| Literature DB >> 16160908 |
Kazuyuki Ozaki1, Takaaki Kubo, Naoji Hanayama, Katsuharu Hatada, Hisahito Shinagawa, Satoru Maeba, Kazuhiko Hirata, Takanao Aoki, Makoto Kodama, Yoshifusa Aizawa.
Abstract
A 70-year-old Japanese woman was admitted to our hospital because of anasarca. At 32 years of age, she had undergone nephrectomy for renal tuberculosis. A continuous abdominal bruit was heard. The chest X-ray showed cardiomegaly and dilatation of the pulmonary artery. Abdominal three-dimensional computed tomography scanning clearly revealed an arteriovenous fistula. Cardiac catheterization disclosed cardiac output of 9.2 l/min and a step-up of oxygen saturation at the renal vein level of the inferior vena cava. Surgical closure of the fistula promptly decreased her cardiac output and improved the heart failure. This is a rare case of an arteriovenous fistula developing long after nephrectomy and causing high-output heart failure.Entities:
Mesh：
Year: 2005 PMID： 16160908 DOI： 10.1007/s00380-004-0814-4
Source DB: PubMed Journal: Heart Vessels ISSN： 0910-8327 Impact factor: 2.037