1. [64-year old patient with tachycardia and signs of heart failure].
- Author
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Zaruba MM, Waggershauser T, Weckbach S, Gerbes A, Mühling O, and Kääb S
- Subjects
- Embolization, Therapeutic, Heart Failure diagnosis, Humans, Male, Middle Aged, Tachycardia diagnosis, Treatment Outcome, Arteriovenous Fistula complications, Arteriovenous Fistula therapy, Heart Failure etiology, Heart Failure prevention & control, Hepatic Artery abnormalities, Hepatic Veins abnormalities, Tachycardia etiology, Tachycardia prevention & control
- Abstract
We report on a 64-year old patient with known Morbus Osler and high cardiac output failure due to distinct arterio-venous malformations of the liver. Since the patient suffered from severe right heart insufficiency despite optimized medical therapy, we decided to conduct an interventional occlusion of the hepatic shunts in three single sessions. The transient elevation of transaminases was reversible. After interventional therapy cardiac output decreased from 20 l/min to 15 l/min (25%) leading to a reduction of diuretic dosage and a sustained stabilization of the clinical condition.
- Published
- 2009
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