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CASE REPORT
Year : 2017  |  Volume : 5  |  Issue : 2  |  Page : 37-40

Arteriovenous fistula presented with right ventricular failure


1 Lung Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2 Preventive Cardiovascular Care Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Cardilogy, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Preventive Cardiovascular Care Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Correspondence Address:
Dr. Hoorak Poorzand
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ACVI.ACVI_2_19

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Arteriovenous fistula could be traumatic with one manifestation as high-output heart failure. We present a 29-year-old male, referred for unexplained right-sided enlargement and the symptoms of right ventricular failure for 8 months ago. Considering right-sided dilatation, marked inferior vena cava plethora, and increased pulmonary passage of flow in the absence of intracardiac shunts, arteriovenous shunt was suspected. He had a history of penetrating abdominal trauma which raised the suspicion for further evaluation. Abdominal sonography and contrast-enhanced computed tomography revealed a large arteriovenous fistula between the left common iliac artery and vein. The patient underwent successful percutaneous repair with a stent graft and dramatic improvement in symptoms and resolution of flushing and edema.


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