title: [Dural arteriovenous fistula, a rare cause of congestive heart failure in elderly patients].
abstract: BACKGROUND
  Arteriovenous fistula is a curable cause of high output congestive heart failure.
  
  
  METHODS
  An 89-year-old woman was hospitalized for acute heart failure. The presence of a continuous murmur in the right carotid artery suggested an arteriovenous fistula. Arteriography showed a dural fistula of the right lateral sinus and confirmed the diagnostic hypothesis. Embolization was ruled out because of the patient's clinical condition, but medical treatment produced a satisfactory outcome.
  
  
  CONCLUSIONS
  Clinical diagnosis of an arteriovenous fistula is based on the characteristic murmur. We report the first case of a dural arteriovenous fistula manifested by congestive heart failure in an elderly patient.
authors.affiliation: Département de médecine gériatrique, Centre Henri Choussat, Hôpital Xavier Arnozan, Pessac. lmazat@yahoo.fr
authors.forename: Lise
authors.initials: L
authors.lastname: Mazat
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Emeriau
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D020785:Central Nervous System Vascular Malformations / Q000150:complications*; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans