Document Detail

High-output heart failure caused by arteriovenous fistula long after nephrectomy.
MedLine Citation:
PMID:  16160908     Owner:  NLM     Status:  MEDLINE    
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.
Kazuyuki Ozaki; Takaaki Kubo; Naoji Hanayama; Katsuharu Hatada; Hisahito Shinagawa; Satoru Maeba; Kazuhiko Hirata; Takanao Aoki; Makoto Kodama; Yoshifusa Aizawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart and vessels     Volume:  20     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-14     Completed Date:  2006-05-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  236-8     Citation Subset:  IM    
Division of Cardiology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi, Niigata 951-8510, Japan.
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MeSH Terms
Arteriovenous Fistula / diagnosis,  etiology*,  surgery*
Cardiac Output, High
Diagnosis, Differential
Heart Failure / diagnosis,  etiology*,  surgery*
Imaging, Three-Dimensional
Nephrectomy / adverse effects*
Tomography, X-Ray Computed
Tuberculosis, Renal / surgery

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