Remote Stab Wound Resulting in AV Fistula and High-Output Heart Failure. (4th August 2013)

• Record Type: Journal Article
• Authors: Rymer, Jennifer A.; Anderson, Lindsay L.; Posenau, J. Trevor; Jones, W. Schuyler
• Other Names: Kasai T. Academic Editor.; Kataoka H. Academic Editor.; Mansur A. D. P. Academic Editor.; Ostfeld R. J. Academic Editor.; Pontone G. Academic Editor.; Sahin T. Academic Editor.; Sarullo F. M. Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2013(2013)
• Publication Date: 2013-08-04
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2013/902719
• Languages: English
• ISSNs: 2090-6404

Abstract

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.