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Reminder of important clinical lesson
CASE REPORT
Two cases of high-output heart failure as initial presentation of iliac arteriovenous fistula
  1. Jordi S Dahl1,
  2. Claus Andersen2,
  3. Stevo Duvnjak3,
  4. Jacob Eifer Moller1
  1. 1Department of Cardiology, Odense University Hospital, Odense, Denmark
  2. 2Department of Anesthesiology, Odense University Hospital, Odense, Denmark
  3. 3Department of Radiology, Odense University Hospital, Odense, Denmark
  1. Correspondence to Dr Jordi S Dahl, jordi.dahl{at}rsyd.dk

Summary

We present two cases of females in their 40s presenting with biventricular heart failure being the consequence of a large arteriovenous fistula. Both patients had undergone abdominal surgery several years prior to the heart failure event with the initial finding of moderate pulmonary hypertension and high-output heart failure. CT revealed a large arteriovenous fistula between the common iliac artery and vein which subsequently was closed percutaneously.

  • heart failure
  • interventional radiology

https://doi.org/10.1136/bcr-2018-225659

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    Footnotes

    • Contributors All four authors have contributed significantly to this paper and fulfil the criteria for being coauthor. All authors have read and approved the final manuscript. JSD has contributed in the entire manuscript, in the conception and design of the paper and has performed all echocardiographic examinations. CA has contributed in the revision of the entire manuscript, has performed the right-heart catherisation during the procedures and has helped interpreting data. SD has contributed in the revision of the entire manuscript, has provided CT scans before and after the procedure, has performed the closure of the fistulas and has equally helped interpreting data. JEM has contributed in the revision of the entire manuscript, has performed the diagnostic right-sided heart catherisation and has provided insightful comments about the interpretation of all acquired data.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.