Iatrogenic Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention Causing Severe Decompensated Heart Failure

Congestive heart failure has long been a well-known cause of both morbidity and mortality for thousands of people worldwide. Consequences of decompensated heart failure are systemic and widespread, including but not limited to pulmonary edema, dyspnea, hypoxia, peripheral edema, and end-organ hypope...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-08, Vol.14 (8)
Main Authors: Kasliwal, Nimit, Pfeiffer, Wilson B, Eidt, John F, Gunn, Daniel C, Ramamoorthy, Saravanan
Format: Article
Language:English
Subjects:
Alcohol abuse
Anesthesiology
Angioplasty
Cardiac/Thoracic/Vascular Surgery
Cardiology
Cardiovascular disease
Case reports
Catheters
Coronary vessels
Ejection fraction
Fistula
General anesthesia
Heart attacks
Heart failure
Heart rate
Hemodialysis
Hemodynamics
Iatrogenesis
Intubation
Medical imaging
Oxygen saturation
Patients
Pulmonary arteries
Pulmonary hypertension
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Summary:Congestive heart failure has long been a well-known cause of both morbidity and mortality for thousands of people worldwide. Consequences of decompensated heart failure are systemic and widespread, including but not limited to pulmonary edema, dyspnea, hypoxia, peripheral edema, and end-organ hypoperfusion. Common etiologies of congestive heart failure include systemic hypertension, coronary artery disease, longstanding alcohol abuse, valvular dysfunctions, and myocarditis. While the vast majority of congestive heart failure cases are secondary to one of these common etiologies, there is a subset of cases that cannot be traced to any of these causes and are most often grouped under the category of idiopathic. One rarely seen etiology of decompensated heart failure is an arteriovenous fistula, whether naturally occurring or iatrogenic. We report a case of an iatrogenic AV fistula secondary to percutaneous coronary intervention causing severe decompensated heart failure that was successfully treated with surgical ligation.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.27934