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Can J Cardiol. 2019 Feb;35(2):229.e11-229.e13. doi: 10.1016/j.cjca.2018.12.003. Epub 2018 Dec 8.

Traumatic Pulmonary Hypertension Secondary to Arteriovenous Fistula and Remote Gunshot Wound.

Author information

1
Department of Medicine, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada. Electronic address: veldhoen@gmail.com.
2
Division of Cardiology, Department of Medicine, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
3
Department of Anesthesiology and Perioperative Medicine, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
4
Division of Respiratory and Sleep Medicine, Departments of Medicine and Critical Care Medicine, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.

Abstract

Pulmonary hypertension is a known complication of high-flow arteriovenous fistulas (AVFs). We present a case of a 58-year-old man who sustained a gunshot wound 6.5 years before presentation for worsening pulmonary hypertension (PH). After diagnostic workup, the PH was attributed to a gunshot-related AVF. Exercise capacity and echocardiographic parameters improved after successful ligation of the AVF. This case highlights a rare and correctable cause of PH that requires careful investigation and multidisciplinary expertise for treatment.

PMID:
30760433
DOI:
10.1016/j.cjca.2018.12.003

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