SMF Schweizerisches Medizin-Forum 1424-4020 1424-3784 EMH Schweizerischer Ärzteverlag AG Farnsburgerstrasse 8 CH-4132 Muttenz 08320 10.4414/smf.2019.08320 Der besondere Fall Intensivmedizin Kardiologie Radiologie Seltene Ursache eines kardio­genen Schocks bei «high-output failure» Frick Katja katja.frick@usz.ch Fellow or Intensive Care Medicine | Institute of Intensive Care Medicine | Rämistrasse 100 | Zurich | 8091 | SWITZERLAND Klinzing Stephanie stephanie.klinzing@usz.ch Universitätsspital Zürich Institut für Intensivmedizin Bühler Philipp Karl philipp.buehler@usz.ch Universitätsspital Zürich, Institut für Intensivmedizin, Unseld Simone simone.unseld@usz.ch Universitätsspital Zürich Institut für Intensivmedizin Greutmann Matthias Matthias.Greutmann@usz.ch Universitätsspital Zürich Universitäres Herzzentrum Zürich Kardiologie Pfammatter Thomas Thomas.Pfammatter@usz.ch Universitätsspital Zürich, Institut für Diagnostische und Intenventionelle Radiologie Schüpbach Reto reto.schuepbach@usz.ch Universitätsspital Zürich Institut für Intensivmedizin 04 12 2019 19 4950 811 814 Copyright: EMH Schweizerischer Ärzteverlag AG 2019 EMH Schweizerischer Ärzteverlag AG "Swiss Medical Forum" is an open access publication of EMH published in accordance with the terms of the Creative Commons licence attribution - NonCommercial - NoDerivatives 4.0 International. You are free to share, copy and redistribute the material in any medium or format under the following terms: Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. NonCommercial — You may not use the material for commercial purposes. NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material. "Non-commercial" means not primarily intended for or directed towards commercial advantage or monetary compensation. The incorporation of publications in commercial products, the use of publications to advertise for commercial products or services and any other usage that directly or indirectly pursues commercial interests is subject to the express previous consent of the publishing house as part of a written agreement. Please send us your request in writing. Exact indication of the publication from which you would like to reproduce material and detailed information about its intended use help to facilitate and expedite request processing. <p>One step forward, one step back – Seltene Ursache eines kardiogenen Schocks bei High-output-failure Katja Frick, Dr. med. Stephanie Klinzing, Dr. med. Philipp Karl Bühler, Dr. med. Simone Unseld, PD Dr. med. Matthias Greutmann, Prof. Dr. med. Thomas Pfammatter, Prof. Dr. med. Reto Schüpbach University Hospital of Zurich Abstract Hemodynamic failure is a common presentation in all acute care settings and it is of great importance to consider rare, but relevant differential diagnoses in order to provide adequate treatment. We describe in a case report the course of a patient, who presented with signs of severe cardiogenic shock caused by an aortocaval fistula. We summarized the variable, sometimes tricky presentation and the importance of this differential diagnosis as a cause of high-output cardiogenic failure for the success of timely interventions.</p>