Cardiac failure and pulmonary hypertension secondary to renal arteriovenous malformation: a case report
| dc.contributor.author | Albak, Laura J | |
| dc.contributor.author | Shah, Ashish H | |
| dc.contributor.author | Tam, James W | |
| dc.date.accessioned | 2021-04-01T05:01:26Z | |
| dc.date.issued | 2021-03-31 | |
| dc.date.updated | 2021-04-01T05:01:26Z | |
| dc.description.abstract | Abstract Background Heart failure is usually associated with a low-cardiac-output state; however, a minority of these patients are characterized by a high-output cardiac state, described as a cardiac index of > 4 L/minute/m2. Usually such circulation is associated with low systemic vascular resistance or arteriovenous malformation (AVM), resulting in depressurized circulation and a high-output cardiac state. Treating physicians should be cognizant of such pathology when investigating patients with heart failure. As an example, renal arteriovenous malformations are a rare vascular phenomena that are typically the result of iatrogenic, traumatic or congenital etiology. Generally, non-salient, most are detected as an incidental finding. Case presentation A 75-year-old Afro-Caribbean man with multiple comorbidities presented to the emergency department with a 6-month history of heart failure symptoms. Cardiac catheterization demonstrated a giant right renal AVM leading to a significant left-to-right, post-tricuspid shunt that was treated with transcatheter coiling. Conclusions We present this case to emphasize the significance of a detailed workup in a patient with heart failure symptoms. | |
| dc.identifier.citation | Journal of Medical Case Reports. 2021 Mar 31;15(1):177 | |
| dc.identifier.uri | https://doi.org/10.1186/s13256-021-02764-y | |
| dc.identifier.uri | http://hdl.handle.net/1993/35383 | |
| dc.language.rfc3066 | en | |
| dc.rights | open access | en_US |
| dc.rights.holder | The Author(s) | |
| dc.title | Cardiac failure and pulmonary hypertension secondary to renal arteriovenous malformation: a case report | |
| dc.type | Journal Article |