title: Progressive congestive heart failure due to common iliac arteriovenous fistula: a case report.
abstract: Arteriovenous shunt is one of the causes of heart failure, but heart failure caused by common iliac arteriovenous fistula is relatively rare. A 64-year-old man who developed acute heart failure due to venous perforation of a common iliac aneurysm and also had bilateral aneurysms (diameter 58 mm) was referred to our department. On admission, the patient complained of dyspnea and swollen left leg, so diuretic agent was administered to treat the heart failure. Cardiac catheterization showed a shunt rate of 80.6%, as well as 5.0 Qp/Qs and O2 step-up across perforation of the common iliac vein. Despite the therapy, pleural effusion and ascites exacerbated, and the heart failure became difficult to control, so surgical treatment was performed. The aneurysm was replaced with an artificial vessel, and the fistula was closed by direct suturing. Postoperatively, the symptoms disappeared, and the patient is in good health.
authors: Division of Cardiology, Shinkyo Hospital, Usuki 3-41 - 1, Kagoshima, Kagoshima 890-0073. sanao@m.kufm.kagoshima-u.ac.jp
authors: Naoyuki
authors: N
authors: Sata
authors: Kiyohisa
authors: K
authors: Hiramine
authors: Takashi
authors: T
authors: Horinouchi
authors: Shigeru
authors: S
authors: Amitani
authors: Kenkichi
authors: K
authors: Miyahara
authors: Chieri
authors: C
authors: Kimura
authors: Jun
authors: J
authors: Mohara
authors: Yukinori
authors: Y
authors: Moriyama
authors: Yasuhiro
authors: Y
authors: Tanaka
authors: Hirohito
authors: H
authors: Tsubouchi
mesh_terms: D000208:Acute Disease; D000783:Aneurysm / Q000150:complications* / Q000601:surgery; D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006333:Heart Failure / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007083:Iliac Artery; D007084:Iliac Vein; D008297:Male; D008875:Middle Aged