Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy
High-output cardiac failure secondary to hepatic involvement is a rare complication of hereditary hemorrhagic telangiectasia (HHT). Here we report a 43-year-old woman who presented at 29 weeks gestation of her second pregnancy with complications of right-sided heart failure and preterm labor. After...
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Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
Wiley
2009-01-01
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Series: | Cardiology Research and Practice |
Online Access: | http://dx.doi.org/10.4061/2009/437237 |
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Summary: | High-output cardiac failure secondary to hepatic involvement is a rare complication of hereditary hemorrhagic telangiectasia (HHT). Here we report a 43-year-old woman who presented at 29 weeks gestation of her second pregnancy with complications of right-sided heart failure and preterm labor. After delivery via cesarean section, the patient was found to have intrahepatic arteriovenous malformations through non-invasive imaging. Subsequently, a family history of vascular malformations and epistaxis was elucidated and a diagnosis of HHT was made. This case is presented, along with a review of the literature and discussion of hepatic involvement in HHT with particular focus on the pregnant patient. |
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ISSN: | 2090-0597 |