Renal Arteriovenous Fistula Presenting as Heart Failure
Article Outline
Renal arteriovenous fistula is a rare condition. The clinical presentations include gross hematuria, hypertension, high output heart failure and flank bruit. Interventional therapy includes observational treatment, partial or total nephrectomy, endovascular embolization and insertion of a covered stent. We present the case of a 70-year-old woman who presented with heart failure symptoms of 2 years' duration prior to admission. On presentation, she had evidence of congestive heart failure, pulmonary hypertension and increased cardiac output. Subsequent investigations led to the diagnosis of left renal arteriovenous fistula. While she opted for conservative treatment, the various therapeutic options of this uncommon condition are addressed.
Key words: abdominal bruit , arteriovenous fistula , heart failure , hematuria , hypertension
No full text is available. To read the body of this article, please view the PDF online.
References
- . Spontaneous renal arteriovenous fistula as a cause of haematuria . Nephrol Dial Transplant . 1997;12:350–356
- . Arteriovenous fistula after biopsy of renal transplant kidney: diagnosis and treatment . Pediatr Nephrol . 1992;6:562–564
- . Renal arteriovenous aneurysm in a 4-year-old patient . J Vasc Surg . 2005;41:535–538
- . The endovascular treatment of a renal arteriovenous fistula: placement of a covered stent . J Vasc Surg . 2002;36:1066–1068
- Saccular renal artery aneurysm treated with an autologous vein covered stent . J Vasc Surg . 2001;34:169–171
- . Solitary renal artery aneurysm . Surgery . 1980;88:557–565
- . Massive peri-renal haemorrhage from ruptured renal artery aneurysm in the presence of normal renal function . Scand J Urol Nephrol . 2002;36:389–390
PII: S1561-5413(09)60235-0
doi:10.1016/S1561-5413(09)60235-0
© 2006 The Hong Kong Society of Nephrology. Published by Elsevier Inc. All rights reserved.
