Display options
Cite
Porter J, Al-Jarrah Q, Richardson S. A case of femoral arteriovenous fistula causing high-output cardiac failure, originally misdiagnosed as chronic fatigue syndrome. Case Rep Vasc Med. 2014;2014:510429doi: 10.1155/2014/510429.
Porter, J., Al-Jarrah, Q., & Richardson, S. (2014). A case of femoral arteriovenous fistula causing high-output cardiac failure, originally misdiagnosed as chronic fatigue syndrome. Case reports in vascular medicine, 2014510429. https://doi.org/10.1155/2014/510429
Porter, J, et al. "A case of femoral arteriovenous fistula causing high-output cardiac failure, originally misdiagnosed as chronic fatigue syndrome." Case reports in vascular medicine vol. 2014 (2014): 510429. doi: https://doi.org/10.1155/2014/510429
Porter J, Al-Jarrah Q, Richardson S. A case of femoral arteriovenous fistula causing high-output cardiac failure, originally misdiagnosed as chronic fatigue syndrome. Case Rep Vasc Med. 2014;2014:510429. doi: 10.1155/2014/510429. Epub 2014 May 20. PMID: 24959370; PMCID: PMC4055063.
Copy Download .nbib Format: NLM
Share it on

Case Rep Vasc Med. 2014;2014:510429. doi: 10.1155/2014/510429. Epub 2014 May 20.

A case of femoral arteriovenous fistula causing high-output cardiac failure, originally misdiagnosed as chronic fatigue syndrome.

Case reports in vascular medicine

J Porter, Q Al-Jarrah, S Richardson

Affiliations

  1. Department of Vascular Surgery, University Hospital of South, Manchester, Southmoor Road, Manchester M23 9LT, UK.

PMID: 24959370 PMCID: PMC4055063 DOI: 10.1155/2014/510429

Abstract

Percutaneous arterial catheterisation is commonly undertaken for a range of diagnostic and interventional procedures. Iatrogenic femoral arteriovenous fistulas are an uncommon complication of these procedures. Most are asymptomatic and close spontaneously, but can rarely increase in size leading to the development of symptoms. We report a case of an iatrogenic femoral arteriovenous fistula, causing worsening congestive cardiac failure, in a 34-year-old marathon runner. This was originally diagnosed as chronic fatigue syndrome. Following clinical examination, duplex ultrasound, and CT angiography a significant arteriovenous fistula was confirmed. Elective open surgery was performed, leading to a dramatic and rapid improvement in symptoms. Femoral arteriovenous fistulas have the potential to cause significant haemodynamic effects and can present many years after the initial procedure. Conservative, endovascular, and open surgical management strategies are available.

References

  1. Cathet Cardiovasc Diagn. 1994 Mar;31(3):165-72 - PubMed
  2. J Am Coll Cardiol. 2002 Jul 17;40(2):291-7 - PubMed
  3. Am Surg. 1989 Mar;55(3):180-3 - PubMed
  4. Catheter Cardiovasc Interv. 1999 Jun;47(2):157-64 - PubMed
  5. Cardiovasc Surg. 1993 Apr;1(2):134-7 - PubMed

Publication Types