High output cardiac failure caused by multiple giant cutaneous hemangiomas.
A 59-year-old Chinese woman had multiple giant cutaneous cavernous hemangiomas on her right upper limb which resulted in high output heart failure because they presented as a large peripheral arteriovenous (A-V) fistula. Selective right subclavian arteriography showed extremely hypertrophic arteries of the patient's right arm with a tremendous blood supply to the soft tissues; neither superselective embolization nor surgery seemed applicable to this patient. The patient's heart failure was not satisfactorily controlled by conservative treatment.
Chan
P
P
Department of Cardiovascular Medicine, Taipei Municipal Chung Hsiao Hospital, Taiwan, Republic of China.
Lee
C P
CP
Lee
Y H
YH
D000792:Angiography; D001132:Arm; D001164:Arteriovenous Fistula / Q000209:etiology; D001366:Axillary Artery / Q000000981:diagnostic imaging; D016534:Cardiac Output, High / Q000209:etiology*; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006391:Hemangioma / Q000098:blood supply / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D012878:Skin Neoplasms / Q000098:blood supply / Q000150:complications*; D013348:Subclavian Artery / Q000000981:diagnostic imaging