Arterial embolisation and coiling for high-output heart failure and pulmonary hypertension A±nduced by hepatic arteriovenous fistula in a patient with hereditary hemorrhagic telengiectasia

被引：0
|
作者：
Acikgoz, Sadik Kadri [1 ]
Tacoy, Guelten [1 ]
Onal, Baran [2 ]
Yildirim, Beytullah [3 ]
Cengel, Atiye [1 ]
机构：
[1] Gazi Univ, Fac Med, Dept Cardiol, TR-06500 Ankara, Turkey
[2] Gazi Univ, Fac Med, Dept Radiol, TR-06500 Ankara, Turkey
[3] Gazi Univ, Fac Med, Dept Gastroenterol, TR-06500 Ankara, Turkey
来源：
CENTRAL EUROPEAN JOURNAL OF MEDICINE | 2009年 / 4卷 / 03期
关键词：
Hereditary hemorrhagic telengiectasia; Hepatic arterivenous fistula; Arterial embolisation; Coiling; WEBER-RENDU DISEASE; LIVER-DISEASE; TELANGIECTASIA; MALFORMATIONS;
D O I：
10.2478/s11536-009-0028-3
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Hereditary hemorrhagic telangiectasia (HHT) is a genetic vascular disorder characterised by epistaxis, telangiectases, and visceral arteriovenous malformations. Hyperdynamic blood flow associated with arteriovenous malformations may lead to pulmonary hypertension, global heart failure, and valvular insufficiencies. We report a patient who had HHT with severe heart failure (New York Heart Association [NYHA] class III-IV) and pulmonary hypertension caused by an hepatic arteriovenous fistula. After successful transarterial embolisation of the right branch of the hepatic artery with polyvinyl alcohol (PVA) particles and coils, 4 to 7 mm in size, the patient was discharged with functional class II (NYHA) heart failure.
引用
收藏
页码：369 / 373
页数：5
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