Department of Medicine, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
Division of Cardiology, Department of Medicine, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
Can J Cardiol. 2019 Feb;35(2):229.e11-229.e13. doi: 10.1016/j.cjca.2018.12.003. Epub 2018 Dec 8.
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.
肺动脉高压是高流量动静脉瘘（AVF）的已知并发症。我们报告了一例 58 岁男性病例，该患者在就诊前 6.5 年因肺动脉高压（PH）恶化而遭受枪伤。经过诊断性检查，PH 归因于与枪伤相关的 AVF。AVF 成功结扎后，患者的运动能力和超声心动图参数均得到改善。本病例强调了一种罕见但可纠正的 PH 病因，需要仔细调查和多学科专业知识来治疗。
