Is traumatic arteriovenous fistula the cause of congestive heart failure? a case report

Ümit Menteşe,

doi:10.5606/tgkdc.dergisi.2013.5413

Ümit Menteşe¹, Ergün Haliloğlu¹, Sefer Usta¹, Fahri Özcan²

¹Ahi Evren Kalp Damar Cerrahi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Trabzon, Türkiye
²Karadeniz Teknik Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Kliniği, Trabzon, Türkiye

DOI : 10.5606/tgkdc.dergisi.2013.5413

Acquired arteriovenous fistulas may have resulted from penetrant traumas. A 72-year-old male was hospitalized for dyspnea, swollen legs and ulserated dermatitis. Physical examination of the patient with a history of gunshot wound 45 years ago revealed congestive heart failure, left-leg venous insufficiency, and ulserated stasis dermatitis. We report this case, to remind that we can come across not just a simple venous insufficiency, but also a complex structure as congestive heart failure in a certain time period, if a patient with traumatic arteriovenous fistula is not diagnosed and treated immediately.

Keywords : Arteriovenous fistula; congestive heart failure; gunshot wound; venous insufficiency

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