Journal of the Chinese Medical Association
Volume 71, Issue 8 , Pages 428-430, August 2008

High-output Heart Failure Resulting from an Obscure Traumatic Arteriovenous Fistula

Division of Cardiovascular Surgery, Cheng Hsin Rehabilitation and Medical Center, Taipei, Taiwan, R.O.C.

Received 30 July 2007; accepted 19 February 2008.

Article Outline

Traumatic arteriovenous fistula (AVF) is not an uncommon disorder, but late discovery and the presentation of high-output heart failure is very rare. This patient did not know that he had traumatic AVF after a gunshot injury in the left thigh 14 years ago. The major presentation of the AVF was signs of heart failure. We performed surgical repair after making the diagnosis. The patient recovered with an uneventful course. This report stresses the importance of history-taking and physical examination in making the diagnosis of traumatic AVF.

Key Words:  arteriovenous fistula , heart failure , trauma

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PII: S1726-4901(08)70096-0

doi:10.1016/S1726-4901(08)70096-0

Journal of the Chinese Medical Association
Volume 71, Issue 8 , Pages 428-430, August 2008

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