[Cardiac failure caused by renal arteriovenous fistula fifty years after nephrectomy. A new case and review of the literature].
Arterio-venous fistulae are rare after nephrectomy. They are the cause of congestive cardiac failure. This case report has two particularities: an exceptionally long interval, 50 years after nephrectomy, and a severe hypertension due to stenosis of the contra-lateral renal artery. Surgical treatment of these fistulae is essential and gives excellent results with rapid regression of the signs of cardiac failure. Percutaneous embolization is an alternative in patients with a high surgical risk. All previously reported cases are reviewed (n = 72) with their aetiological, clinical and therapeutic features.
el-Rassi
I
I
Service de chirurgie cardiovasculaire, hôpital Hôtel-Dieu de France, Beyrouth, Liban.
Jebara
I
I
Khoury
A
A
Kassab
R
R
Tabet
G
G
D001027:Aortography; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D006973:Hypertension; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D012077:Renal Artery; D012082:Renal Veins; D013997:Time Factors; D016896:Treatment Outcome
Insuffisance cardiaque par fistule artérioveineuse rénale cinquante ans aprés néphrectomie. Nouvelle observation et revue de la littérature.