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Chest, Vol 70, 88-90, Copyright © 1976 by American College of Chest Physicians

ARTICLES

Systemic arteriovenous fistula simulating severe valvular aortic stenosis

ES Blesa, TH Kreulen, E Perlstein, ES Escovitz and RR Tyson

A patient with a renal arteriovenous fistula is described. She was though to have valvular aortic stenosis because of a history of rheumatic fever, symptoms of congestive heart failure and syncope, and the presence of a harsh systolic murmur with a thrill in the aortic area. Cardiac catheterization revealed a left-to-right shunt of 8.7 L/min. Ligation of the fistula resulted in complete relief of the symptoms and attenuation of the murmur.




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Copyright © 1976 by the American College of Chest Physicians.