An unusual cause of heart failure

ArticleinJournal of Cardiovascular Medicine 13(6):399-400 · March 2012with4 Reads
DOI: 10.2459/JCM.0b013e328351dba3 · Source: PubMed
Pelvic arteriovenous malformations (AVMs) are uncommon entities that can present with symptoms resulting from compression of adjacent structures, ischemia due to 'steal phenomenon' or, rarely, heart failure. We present a case of heart failure in a patient who presented to our facilities for heart transplant and a prior diagnosis of idiopathic dilated cardiomyopathy; further evaluation revealed a massive pelvic AVM as causative for the heart failure. This case emphasizes the importance of a thorough physical examination to guide appropriate diagnostic testing.