High output heart failure 8 months after an acquired arteriovenous fistula


Durakoglugil M. E. , KAYA M., BOYACI B., CENGEL A.

JAPANESE HEART JOURNAL, cilt.44, ss.805-809, 2003 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 44 Konu: 5
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1536/jhj.44.805
  • Dergi Adı: JAPANESE HEART JOURNAL
  • Sayfa Sayıları: ss.805-809

Özet

Congestive heart failure (CHF) due to hyperkinetic states can occur in systemic diseases and in arteriovenous fistulas. An 18 year old Turkish male patient complaining of dyspnea and palpitations, who had Suffered a stab wound to his abdomen eight months earlier, was admitted to our clinic. Auscultation revealed a systolodiastolic murmur over the entire abdomen. Chest x-rays demonstrated significant cardiomegaly. Echocardio-graphy revealed biatrial enlargement and significant mitral and tricuspid regurgitation accompanied by dilatation of the inferior vena cava. Right heart catheterization showed increased oxygen Saturation at the inferior vena cava. A diagnosis of an aortocaval fistula was made by aortography. The symptoms subsided and valvular regurgitations ceased after surgical correction. This rare case demonstrates the significance of routine physical examination and history of the patient.