Postrenal biopsy AVM leading to severe hypertension and dilated cardiomyopathy.
A 3-year-old girl with Alport syndrome presented with decompensated heart failure from hypertension-induced cardiomyopathy 6 months following renal biopsy. Selective renal angiography revealed a large left renal arteriovenous fistula (AVF) with poor perfusion to the left renal parenchyma. The AVF was treated by transcatheter embolization using an Amplatzer vascular plug. Her blood pressure normalized after embolization, and her cardiac function normalized over the following 4 months.
Sasaki
Nao
N
Mount Sinai Medical Center, Division of Pediatric Cardiology, One Gustave L. Levy Place, New York, NY 10029, USA. nao.sasaki@mssm.edu
Joashi
Umesh C
UC
Vergara
Marcela
M
Saland
Jeffrey M
JM
Love
Barry A
BA
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D001706:Biopsy / Q000295:instrumentation; D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D002316:Cardiotonic Agents / Q000627:therapeutic use; D002675:Child, Preschool; D004452:Echocardiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000473:pathology*; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D020105:Milrinone / Q000627:therapeutic use; D011859:Radiography; D016896:Treatment Outcome
D002316:Cardiotonic Agents; D020105:Milrinone