CASE REPORT |
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Year : 2017 | Volume
: 5
| Issue : 2 | Page : 37-40 |
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Arteriovenous fistula presented with right ventricular failure
Farveh Vakilan1, Fereshte Ghaderi2, Hoorak Poorzand3, Mahmood Mohammadzadeh Shabestari2, Arash Gholobi4
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
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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