Remote Stab Wound Resulting in AV Fistula and High-Output Heart Failure.


Journal Article

A 54-year-old African American male with no medical history presented to an urgent care clinic with signs and symptoms of new-onset congestive heart failure. There was an initial concern for congestive heart failure secondary to an ischemic etiology as an echocardiogram revealed a depressed ejection fraction. However, a left heart cardiac catheterization did not demonstrate any significant coronary disease. As a loud bruit was auscultated over the right base of the patient's neck, he underwent a carotid duplex ultrasound revealing a fistula between the right common carotid artery (CCA) and the right internal jugular vein (IJV). A diagnosis of high-output heart failure secondary to a large arteriovenous (AV) fistula was made, and the patient underwent ligation and repair of the fistula with resolution of symptoms of congestive heart failure.

Full Text

Duke Authors

Cited Authors

  • Rymer, JA; Anderson, LL; Posenau, JT; Jones, WS

Published Date

  • 2013

Published In

Volume / Issue

  • 2013 /

Start / End Page

  • 902719 -

PubMed ID

  • 24826298

Pubmed Central ID

  • 24826298

International Standard Serial Number (ISSN)

  • 2090-6404

Digital Object Identifier (DOI)

  • 10.1155/2013/902719


  • eng

Conference Location

  • United States