High cardiac output state due to pelvic arterio‐venous shunt: a case report and review of the literature

We are presenting a 35‐year‐old woman with past medical history of disseminated leiomyomatosis who presented with heart failure symptoms and was found to have post‐capillary pulmonary hypertension and high cardiac output state in right heart catheterization secondary to a huge pelvic arterio‐venous fistula.