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Circ J. 2003 Jun;67(6):554-5.

Highly vascular pelvic tumor causing high-output heart failure because of massive arteriovenous shunting: a case report.

Author information

1
Department of Cardiology, Niigata City General Hospital, Japan. k-ozaki@med.niigata-u.ac.jp

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 x 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.

PMID:
12808277
[Indexed for MEDLINE]
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