High-output Heart Failure Caused by a Tumor-related Arteriovenous Fistula: A Case Report and Literature Review

Akihiro Tobe; Akihito Tanaka; Satoya Yoshida; Toru Kondo; Ryota Morimoto; Kenji Furusawa; Takahiro Okumura; Yasuko K Bando; Hideki Ishii; Toyoaki Murohara

doi:10.2169/internalmedicine.6962-20

This article has now been updated. Please use the final version.

High-output Heart Failure Caused by a Tumor-related Arteriovenous Fistula: A Case Report and Literature Review

Akihiro Tobe, Akihito Tanaka, Satoya Yoshida, Toru Kondo, Ryota Morimoto, Kenji Furusawa, Takahiro Okumura, Yasuko K Bando, Hideki Ishii, Toyoaki Murohara

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Keywords: high-output heart failure, arteriovenous fistula, tumor, renal cell carcinoma

JOURNAL OPEN ACCESS Advance online publication

Article ID: 6962-20

DOI https://doi.org/10.2169/internalmedicine.6962-20

The final version of this article is now available: Vol. 60 (2021), No. 18 pp. 2979-2984

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Abstract

High-output heart failure caused by a tumor-related arteriovenous fistula in adults is a rare clinical condition. We herein report a case of high-output heart failure caused by an arteriovenous fistula associated with renal cell carcinoma and a literature review of 29 published cases to date. Renal cell carcinoma seems to be the most common underlying tumor. For the diagnosis, right heart catheterization and enhanced computed tomography are considered useful. The removal of the underlying tumor and arteriovenous fistula is the best treatment for heart failure.

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