Arteriovenous fistula (AVF) is less common but well known complication of trauma. Posttraumatic arteriovenous fistula is one of curable causes of congestive heart failure. Heart failure due to traumatic AVF is a rarely encountered problem and often underdiagnosed and treatment is delayed.. Although the history of trauma is clear, the development of AVF is insidious and sometimes not obvious. Traumatic AVFs are usually caused by penetrating trauma, accounting for as many as 90 % of cases. Blunt trauma is rarely the cause and it is responsible for the other 10 %cases . (2) Gunshot wounds are the most frequent ones, but stab wounds and iatrogenic lesions may also account for traumatic AVFs. Here we discuss a case of a patient who suffered from
