Tobe A, Tanaka A, Yoshida S, Kondo T, Morimoto R, Furusawa K, Okumura T, K Bando Y, Ishii H, Murohara T. High-output Heart Failure Caused by a Tumor-related Arteriovenous Fistula: A Case Report and Literature Review.
Intern Med 2021;
60:2979-2984. [PMID:
33776013 PMCID:
PMC8502649 DOI:
10.2169/internalmedicine.6962-20]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
High-output heart failure caused by a tumor-related arteriovenous fistula in adults is a rare clinical condition. We herein report a case of high-output heart failure caused by an arteriovenous fistula associated with renal cell carcinoma and a literature review of 29 published cases to date. Renal cell carcinoma seems to be the most common underlying tumor. For the diagnosis, right heart catheterization and enhanced computed tomography (CT) are considered useful. The removal of the underlying tumor and arteriovenous fistula is the best treatment for heart failure.
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