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Volume 9
Issue 12
10.3390/jcdd9120418
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Case Report

An Unusual Cause of Right Heart Dysfunction and High Output Heart Failure in a Young Woman

by
Nicolás Ariza Ordoñez
1,2,*,
Antonia Pino Marín
2,
Juan Sebastián Bonilla Crespo
1,2,
Alberto Navarro Navajas
3,
Gabriel Antonio Oliver
3,
Hector M. Medina
4 and
Julián F. Forero
4,5
1
Department of Internal Medicine, Fundación Cardioinfantil—La Cardio, Bogotá 110131, Colombia
2
School of Medicine and Health Sciences, Universidad del Rosario, Bogotá 110131, Colombia
3
Department of Cardiology, Fundación Cardioinfantil—La Cardio, Bogotá 110131, Colombia
4
Division of Cardiovascular Imaging, Fundación Cardioinfantil—La Cardio, Bogotá 110131, Colombia
5
Department of Radiology and Diagnostic Imaging, Fundación Cardioinfantil—La Cardio, Bogotá 110131, Colombia
*
Author to whom correspondence should be addressed.
J. Cardiovasc. Dev. Dis. 2022, 9(12), 418; https://doi.org/10.3390/jcdd9120418
Submission received: 3 October 2022 / Revised: 5 November 2022 / Accepted: 18 November 2022 / Published: 26 November 2022
(This article belongs to the Section Acquired Cardiovascular Disease)
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Abstract

A 35-year-old female presented to our emergency department with clinical signs of acute heart failure. Clinical workup identified severe right heart (RH) dilation and dysfunction with a crossing membrane structure in the right atrium. Right heart catheterization confirmed high output heart failure (HOHF), pulmonary hypertension (PH), and left-to-right blood shunting followed by the documentation of multiple liver and pulmonary arteriovenous malformations (AVMs). Hereditary Hemorrhagic Telangiectasia (HHT) diagnosis was made according to clinical criteria and was established as the cause of HOHF because of chronic volume overload from systemic to pulmonary shunts. With this illustrative case, we aim to discuss the broad spectrum of clinical manifestations of HHT and the unusual phenotype of HOHF secondary to HHT. This case also highlights the broad diagnosis of atrial echocardiographic abnormalities and cardiac structural distortion secondary to high output that can be misleading at imaging evaluation.
Keywords: hereditary hemorrhagic telangiectasia (HHT); high output heart failure; cor triatriatum hereditary hemorrhagic telangiectasia (HHT); high output heart failure; cor triatriatum

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MDPI and ACS Style

Ariza Ordoñez, N.; Pino Marín, A.; Bonilla Crespo, J.S.; Navarro Navajas, A.; Oliver, G.A.; Medina, H.M.; Forero, J.F. An Unusual Cause of Right Heart Dysfunction and High Output Heart Failure in a Young Woman. J. Cardiovasc. Dev. Dis. 2022, 9, 418. https://doi.org/10.3390/jcdd9120418

AMA Style

Ariza Ordoñez N, Pino Marín A, Bonilla Crespo JS, Navarro Navajas A, Oliver GA, Medina HM, Forero JF. An Unusual Cause of Right Heart Dysfunction and High Output Heart Failure in a Young Woman. Journal of Cardiovascular Development and Disease. 2022; 9(12):418. https://doi.org/10.3390/jcdd9120418

Chicago/Turabian Style

Ariza Ordoñez, Nicolás, Antonia Pino Marín, Juan Sebastián Bonilla Crespo, Alberto Navarro Navajas, Gabriel Antonio Oliver, Hector M. Medina, and Julián F. Forero. 2022. "An Unusual Cause of Right Heart Dysfunction and High Output Heart Failure in a Young Woman" Journal of Cardiovascular Development and Disease 9, no. 12: 418. https://doi.org/10.3390/jcdd9120418

APA Style

Ariza Ordoñez, N., Pino Marín, A., Bonilla Crespo, J. S., Navarro Navajas, A., Oliver, G. A., Medina, H. M., & Forero, J. F. (2022). An Unusual Cause of Right Heart Dysfunction and High Output Heart Failure in a Young Woman. Journal of Cardiovascular Development and Disease, 9(12), 418. https://doi.org/10.3390/jcdd9120418

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