High out-put congestive heart failure as first manifestation of Osler-Weber-Rendu disease.
We present two cases of hemorrhagic hereditary telangiectasia (HHT) or Osler-Weber-Rendu disease which started as heart failure. Both had multiple arteriovenous fistulas, one of them in a rare localization in this disease, a lower extremity. We conclude stressing the importance of thinking of HHT in the presence of obscure heart failure or arteriovenous fistulas and of looking for internal fistulas when faced by a HHT.
D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications; D002302:Cardiac Output; D005260:Female; D006326:Heart Auscultation; D006333:Heart Failure / Q000150:complications*; D006801:Humans; D007866:Leg / Q000098:blood supply; D008099:Liver / Q000098:blood supply; D008168:Lung / Q000098:blood supply; D008875:Middle Aged; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000209:etiology*