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遗传性出血性毛细血管扩张症所致高输出量心力衰竭：一例心外左向右分流病例

High-Output Cardiac Failure Due to Hereditary Hemorrhagic Telangiectasia: A Case of an Extra-Cardiac Left to Right Shunt.

作者信息

Wu Patrick R, Horwith Amber, Mai Stephanie, Parikh Milind, Tyagi Gaurav, Pai Ramdas G

机构信息

Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California.

Division of Cardiology, Loma Linda University Medical Center, Loma Linda, California.

出版信息

Int J Angiol. 2017 Jun;26(2):125-129. doi: 10.1055/s-0035-1568878. Epub 2016 Jun 2.

DOI:10.1055/s-0035-1568878
PMID:28566940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5446252/
Abstract

High-output cardiac failure is a rare complication of hereditary hemorrhagic telangiectasia and can potentially be mistaken for other entities. We present a case of high-output cardiac failure because of large hepatic arteriovenous malformations, review the literature regarding the cardiac manifestations of the disease, and discuss the possible differential diagnoses.

摘要

高输出量心力衰竭是遗传性出血性毛细血管扩张症的一种罕见并发症，可能会被误诊为其他疾病。我们报告一例因巨大肝动静脉畸形导致的高输出量心力衰竭病例，回顾有关该疾病心脏表现的文献，并讨论可能的鉴别诊断。

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1
High-Output Cardiac Failure Due to Hereditary Hemorrhagic Telangiectasia: A Case of an Extra-Cardiac Left to Right Shunt.遗传性出血性毛细血管扩张症所致高输出量心力衰竭：一例心外左向右分流病例
Int J Angiol. 2017 Jun;26(2):125-129. doi: 10.1055/s-0035-1568878. Epub 2016 Jun 2.
2
Misdiagnosis of atrial septal defect in patients with hereditary telangiectasia (Osler-Weber-Rendu disease) and hepatic arteriovenous fistulas.遗传性毛细血管扩张症（奥斯勒-韦伯-伦杜病）合并肝动静脉瘘患者房间隔缺损的误诊
Am Heart J. 1978 Feb;95(2):235-42. doi: 10.1016/0002-8703(78)90468-4.
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Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report.奥-韦-伦综合征中的充血性肝硬化：一例罕见病例报告。
Radiol Case Rep. 2017 Nov 6;13(1):51-54. doi: 10.1016/j.radcr.2017.10.011. eCollection 2018 Feb.
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Clinical spectrum of hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease).遗传性出血性毛细血管扩张症（奥斯勒-韦伯-伦杜病）的临床谱
Am J Med. 1987 May;82(5):989-97. doi: 10.1016/0002-9343(87)90162-8.
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Pulmonary hypertension and hepatic encephalopathy: lethal complications of Rendu-Osler-Weber disease.肺动脉高压与肝性脑病：遗传性出血性毛细血管扩张症的致命并发症。
J R Coll Physicians Edinb. 2014;44(2):126-9. doi: 10.4997/JRCPE.2014.207.
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Liver involvement in hereditary haemorrhagic telangiectasia or Rendu-Osler-Weber disease.遗传性出血性毛细血管扩张症（即伦迪-奥斯勒-韦伯病）中的肝脏受累情况。
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J Nucl Med. 1992 Feb;33(2):260-2.
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Worsening of nose bleeding heralds high cardiac output state in hereditary hemorrhagic telangiectasia.鼻出血加重预示着遗传性出血性毛细血管扩张症患者出现高心输出量状态。
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Cardiac and Hemodynamic Manifestations of Hereditary Hemorrhagic Telangiectasia.遗传性出血性毛细血管扩张症的心脏和血流动力学表现
Int J Angiol. 2022 Jul 9;31(2):75-82. doi: 10.1055/s-0042-1745842. eCollection 2022 Jun.

本文引用的文献

1
Hereditary hemorrhagic telangiectasia: genetics and molecular diagnostics in a new era.遗传性出血性毛细血管扩张症：新时代的遗传学与分子诊断
Front Genet. 2015 Jan 26;6:1. doi: 10.3389/fgene.2015.00001. eCollection 2015.
2
Two cases of high output heart failure caused by hereditary hemorrhagic telangiectasia.两例遗传性出血性毛细血管扩张症所致高输出量心力衰竭。
Korean Circ J. 2012 Dec;42(12):861-5. doi: 10.4070/kcj.2012.42.12.861. Epub 2012 Dec 31.
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Hereditary hemorrhagic telangiectasia, liver vascular malformations and cardiac consequences.遗传性出血性毛细血管扩张症、肝脏血管畸形和心脏后果。
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Bevacizumab in patients with hereditary hemorrhagic telangiectasia and severe hepatic vascular malformations and high cardiac output.贝伐珠单抗治疗遗传性出血性毛细血管扩张症伴严重肝血管畸形和高心输出量患者。
JAMA. 2012 Mar 7;307(9):948-55. doi: 10.1001/jama.2012.250.
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Genet Med. 2011 Jul;13(7):607-16. doi: 10.1097/GIM.0b013e3182136d32.
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Osler-Weber-Rendu (OWR) Disease and Heart Failure.奥斯勒-韦伯-伦杜（OWR）病与心力衰竭。
Clin Med Cardiol. 2009 Nov 25;3:121-3. doi: 10.4137/cmc.s3636.
7
A case of high-output heart failure secondary to bilateral multiple pulmonary arterio-venous malformations treated with Amplatzer vascular plug.
Anadolu Kardiyol Derg. 2009 Oct 9;9(5):E17-8.
8
Worsening of nose bleeding heralds high cardiac output state in hereditary hemorrhagic telangiectasia.鼻出血加重预示着遗传性出血性毛细血管扩张症患者出现高心输出量状态。
Am J Med. 2009 Aug;122(8):779.e1-9. doi: 10.1016/j.amjmed.2009.01.037.
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High output heart failure.高输出量心力衰竭
QJM. 2009 Apr;102(4):235-41. doi: 10.1093/qjmed/hcn147. Epub 2008 Nov 5.
10
Treatment of high output cardiac failure by flow-adapted hepatic artery banding (FHAB) in patients with hereditary hemorrhagic telangiectasia.遗传性出血性毛细血管扩张症患者采用血流适应性肝动脉束带术（FHAB）治疗高输出量心力衰竭
J Gastrointest Surg. 2008 May;12(5):872-6. doi: 10.1007/s11605-007-0411-9. Epub 2007 Nov 20.