Postnephrectomy arteriovenous fistula: a case report.
We report a 57-yr-old woman with severe cardiac failure secondary to postnephrectomy arteriovenous fistula which was successfully removed. A review of the literature shows the rarity of this complication; only 72 cases have been reported in the world literature including 6 cases (including the present case) from Japan. Surgical intervention is generally the treatment of choice from a fistula and provides satisfactory results for cardiac failure which is the major complication of this fistula. A characteristic bruit was observed in all reported cases. Therefore, nonsurgical closure by percutaneous embolization for a small sized shunt may be possible if early diagnosis is obtained by careful auscultation of the loin.
Amitani
S
S
Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University, Japan.
Miyahara
K
K
Miyanohara
H
H
Nakamura
K
K
Arima
T
T
Morishita
Y
Y
Taira
A
A
D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*