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: Tareq Goussous, Alex Haynes, Katherine Najarian, Marcos Daccarett, Shukri David
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.4061/2009/437237
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author Tareq Goussous
Alex Haynes
Katherine Najarian
Marcos Daccarett
Shukri David
author_facet Tareq Goussous
Alex Haynes
Katherine Najarian
Marcos Daccarett
Shukri David
author_sort Tareq Goussous
collection DOAJ
description 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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institution Kabale University
issn 2090-0597
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publishDate 2009-01-01
publisher Wiley
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series Cardiology Research and Practice
spelling doaj-art-225f4752b789424b8c6514feeb4607652025-02-03T01:09:29ZengWileyCardiology Research and Practice2090-05972009-01-01200910.4061/2009/437237437237Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during PregnancyTareq Goussous0Alex Haynes1Katherine Najarian2Marcos Daccarett3Shukri David4Division of Cardiology, Providence Heart Institute, Southfield, MI 48075, USADivision of Cardiology, Providence Heart Institute, Southfield, MI 48075, USADivision of Cardiology, Providence Heart Institute, Southfield, MI 48075, USADivision of Cardiology, Providence Heart Institute, Southfield, MI 48075, USADivision of Cardiology, Providence Heart Institute, Southfield, MI 48075, USAHigh-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.http://dx.doi.org/10.4061/2009/437237
spellingShingle Tareq Goussous
Alex Haynes
Katherine Najarian
Marcos Daccarett
Shukri David
Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy
Cardiology Research and Practice
title Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy
title_full Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy
title_fullStr Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy
title_full_unstemmed Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy
title_short Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy
title_sort hereditary hemorrhagic telangiectasia presenting as high output cardiac failure during pregnancy
url http://dx.doi.org/10.4061/2009/437237
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