Successful intervention for high-output cardiac failure caused by massive renal arteriovenous fistula-a case report.
Renal arteriovenous fistula is a rare clinical entity that may produce high-output cardiac failure. This report describes the case of an 81-year-old woman in whom recurrent episodes of congestive heart failure developed over a relatively short time. A massive renal arteriovenous fistula was visualized by CT scan and arteriography. Successful embolization was performed under hemodynamic monitoring with complete resolution of the patient's symptoms.
Khawaja
Azimuddin T
AT
Western Pennsylvania Hospital, Temple University School of Medicine, Pittsburgh PA 15224, USA. TKhawaja@msn.com
McLean
Gordon K
GK
Srinivasan
Venkatraman
V
D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D021721:Balloon Occlusion; D016534:Cardiac Output, High / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging; D012082:Renal Veins / Q000000981:diagnostic imaging