[Arteriovenous fistula of the renal vessels due to septic embolism in a patient with bacterial endocarditis].
A 27 year-old woman developed acute pain of the right flank during the course of an infectious endocarditis. A septic arteriovenous fistula of the renal vessels of a solitary functioning kidney was demonstrated. The cardiac valvular lesions required a prosthetic aortic and mitral replacement valves. An attempt to occlude the fistula by embolization with several coils was unsuccessful and led to surgery: extracorporeal repair enabled complete closure of the fistula. During the long-term follow-up, the aortic prosthetic valve had to be changed. Renal function was satisfactory and remained stable over time. Renal arteriovenous fistula is an exceptional complication of bacterial endocarditis despite the frequency of septic emboli during the course of the disease.
Lacombe
M
M
Service de Chirurgie vasculaire, Hôpital Beaujon, Clichy.
Iserin
L
L
Leseche
G
G
D000328:Adult; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D004617:Embolism / Q000150:complications*; D004697:Endocarditis, Bacterial / Q000150:complications*; D005260:Female; D006801:Humans; D012077:Renal Artery / Q000000981:diagnostic imaging*; D012082:Renal Veins / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome