由肿瘤相关动静脉瘘引起的高输出量心力衰竭：病例报告及文献复习。

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

机构信息

Department of Cardiology, Nagoya University Graduate School of Medicine, Japan.

Department of Cardiology, Fujita Health University Bantane Hospital, Japan.

出版信息

Intern Med. 2021 Sep 15;60(18):2979-2984. doi: 10.2169/internalmedicine.6962-20. Epub 2021 Mar 29.

DOI:10.2169/internalmedicine.6962-20

PMID:33776013

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8502649/

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 (CT) are considered useful. The removal of the underlying tumor and arteriovenous fistula is the best treatment for heart failure.

摘要

成人肿瘤相关性动静脉瘘引起的高输出量心力衰竭是一种罕见的临床情况。我们在此报告一例由肾细胞癌相关动静脉瘘引起的高输出量心力衰竭，并对迄今为止 29 例已发表病例进行文献复习。肾细胞癌似乎是最常见的潜在肿瘤。对于诊断，右心导管检查和增强 CT 被认为是有用的。去除潜在肿瘤和动静脉瘘是治疗心力衰竭的最佳方法。