Archives of the Turkish Society of Cardiology
Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2018; 46(4): 301-305 | DOI: 10.5543/tkda.2018.63847

Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder

Özgür Yaşar Akbal, Aykun Hakgör, Fatih Yılmaz, Seda Tanyeri, Cihangir Kaymaz
Department of Cardiology, University of Health Sciences, Kartal Koşuyolu Training and Research Hospital, İstanbul, Turkey

Presently described is the case of a 41-year-old male patient with signs of high-output right heart failure (HF) due to a possibly iatrogenic arteriovenous fistula (AVF) between the left common iliac artery and the left common iliac vein. Invasively evaluated hemodynamic measurements were consistent with severe shunting, which resulted in precapillary pulmonary hypertension (PH). The AVF was successfully closed with a non-dedicated, 16-mm Amplatzer patent ductus arteriosus occluder (St. Jude Medical, Inc., St. Paul, MN, USA). Although his signs and symptoms were documented to be dramatically improved after closure, because mild PH persisted, adjuvant pulmonary arterial hypertension-targeted treatment with bosentan was initiated to prevent late pulmonary vascular disease.

Keywords: Arteriovenous fistula, duct occluder; high output heart failure; percutaneous peripheral intervention; pulmonary hypertension.

How to cite this article
Özgür Yaşar Akbal, Aykun Hakgör, Fatih Yılmaz, Seda Tanyeri, Cihangir Kaymaz. Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. Turk Kardiyol Dern Ars. 2018; 46(4): 301-305

Corresponding Author: Cihangir Kaymaz, Türkiye
© Copyright 2018 Archives of the Turkish Society of Cardiology
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