Highly vascular pelvic tumor causing high-output heart failure because of massive arteriovenous shunting: a case report.
A 53-year-old Japanese woman underwent investigation of her heart murmur. A continuous abdominal bruit was heard. Blood gas analysis and chest X-ray showed congestive heart failure. Enhanced computed tomography of the pelvis showed a 10 x 4 cm hypervascular tumor in the retroperitoneal space. Cardiac catheterization disclosed a cardiac output of 13.2 L/min and a step-up of oxygen at the right common iliac vein. Abdominal aortic angiography showed an extremely vascular pelvic tumor and rapid filling of the inferior vena cava. This is a rare case of a highly vascular pelvic tumor causing high-output heart failure because of th massive arteriovenous shunting.
Ozaki
Kazuyuki
K
Department of Cardiology, Niigata City General Hospital, Japan. k-ozaki@med.niigata-u.ac.jp
Oda
Hirotaka
H
Hatada
Katsuharu
K
Sakai
Katsuyuki
K
Takahashi
Kazuyoshi
K
Miida
Tsutomu
T
Higuma
Norio
N
D001164:Arteriovenous Fistula / Q000150:complications* / Q000503:physiopathology; D002302:Cardiac Output; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006337:Heart Murmurs; D006801:Humans; D008875:Middle Aged; D012186:Retroperitoneal Neoplasms / Q000098:blood supply / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D018234:Sarcoma, Alveolar Soft Part / Q000098:blood supply / Q000175:diagnosis; D014682:Vena Cava, Inferior