Highly Vascular Pelvic Tumor Causing High-Output Heart Failure Because of Massive Arteriovenous Shunting A Case Report

Kazuyuki Ozaki; Hirotaka Oda; Katsuharu Hatada; Katsuyuki Sakai; Kazuyoshi Takahashi; Tsutomu Miida; Norio Higuma

doi:10.1253/circj.67.554

Case Report

Highly Vascular Pelvic Tumor Causing High-Output Heart Failure Because of Massive Arteriovenous Shunting

A Case Report

Kazuyuki Ozaki, Hirotaka Oda, Katsuharu Hatada, Katsuyuki Sakai, Kazuyoshi Takahashi, Tsutomu Miida, Norio Higuma

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Keywords: Arteriovenous shunting, High-output heart failure, Pelvic tumor

JOURNAL FREE ACCESS

2003 Volume 67 Issue 6 Pages 554-555

DOI https://doi.org/10.1253/circj.67.554

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Abstract

A 53-year-old Japanese woman underwent investigation of her heart murmur. A continuous abdominal bruit was heard. Blood gas analysis and chest X-ray showed congestive heart failure. Enhanced computed tomography of the pelvis showed a 10×4 cm hypervascular tumor in the retroperitoneal space. Cardiac catheterization disclosed a cardiac output of 13.2 L/min and a step-up of oxygen at the right common iliac vein. Abdominal aortic angiography showed an extremely vascular pelvic tumor and rapid filling of the inferior vena cava. This is a rare case of a highly vascular pelvic tumor causing high-output heart failure because of th massive arteriovenous shunting. (Circ J 2003; 67: 554 - 555)

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