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Angiology
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Transcatheter Embolization of Hepatic Arteriovenous Fistula in Osler-Weber-Rendu Disease — A Case Report

Cecelia F. Roman

Department of Cardiology, Deborah Heart and Lung Center, Browns Mills, New Jersey, Department of Radiology, Albert Einstein Medical Center, Northern Division, Philadelphia, Pennsylvania

Se Do Cha

Department of Cardiology, Deborah Heart and Lung Center, Browns Mills, New Jersey, Department of Radiology, Albert Einstein Medical Center, Northern Division, Philadelphia, Pennsylvania

John Incarvito

Department of Cardiology, Deborah Heart and Lung Center, Browns Mills, New Jersey, Department of Radiology, Albert Einstein Medical Center, Northern Division, Philadelphia, Pennsylvania

Constantin Cope

Department of Cardiology, Deborah Heart and Lung Center, Browns Mills, New Jersey, Department of Radiology, Albert Einstein Medical Center, Northern Division, Philadelphia, Pennsylvania

Vladir Maranhao

Department of Cardiology, Deborah Heart and Lung Center, Browns Mills, New Jersey, Department of Radiology, Albert Einstein Medical Center, Northern Division, Philadelphia, Pennsylvania

Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease) is asso ciated with arteriovenous fistulas throughout the body that can cause hemody namic abnormalities. Owing to their size and extent, surgical repair is often not feasible.

A patient referred for presumed valvular heart disease is described. On the basis of oximetry data at cardiac catheterization, a large intrahepatic arterio venous fistula was discovered by aortography. This finding and a history of recurrent epistaxis were consistent with Osler-Weber-Rendu disease. Owing to the size of the fistula, embolization of the right hepatic artery with Gianturco coils was chosen as treatment, with resultant symptomatic improvement and decreased arteriovenous shunting.

Angiology, Vol. 38, No. 6, 484-488 (1987)
DOI: 10.1177/000331978703800610
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