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http://dx.doi.org/10.4070/kcj.2012.42.12.861

Two Cases of High Output Heart Failure Caused by Hereditary Hemorrhagic Telangiectasia  

Cho, Donghyuk (Department of Cardiology, Korea University College of Medicine)
Kim, Sua (Department of Cardiology, Korea University College of Medicine)
Kim, Mina (Department of Cardiology, Korea University College of Medicine)
Seo, Young Ho (Department of Cardiology, Korea University College of Medicine)
Kim, Woohyeun (Department of Cardiology, Korea University College of Medicine)
Kang, Seong Hee (Department of Cardiology, Korea University College of Medicine)
Park, Sung-Mi (Department of Cardiology, Korea University College of Medicine)
Shim, Wanjoo (Department of Cardiology, Korea University College of Medicine)
Publication Information
Korean Circulation Journal / v.42, no.12, 2012 , pp. 861-865 More about this Journal
Abstract
High-output cardiac failure is a rare complication of hereditary hemorrhagic telangiectasia (HHT) usually caused by shunting of blood through atriovenous malformations (AVMs) in the liver. We describe two cases of high output heart failure due to large hepatic AVMs. Clinical suspicion of HHT based on detailed history taking and physical examination is essential for early detection and proper management of heart failure associated with HHT.
Keywords
Heart failure; Telangiectasia, hereditary hemorrhagic;
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1 McDonald J, Bayrak-Toydemir P, Pyeritz RE. Hereditary hemorrhagic telangiectasia: an overview of diagnosis, management, and pathogenesis. Genet Med 2011;13:607-16.   DOI
2 Braverman IM, Keh A, Jacobson BS. Ultrastructure and three-dimensional organization of the telangiectases of hereditary hemorrhagic telangiectasia. J Invest Dermatol 1990;95:422-7.   DOI   ScienceOn
3 Goussous T, Haynes A, Najarian K, Daccarett M, David S. Hereditary hemorrhagic telangiectasia presenting as high output cardiac failure during pregnancy. Cardiol Res Pract 2009;2009:437237.
4 Faughnan ME, Palda VA, Garcia-Tsao G, et al. International guidelines for the diagnosis and management of hereditary haemorrhagic telangiectasia. J Med Genet 2011;48:73-87.   DOI   ScienceOn
5 Koyalakonda SP, Pyatt J. High output heart failure caused by a large pelvic arteriovenous malformation. JRSM Short Rep 2011;2:66.   DOI
6 Razi B, Beller RM, Ghidoni J, Linhart JW, Talley RC, Urban E. Hyperdynamic circulatory state due to intrahepatic fistula in Osler-Weber-Rendu disease. Am J Med 1971;50:809-15.   DOI   ScienceOn
7 Blum A, Shalabi R. Osler-Weber-Rendu (OWR) disease and heart failure. Clin Med Cardiol 2009;3:121-3.
8 Caselitz M, Wagner S, Chavan A, et al. Clinical outcome of transfemoral embolisation in patients with arteriovenous malformations of the liver in hereditary haemorrhagic telangiectasia (Weber-Rendu-Osler disease). Gut 1998;42:123-6.   DOI   ScienceOn
9 Koscielny A, Willinek WA, Hirner A, Wolff M. Treatment of high output cardiac failure by flow-adapted hepatic artery banding (FHAB) in patients with hereditary hemorrhagic telangiectasia. J Gastrointest Surg 2008;12:872-6.   DOI   ScienceOn
10 Boillot O, Bianco F, Viale JP, et al. Liver transplantation resolves the hyperdynamic circulation in hereditary hemorrhagic telangiectasia with hepatic involvement. Gastroenterology 1999;116:187-92.   DOI   ScienceOn
11 Fleagle JM, Bobba RK, Kardinal CG, Freter CE. Iron deficiency anemia related to hereditary hemorrhagic telangiectasia: response to treatment with bevacizumab. Am J Med Sci 2012;343:249-51.   DOI
12 Bayrak-Toydemir P, Mao R, Lewin S, McDonald J. Hereditary hemorrhagic telangiectasia: an overview of diagnosis and management in the molecular era for clinicians. Genet Med 2004;6:175-91.   DOI   ScienceOn
13 Guttmacher AE, Marchuk DA, White RI Jr. Hereditary hemorrhagic telangiectasia. N Engl J Med 1995;333:918-24.   DOI   ScienceOn