Key result
A 59-year-old woman developed refractory high output heart failure due to multiple giant cutaneous cavernous hemangiomas acting as a large peripheral arteriovenous fistula.
Case Report (n=1)
No
Multiple giant cutaneous cavernous hemangiomas can act as large peripheral arteriovenous fistulas, leading to refractory high output heart failure.
Clinicians should consider giant cutaneous hemangiomas in refractory high-output HF; this case leaves open prevalence and management strategies.
A 59-year-old Chinese woman had multiple giant cutaneous cavernous hemangiomas on her right upper limb which resulted in high output heart failure because they presented as a large peripheral arteriovenous (A-V) fistula. Selective right subclavian arteriography showed extremely hypertrophic arteries of the patient's right arm with a tremendous blood supply to the soft tissues; neither superselective embolization nor surgery seemed applicable to this patient. The patient's heart failure was not satisfactorily controlled by conservative treatment.
No takes yet. Share an insight, caveat, or question.
Chan et al. (1992) conducted a case report in High output cardiac failure (n=1). Multiple giant cutaneous cavernous hemangiomas was evaluated. A 59-year-old woman developed refractory high output heart failure due to multiple giant cutaneous cavernous hemangiomas acting as a large peripheral arteriovenous fistula.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: