High Out-Put Congestive Heart Failure as First Manifestation of Osler-Weber-Rendu Disease M. Montejo Baranda,M.D.,F.I.C.a.,M. Perez,M.D.,* J. De Andres,M.D.,* C. De La Hoz,M.D.,J. Merino,M.D.,and C. Aguirre,M.D. Bilbao,Spain
Restricted accessOtherFirst published online September, 1984
High Out-Put Congestive Heart Failure as First Manifestation of Osler-Weber-Rendu Disease M. Montejo Baranda,M.D.,F.I.C.a.,M. Perez,M.D.,* J. De Andres,M.D.,* C. De La Hoz,M.D.,J. Merino,M.D.,and C. Aguirre,M.D. Bilbao,Spain
We present two cases of hemorrhagic he reditary telangiectasia (HHT) or Osler-We ber-Rendu disease which debuted as heart failure. Both had multiple arteriovenous fis tulas, one of them in a rare localization in this disease, a lower extremity. We conclude stressing the importance of thinking of HHT in the presence of obscure heart failure or ar teriovenous fistulas and of looking for inter nal fistulas when faced by a HHT.
Get full access to this article
View all access options for this article.
References
1.
Hodgson CH, Burchell HB, Good CA: Hereditary hemorrhagic telangiectasia and pulmonary arteriovenous fistula . New Engl J Med261: 625, 1959.
2.
Mansour KA, Hatcher CR, Logan WD, et al: Pulmonary arteriovenous fistula. Am Surg37: 203, 1971.
3.
Graham WP, Eiseman B., Pryor R.: Hepatic artery aneurysm with portal vein fistula in a patient with familial hereditary telangiectasia. Ann Surg159: 362, 1964 .
Childers RW, Ranniger K., Rabinowitz M.: Intrahepatic arteriovenous fistula with pulmonary vascular obstruction in Osler-Weber-Rendu disease. Am J Med43: 304, 1967.
6.
Pickering NJ , Brody JI, Barrett MJ: Von Willebrand syndromes and mitral valve prolapse: linked mesenchymal dysplasias. New Engl J Med305: 131, 1981.
7.
Skip J.: Hereditary hemorrhagic telangiectasia. A case report with known cerebral involvement and cardiac catheterization data. Clin Pediatrics14: 1031, 1975.
8.
Villar A., Gil R., Gisbert J.: Teleangiectasia hemorragica hereditaria o enfermedad de Rendu-Osler-Weber. Sistemática diagnóstica. Rev Clin Esp157: 191, 1980 .
9.
Rodriguez A. , Montero M.: Enfermedad de Rendu-Osler-Weber de predominio localización gástrica. Rev Clin Esp Enf Ap Digest50: 321, 1977.
Roman G., Fisher M., Perl DP: Neurological manifestations of hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease): Report of two cases and review of the literature. AnNeurology4: 130, 1978.
12.
Little JW: Hereditary hemorrhagic telangiectasia with oral manifestations. Report of periodontal treatment in two cases. Oral Surg51: 245, 1981.
13.
De la Riva C., Martinez-Luengas F., Villanueva R., et al: Fistula arteriovenosa pulmonar y manifestaciones neurológicas en la enfermedad de Rendu-Osler-Weber. Rev Clin Esp159: 155, 1980 .
14.
Trell E., Johansson BW, Linell, et al: Familial pulmonary hypertension and multiple abnormalities of large systemic arteries in Osler's disease. Am J Med53: 50, 1972.
15.
Radtke WE, Smith HC, Fulton RE, et al: Misdiagnosis of atrial septal defect in patients with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease) and hepatic arteriovenous fistulas. Am Heart J95: 235, 1978.
16.
Vase I., Vase P.: Ocular lesions in hereditary hemorrhagic telangiectasia. Acta Ophtal57: 1084, 1979.
17.
Martini GA: Cirrhosis of the liver in hereditary hemorrhagic telangiectasia. In: Proceedings of the third world congress of Gastroenterology. Baltimore, Williams and Wilkins, 1959, p. 857.
18.
Michaeli D. , Ben-Bassat I., Miller HI et al: Hepatic telangiectasias and portosystemic encephalopathy in Osler-Weber-Rendu disease. Gastroenterology54: 929, 2968.
19.
Conlon CL, Sweinger R., Cimo PL, et al: Telangiectasia and Von Willebrand disease in two families. Ann Intern Med89: 921, 1978.
20.
Forteza-Rey J., Villalonga C., Siquier B., et al: Esclerodermia y enfermedad de Rendu-Osler-Weber ¿una asociación casual?Med Clin74: 280, 1980.
21.
Aguirre C., Alberola I., Gonzalez De Zarate P., et al: Teleangiectasia hemorrágica hereditaria con fistula arteriovenosa pulmonar y manifestaciones neurológica: estudio de tres pacientes. Rev Clin Esp159: 199, 1980.
22.
Harkonen M.: Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease) complicated by pulmonary arteriovenous fistula and brain abscess. Acta Med Scand209, 137, 1981.
Burckhardt D., Stalder GA, Ludin H., et al: Hyperdynamic circulatory state due to Osler-Weber-Rendu disease with intrahepatic arteriovenous fistulas. Am Heart J85: 797,1973.
25.
Razi B., Beller BM, Ghidom J., et al: Hyperdynamic circulatory state due to intrahepatic fistula in Osler-Weber-Rendu disease. Am J Med50: 809, 1971.
26.
Blesa ES, Kreulen TH, Perlstein E., et al: Systemic arteriovenous fistula simulating severe valvular aortic stenosis. Chest70: 88, 1976.
27.
Ryckelynck JP, Khayat A., Potier JC, et al: Correction chirurgicale dúne fistule arteriovenineuse avec insuffisance cardiaque. Coeur Medicine Interne15: 287, 1978.