High-output heart failure resulting from an obscure traumatic arteriovenous fistula.
Traumatic arteriovenous fistula (AVF) is not an uncommon disorder, but late discovery and the presentation of high-output heart failure is very rare. This patient did not know that he had traumatic AVF after a gunshot injury in the left thigh 14 years ago. The major presentation of the AVF was signs of heart failure. We performed surgical repair after making the diagnosis. The patient recovered with an uneventful course. This report stresses the importance of history-taking and physical examination in making the diagnosis of traumatic AVF.
Weng
Chi-Feng
CF
Division of Cardiovascular Surgery, Cheng Hsin Rehabilitation and Medical Center, Taipei, Taiwan, R.O.C.
Wei
Jeng
J
Lee
Yung-Tsai
YT
Sue
Sung-How
SH
Chuang
Yi-Cheng
YC
Chang
Chung-Yi
CY
Lee
Kuo-Chen
KC
D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery; D016534:Cardiac Output, High / Q000209:etiology; D005263:Femoral Artery; D005268:Femoral Vein; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014948:Wounds, Gunshot / Q000150:complications*