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Angiology
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*Arteriovenous Malformations
*Heart Failure
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Successful Intervention for High-Output Cardiac Failure Caused by Massive Renal Arteriovenous Fistula

A Case Report

Azimuddin T. Khawaja, MD

Western Pennsylvania Hospital, Temple University School of Medicine, Pittsburgh PA, TKhawaja{at}msn.com

Gordon K. McLean, MD

Western Pennsylvania Hospital, Temple University School of Medicine, Pittsburgh PA

Venkatraman Srinivasan, MD

Western Pennsylvania Hospital, Temple University School of Medicine, Pittsburgh PA

Renal arteriovenous fistula is a rare clinical entity that may produce high-output cardiac failure. This report describes the case of an 81-year-old woman in whom recurrent episodes of congestive heart failure developed over a relatively short time. A massive renal arteriovenous fistula was visualized by CT scan and arteriography. Successful embolization was performed under hemodynamic monitoring with complete resolution of the patient’s symptoms.

Angiology, Vol. 55, No. 2, 205-208 (2004)
DOI: 10.1177/000331970405500213


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