Related Experiment Videos
High output cardiac failure caused by multiple giant cutaneous hemangiomas
1Department of Cardiovascular Medicine, Taipei Municipal Chung Hsiao Hospital, Taiwan, Republic of China.
Japanese Heart Journal
|July 1, 1992
Summary
Giant cutaneous hemangiomas in a Chinese woman led to high-output heart failure due to a large peripheral arteriovenous fistula. Conservative treatment failed, and standard interventions were not feasible.
Area of Science:
- Vascular Surgery
- Cardiology
- Dermatology
Background:
- Giant cutaneous hemangiomas can present as complex vascular malformations.
- Peripheral arteriovenous fistulas can lead to high-output heart failure.
Observation:
- A 59-year-old woman presented with multiple giant cutaneous cavernous hemangiomas on her right upper limb.
- These hemangiomas functioned as a large peripheral arteriovenous fistula, causing high-output heart failure.
Findings:
- Selective arteriography revealed hypertrophic arteries supplying the hemangiomas with massive blood flow.
- Neither superselective embolization nor surgical intervention was deemed applicable for this patient.
Implications:
- This case highlights the challenges in managing extensive vascular malformations causing heart failure.
- Innovative or alternative treatment strategies may be necessary when standard interventions are not feasible.