Distinct arteriovenuous malformation of the left renal artery as a rare case of right ventricular failure – Ultrasound diagnostic and postinterventional follow up

A 74 year old male complained about progressing excertional dyspnoea on and tachycardia. At the time of hospitalization, he showed dyspnoea NYHA III and an elevated heart rate. The ECG documented an atrial fibrillation. Beta blockers and digitalis glycosid were administered. Transthoracic echocardiography showed a dilated right atrium and ventricle as well as a pulmonary arterial pressure of 37 mmHg + central venous pressure. Signs of a high right ventricular load with widened liver veins and an incompressible inferior cava vein were found in the following abdominal ultrasound. Cystic structures located in the h…