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Cardiology Research and Practice
Volume 2009 (2009), Article ID 437237, 3 pages
http://dx.doi.org/10.4061/2009/437237
Case Report

Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy

1Division of Cardiology, Providence Heart Institute, Southfield, MI 48075, USA
2School of Medicine, Wayne State University, Detroit, MI 48201, USA

Received 8 June 2009; Accepted 23 July 2009

Academic Editor: Jalal K. Ghali

Copyright © 2009 Tareq Goussous et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

High-output cardiac failure secondary to hepatic involvement is a rare complication of hereditary hemorrhagic telangiectasia (HHT). Here we report a 43-year-old woman who presented at 29 weeks gestation of her second pregnancy with complications of right-sided heart failure and preterm labor. After delivery via cesarean section, the patient was found to have intrahepatic arteriovenous malformations through non-invasive imaging. Subsequently, a family history of vascular malformations and epistaxis was elucidated and a diagnosis of HHT was made. This case is presented, along with a review of the literature and discussion of hepatic involvement in HHT with particular focus on the pregnant patient.