{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T22:59:21Z","timestamp":1791154761905,"version":"4.1.0"},"reference-count":11,"publisher":"IMR Press","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HSF"],"abstract":"<jats:p>We present a 15-year-old male patient who was admitted to our hospital because of breathlessness and palpitations at minimal physical effort (New York Heart Association class II). The patient had a history of an abdominal and left thigh firearm wound that was surgically treated 30 months earlier. Auscultation over the left femoral groin region revealed a systolo-diastolic murmur. X-ray examination of the chest demonstrated significant cardiomegaly. Transthoracic echocardiography revealed an enlargement of 4 cardiac chambers, as well as significant mitral and tricuspid regurgitation. Vascular ultrasound of the femoral artery and vein confirmed the diagnosis of a traumatic arteriovenous fistula. The patient underwent surgical correction of the fistula, after which the symptoms subsided rapidly. Follow-up echocardio-graphy performed 2 months after surgical repair showed a substantial reduction of cardiac size and a nearly complete absence of valvular regurgitations. This case highlights the importance of the recognition of arteriovenous fistulas as a cause of unexpected heart failure and demonstrates that the condition may improve substantially and rapidly after fistula correction.<\/jats:p>","DOI":"10.1532\/hsf98.20041172","type":"journal-article","created":{"date-parts":[[2007,10,10]],"date-time":"2007-10-10T10:20:29Z","timestamp":1192011629000},"page":"118","source":"Crossref","is-referenced-by-count":3,"title":["Remission of High-Output Heart Failure after Surgical Repair of 30-Month Arteriovenous Femoral Fistula: Case Report"],"prefix":"10.31083","volume":"8","author":[{"given":"Gani","family":"Bajraktari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nehat","family":"Rexhepaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aurora","family":"Bakalli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gazmend","family":"Shaqiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eshref","family":"Osmani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lulzim","family":"Vokrri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shpend","family":"Elezi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2005,3,25]]},"reference":[{"key":"E00001","doi-asserted-by":"crossref","unstructured":"Abreo G, Lenihan DJ, Nguyen P, Runge MS. 2000. High-output heart failure resulting from a remote traumatic aorto-caval fistula: diagnosis by echocardiography. Clin Cardiol 23:304-6.","DOI":"10.1002\/clc.4960230419"},{"key":"E00002","doi-asserted-by":"crossref","unstructured":"Dorney ER. 1957. Peripheral AV fistula of fifty-seven years duration with refractory heart failure. Am Heart J 54:778.","DOI":"10.1016\/0002-8703(57)90432-5"},{"key":"E00003","doi-asserted-by":"crossref","unstructured":"Durakoglugil ME, Kaya MG, Boyaci B, Cengel A. 2003. High output heart failure 8 months after an acquired arteriovenous fistula. Jpn Heart J 44(5):805-9.","DOI":"10.1536\/jhj.44.805"},{"key":"E00004","doi-asserted-by":"crossref","unstructured":"Flaim SF, Mintees WJ, Nellis SH, Clark DP. 1979. Chronic arteriove nous shunt: evaluation of a model for heart failure in the rat. Am J Phys iol 236:H398.","DOI":"10.1152\/ajpheart.1979.236.5.H698"},{"key":"E00005","doi-asserted-by":"crossref","unstructured":"Frishman W, Epstein AM, Kulick S, Killip T. 1974. Heart failure 63 years after traumatic arteriovenous fistula. Am J Cardiol 34:733-6.","DOI":"10.1016\/0002-9149(74)90165-9"},{"key":"E00006","doi-asserted-by":"crossref","unstructured":"Hirai S, Hamanaka Y, Mitsui N, Kumagai H, Nakamae N. 2001. High-output heart failure caused by a huge renal arteriovenous fistula after nephrectomy: report of a case. Surg Today 31:468-70.","DOI":"10.1007\/s005950170144"},{"key":"E00007","doi-asserted-by":"crossref","unstructured":"Ingram CW, Satler LF, Rackley CE. 1987. Progressive heart failure secondary to a high output state. Chest 92:1117-8.","DOI":"10.1378\/chest.92.6.1117"},{"key":"E00008","doi-asserted-by":"crossref","unstructured":"Khoury G, Stein R, Nabbout G, Jabbour-Khoury S, Fahl M. 1994. Traumatic arteriovenous fistula: \"the Lebanese war experience\". Eur J Vasc Surg 8:171-3.","DOI":"10.1016\/S0950-821X(05)80454-2"},{"key":"E00009","unstructured":"Pereira H, Cotrim I, Abreu A, et al. 1995. Heart failure due to a post-laminectomy arteriovenous fistula. Rev Port Cardiol 14:579-8."},{"key":"E00010","doi-asserted-by":"crossref","unstructured":"Portela A, Bastos R, Pessoa B, Duarte R, Medeiros M, Paiva J. 2001. Remission of heart failure through endoluminal repair of femoral arteriovenous fistula with the use of a covered stent. Arq Bras Cardiol 76(3):242-4.","DOI":"10.1590\/S0066-782X2001000300007"},{"key":"E00011","unstructured":"Stellbrink C, Kunze KP, Lambertz H, Urhahn R, Hanrath P. 1991. An iatrogenic arteriovenous fistula following laminectomy. A rare differential diagnosis of heart failure [in German]. Dtsch Med Wochenschr 116:1141-3."}],"container-title":["The Heart Surgery Forum"],"original-title":[],"link":[{"URL":"http:\/\/journal.hsforum.com\/index.php\/HSF\/article\/viewFile\/914\/919","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journal.hsforum.com\/index.php\/HSF\/article\/viewFile\/914\/919","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T18:23:40Z","timestamp":1759429420000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/HSF\/8\/2\/10.1532\/HSF98.20041172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,3,25]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2005,4,1]]}},"URL":"https:\/\/doi.org\/10.1532\/hsf98.20041172","relation":{},"ISSN":["1522-6662","1098-3511"],"issn-type":[{"value":"1522-6662","type":"electronic"},{"value":"1098-3511","type":"print"}],"subject":[],"published":{"date-parts":[[2005,3,25]]}}}