left side of the heart.

Normal Results

A normal result shows normal blood flow through the left side of the heart. Blood volumes and pressures are also normal.

What Abnormal Results Mean

Abnormal results may be due to:

Coronary angiography may be needed when blockage of the coronary arteries is suspected.

Risks

Risks associated with this procedure include:

Considerations

Right heart catheterization may be combined with this procedure.

Left heart ventricular angiography has some risk because it is an invasive procedure. Other imaging techniques may carry less risk, such as:

Your provider may decide to perform one of these procedures instead of left heart ventricular angiography.

References

Hermann J. Cardiac catheterization. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 19.

Patel MR, Bailey SR, Bonow RO, et al. ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS 2012 appropriate use criteria for diagnostic catheterization: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography and Interventions, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2012;59(22):1995-2027. PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital heart disease in the adult and pediatric patient. In: Zipes DP, Libby P, Bonow RO, Mann DL, et al. eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 75.

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Review Date: 9/24/2018  

Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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