remote stab wound resulting in av fistula and high-output heart failure
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ID: 232406
2013
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Abstract
A 54-year-old African American male with no medical history presented to an urgent care clinic with signs and symptoms of new-onset congestive heart failure. There was an initial concern for congestive heart failure secondary to an ischemic etiology as an echocardiogram revealed a depressed ejection fraction. However, a left heart cardiac catheterization did not demonstrate any significant coronary disease. As a loud bruit was auscultated over the right base of the patient’s neck, he underwent a carotid duplex ultrasound revealing a fistula between the right common carotid artery (CCA) and the right internal jugular vein (IJV). A diagnosis of high-output heart failure secondary to a large arteriovenous (AV) fistula was made, and the patient underwent ligation and repair of the fistula with resolution of symptoms of congestive heart failure.
| Reference Key |
rymer2013caseremote
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|---|---|
| Authors | ;Jennifer A. Rymer;Lindsay L. Anderson;J. Trevor Posenau;W. Schuyler Jones |
| Journal | gastroenterology research and practice |
| Year | 2013 |
| DOI |
10.1155/2013/902719
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| URL | |
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