High-Output Right Ventricular Failure Secondary to Hepatic Arteriovenous Microfistulae: Selective Arterial Embolization Treatment

• A patient with diffuse hepatic arteriovenous microfistulae suffered from secondary high-output right ventricular failure, pulmonary hypertension, and ascites, all of which could be managed by selective embolization of the hepatic artery. The vascular lesion of the liver seems to be essential, although hemorrhagic hereditary telangiectasia, perhaps aggravated by administration of oral contraceptives, may be considered contributory factors in this case.

(Arch Intern Med 1984;144:1282-1284)