High output heart failure 8 months after an acquired arteriovenous fistula


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

JAPANESE HEART JOURNAL, vol.44, no.5, pp.805-809, 2003 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 44 Issue: 5
  • Publication Date: 2003
  • Doi Number: 10.1536/jhj.44.805
  • Title of Journal : JAPANESE HEART JOURNAL
  • Page Numbers: pp.805-809

Abstract

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.