Traumatic Pulmonary Hypertension Secondary to Arteriovenous Fistula and Remote Gunshot Wound

We present a case of a 58-year-old man who had suffered a gunshot wound 6.5 years prior to presentation for worsening pulmonary hypertension (PH). After diagnostic workup, the PH was attributed to a gunshot related AVF. Exercise capacity and echocardiographic parameters improved after successful ligation of the AVF. This case highlights a rare and correctable cause of PH that requires careful investigation and multidisciplinary expertise for treatment.
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research