[High-output congestive heart failure due to congenital iliac arteriovenous fistula].
A 54-year-old man was admitted to hospital because of chronic right-sided heart failure. Echocardiography revealed dilatation of all chambers of the heart. Cardiac catheterization showed high-output heart failure due to left-to-right shunt caused by a congenital fistula between the right iliac artery and vein. The fistula was closed by percutaneous implantation of a covered stent. 15 months later, the patient denied any cardiac complaint. On echocardiography, the size of all chambers had almost normalized, cardiac catheterization proved a normal cardiac output. By angiography and oximetry, neither a residual nor a relapsing shunt were seen.
Götze
Christine J
CJ
Klinik für Kardiologie, Zentralklinik Bad Berka, Bad Berka. chgoetze@yahoo.de
Secknus
Maria A
MA
Strauss
Hans J
HJ
Lauer
Bernward
B
Ohlow
Marc A
MA
D000208:Acute Disease; D001164:Arteriovenous Fistula / Q000150:complications* / Q000151:congenital / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002303:Cardiac Output, Low / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities* / Q000601:surgery; D007084:Iliac Vein / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome