Misdiagnosis of atrial septal defect in patients with hereditary telangiectasia (Osler-Weber-Rendu disease) and hepatic arteriovenous fistulas

Am Heart J. 1978 Feb;95(2):235-42. doi: 10.1016/0002-8703(78)90468-4.


Two patients with hereditary telangiectasia (Osler-Weber-Rendu disease) and high-output congestive heart failure secondary to large hepatic arteriovenous malformations had preoperative heart catheterization and exploratory cardiotomy to correct presumed intracardiac left-to-right shunts at the atrial level. At operation, both patients had oxygen-enriched blood returning from the inferior vena cava. Subsequent hepatic angiography demonstrated large hepatic arteriovenous fistulas, and both patients underwent hepatic artery banding and ligation, with reduction of left-to-right shunting.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arteriovenous Fistula / diagnosis*
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / surgery
  • Cardiac Catheterization
  • Diagnosis, Differential
  • Female
  • Heart Septal Defects, Atrial / diagnosis*
  • Hepatic Artery* / diagnostic imaging
  • Hepatic Veins* / diagnostic imaging
  • Humans
  • Middle Aged
  • Radiography
  • Telangiectasia, Hereditary Hemorrhagic / complications*