High-Output Heart Failure Due to a Renal Arteriovenous Fistula in a Pregnant Woman With Suspected Preeclampsia

Korn, Tommy S.; Thurston, Jeffrey M.; Sherry, Cynthia S.; Kawalsky, Darryl

doi:10.4065/73.9.888

Cited by 11 publications

(11 citation statements)

References 39 publications

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“…Surgical treatment for arteriovenous fistula is recommended when it is large enough to produce high output state causing cardiac enlargement and fluid retention. 7 …”

Section: Discussionmentioning

confidence: 99%

High output heart failure caused by a large pelvic arteriovenous malformation

Koyalakonda

Pyatt

2011

JRSM Short Reports

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“…Surgical treatment for arteriovenous fistula is recommended when it is large enough to produce high output state causing cardiac enlargement and fluid retention. 7 …”

Section: Discussionmentioning

confidence: 99%

High output heart failure caused by a large pelvic arteriovenous malformation

Koyalakonda

Pyatt

2011

JRSM Short Reports

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“…In patients with arteriovenous fistula, even temporary manual compression of a large fistula elevates the blood pressure and causes diuresis and natriuresis [14]. The presence of an arteriovenous fistula during pregnancy may contribute to the pre-existing high output cardiac state [15] and lead to the syndrome of congestive heart failure [16,17]. Intrahepatic arteriovenous fistulae are well-known causes of high output cardiac failure.…”

Section: Opinion Statementmentioning

confidence: 99%

“…• The surgical treatment of arteriovenous fistula is recommended when it is large enough to produce high output state resulting in cardiac enlargement and fluid retention [17,46]. • Partial or total nephrectomy has been reported for large renal aneurysmal arteriovenous fistulas and malformations [57].…”

Section: Sepsis and Endotoxemiamentioning

confidence: 99%

High output cardiac failure

Anand

Florea

2001

Curr Treat Options Cardio Med

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Congestive heart failure describes a syndrome with complex and variable symptoms and signs, including dyspnea, increased fatigability, tachypnea, tachycardia, pulmonary rales, and peripheral edema. Although this syndrome usually is associated with low cardiac output, it may occur in a number of so-called high output states, when the cardiac output is normal or greater than normal. A high output state may occur in chronic severe anemia, large arteriovenous fistula or multiple small arteriovenous shunts as in Paget's bone disease, some forms of severe hepatic or renal disorders, and acutely in septic shock. The syndrome of systemic congestion in a high output state is traditionally referred to as high output heart failure. However, the term is a misnomer because the heart in these conditions is normal, capable of generating very high cardiac output. The underlying problem in high output failure is a decrease in the systemic vascular resistance that threatens the arterial blood pressure and causes activation of neurohormones, resulting in an increase in salt and water retention by the kidney. Many of the high output states are curable conditions, and because they are associated with decreased peripheral vascular resistance, the use of vasodilator therapy for treatment of congestion may aggravate the problem. There are other clinically important issues in high output failure that have received little attention in the current medical literature. This article reviews the available data on high output cardiac failure with particular emphasis on the underlying mechanisms and treatment.

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“…However, this procedure is invasive and radiations need to be avoided during pregnancy as the first-line diagnosis. Doppler US imaging, angio-magnetic resonance imaging (MRI) can contribute to diagnosis 2 5. In that case, Doppler US imaging achieved the diagnosis of aneurysmal anomaly with a large communication between an artery and a vein in opposition to cirsoid anomaly with a tangle of tortuous vessels of small diameter, with multiple varix-like communications between the artery and the vein 10…”

Section: Discussionmentioning

confidence: 99%

“…Idiopathic renal arteriovenous fistulas (AVF) represent 3%–5% of renal arteriovenous lesions3 and are mostly discovered during the occurrence of cardiovascular symptoms. We found only 13 published cases of kidney arteriovenous lesions, four fistulas and nine malformations, during pregnancy including only two cases of idiopathic renal AVF 4 5. Idiopathic renal AVF can induce hypertension and prematurity during pregnancy.…”

Section: Introductionmentioning

confidence: 92%

Renal arteriovenous fistula revealed by severe hypertension during pregnancy

2013

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SUMMARYA 35-year-old woman developed severe hypertension resistant to antihypertensive treatment during the second trimester of pregnancy at 24 weeks gestation. Doppler ultrasonography achieved the diagnosis of idiopathic renal arteriovenous fistula in the left kidney associated with parenchymal hypoperfusion. A Caesarean section was performed 6 days after the diagnosis because of severe pre-eclampsia. After delivery, the symptoms disappeared. Fistula persisted after follow-up for over 1 year but with a dramatic decrease in its blood flow and normalisation of the left kidney hemodynamics. Nevertheless, embolisation was performed without complications to prevent recurrence during the next pregnancy expected by the patient. BACKGROUND

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High-Output Heart Failure Due to a Renal Arteriovenous Fistula in a Pregnant Woman With Suspected Preeclampsia

Cited by 11 publications

References 39 publications

High output heart failure caused by a large pelvic arteriovenous malformation

High output heart failure caused by a large pelvic arteriovenous malformation

High output cardiac failure

Renal arteriovenous fistula revealed by severe hypertension during pregnancy

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