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Pulmonary hypertension due to a large acquired systemic arteriovenous fistula
  1. Jens Erik Nielsen-Kudsk,
  2. Jan Jóanesarson,
  3. Morten Bøttcher
  1. Department of Cardiology, Aarhus University Hospital, Skejby, Aarhus, Denmark
  1. Correspondence to Dr Jens Erik Nielsen-Kudsk, Department of Cardiology Aarhus University Hospital, Skejby DK-8200, Aarhus N, Denmark; jenk{at}

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A 49-year-old female patient was referred for evaluation of pulmonary hypertension suspected to be caused by chronic thromboembolism. The patient had severe dyspnoea corresponding to WHO class III and leg oedema. Her symptoms started immediately after an operation for a lumbar spinal disc herniation 1 year earlier.

Echocardiography showed signs of pulmonary hypertension with …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.