Why the study?
Identifying additional syndromes like Parkes-Weber syndrome that can compound cardiac disease through high-output heart failure is critical in patients with established coronary disease.
Highlights the importance of identifying compounding conditions like Parkes-Weber syndrome and high-output heart failure in patients with established CAD undergoing cardiac surgery.
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Endovascular options may be feasible in elderly Parkes-Weber patients; leaves open need for standardized guidelines and prospective data.
Parkes-Weber Syndrome is a rare congenital vascular abnormality characterized by aneurismatic illness of blood arteries in the afflicted limb, as well as hypertrophy, ulceration, ischemia, and high-output heart failure. Imaging investigations are required to provide a diagnosis, with contrast arteriography being the gold standard. The majority of treatment options are endovascular, with surgical excision for arteriovenous malformations and limb amputation as alternatives. We describe a 73-year-old male patient with mainly asymptomatic PWS, coronary disease, and borderline EF (45%) who had CABG surgery. In individuals with established CAD and other cardiac disorders, it is critical to identify additional diseases or syndromes that might have a compounding effect on the heart, such as PWS and high-output heart failure.
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Milosević et al. (2025) studied this question.
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