High-Output Heart Failure Associated with Arteriovenous Fistula, Hemangioma or Other Vascular Malformation

 

Patient selection: high-output heart failure

 

Criteria for diagnosis:

(1) presence of an implicated vascular disorder (see below)

(2) exclusion of alternative explanation(s)

(3) correction of heart failure by correction of vascular disorder

 

Vascular disorders associated with high-output heart failure:

(1) hereditary or acquired arteriovenous fistula (hepatic, renal, aortic, post-traumatic, other)

(2) giant hemangioma

(3) multiple hemangiomas

(4) large hemangioendothelioma

 

Associated complications may include:

(1) Kasabach-Merritt syndrome

(2) other organ failures