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July 2022 Br J Cardiol 2022;29(3) doi:10.5837/bjc.2022.026

High-output heart failure due to arteriovenous malformation treated by endovascular embolisation

Federico Liberman, Roberto Cooke, María J Cabrera, Santiago Vigo, Guillermo Allende, Luciana Auad, Juan P Ricarte-Bratti

Abstract

Introduction High-output heart failure (HF) is an uncommon condition with varying aetiologies, often left uninvestigated. This type of HF is characterised by an elevated cardiac output, usually with high stroke volume, leading to biventricular dilation. According to a Mayo Clinic series involving 120 patients with high-output HF diagnosed between 2000 and 2014, the most important causes included obesity, liver cirrhosis, chronic obstructive pulmonary disease, and shunting, such as fistulas or arteriovenous malformations.1 Case report A 30-year-old man presented to the emergency department for dyspnoea, abdominal distention, and oedema lasting

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