A Rare Etiology of Heart Failure: Traumatic Arteriovenous Fistula Due to Stab Injury 17 Years Ago

Abstract

_Although traumatic fistula is frequently encountered, high-output heart failure due to fistula is a very rare condition. Despite an indefinitive history of trauma, arteriovenous (AV) fistula may develop insidiously, and therefore identification of a shunt is highly important for treatment. Case Report_ Here we report a 46-year-old male patient with heart failure due to traumatic femoral arteriovenous fistula developed following a penetrating stab injury 17 years ago. Conclusion_ Traumatic AV fistula is a curable cause of heart failure. Also, careful examination of the patient is as significant as radiological imaging methods_

Keywords

• Arteriovenous fistula, heart failure, penetrating injury

References

1. 1. Siddique MK. Post-traumatic arteriovenous fistula reporting with haematuria after 25 years. J Coll Physicians Surg Pak 2012;22:591-3.
2. 2. Yared K, Baggish AL, Wood MJ. High-output heart failure resulting from a remote traumatic arteriovenous fistula. Can J Cardiol 2009;25:143-4. [CrossRef]
3. 3. Perry MO. Complications of missed arterial injuries. J Vasc Surg 1993;17:399-407. [CrossRef]
4. 4. Hartung O, Garcia S, Alimi YS, Juhan C. Extensive arterial aneurysm developing after surgical closure of long-standing post-traumatic popliteal arteriovenous fistula. J Vasc Surg 2004;39:889-92. [CrossRef]
5. 5. Ilijevski N, Radak D, Radevic B, Sagic D, Kronja G, Misovic S, et al. Popliteal traumatic arteriovenous fistulas. J Trauma 2002;52:739-44. [CrossRef]
6. 6. O’Brien J, Buckley O, Torreggiani W. Hemolytic anemia caused by iatrogenic arteriovenous iliac fistula and successfully treated by endovascular stent-graft placement. AJR Am J Roentgenol 2007;188:306. [CrossRef]
7. 7. Nara T, Yoshikawa D, Saito S, Kadoi Y, Morita T, Goto F. Perioperative management of biventricular failure after closure of a long-standing massive arteriovenous fistula. Can J Anaesth 2001;48:588-91. [CrossRef]
8. 8. Bajraktari G, Rexhepaj N, Bakalli A, Shaqiri G, Osmani E, Vokrri L, et al. Remission of high-output heart failure after surgical repair of 30-month arteriovenous femoral fistula: case report. Heart Surg Forum 2005;8:118-20.[CrossRef]