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Same features, different diagnosis: A case of ilio-iliac arteriovenous fistula presenting as decompensated heart
Saad Rehman1, Hamish Sinclair1, Alex Rodway1
1Brighton and Sussex University Hospital NHS Foundation Trust, Brighton BN2 5BE, UK.
JRSM Open
|November 23, 2017
Insights
For high output cardiac failure, consider an arteriovenous fistula. This intervention can help manage the condition effectively.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- High output cardiac failure (HOCF) presents a significant clinical challenge.
- Understanding the underlying pathophysiology is crucial for effective management.
Observation:
- Arteriovenous fistulas (AVFs) can lead to or exacerbate HOCF.
- The increased blood flow and volume overload associated with AVFs strain the heart.
Findings:
- In cases of HOCF, particularly when caused by an AVF, surgical or interventional closure of the fistula should be considered.
- Addressing the fistula can reduce preload and afterload, thereby improving cardiac function.
Implications:
- Timely consideration of AVF management in HOCF can lead to improved patient outcomes.
- This approach may prevent further cardiac decompensation and reduce mortality.
Abstract:
In case of high output cardiac failure, an arteriovenous fistula should be considered.
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