Congestive hepatopathy secondary to large renal arteriovenous malformation

A 75-year-old woman presented with acute onset dyspnoea, and was found to have signs of pulmonary congestion on clinical examination. Imaging revealed cardiomegaly and coincident congestive hepatopathy, secondary to a left renal arteriovenous malformation. The presence of a high flow vascular shunt...

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Bibliographic Details
Published in:BMJ case reports 2013-01, Vol.2013, p.bcr2012007818
Main Authors: Khalife, Mohammad, Faraj, Walid, Salah, Fatima, Haydar, Ali A
Format: Article
Language:English
Subjects:
Abdomen
Aged
Arteriovenous Malformations - complications
Arteriovenous Malformations - diagnosis
Cardiovascular disease
Congenital diseases
Coronary vessels
Diagnosis, Differential
Enzymes
Family medical history
Female
Heart failure
Humans
Hypertension
Hypoxia
Imaging, Three-Dimensional
Kidney - blood supply
Liver cirrhosis
Liver Diseases - diagnostic imaging
Liver Diseases - etiology
Medical imaging
Middle East
Pain
Phosphatase
Radiography
Renal Artery - abnormalities
Renal Artery - diagnostic imaging
Thrombosis
Unusual Association of Diseases/Symptoms
Veins & arteries
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Summary:A 75-year-old woman presented with acute onset dyspnoea, and was found to have signs of pulmonary congestion on clinical examination. Imaging revealed cardiomegaly and coincident congestive hepatopathy, secondary to a left renal arteriovenous malformation. The presence of a high flow vascular shunt in the left kidney was possibly the causative factor behind both the high-output cardiac failure and congestive hepatopathy.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2012-007818