Giant postnephrectomy arteriovenous fistula in a patient with tuberous sclerosis and anomalous inferior vena cava: treatment with amplatzer vascular plug embolization.
A case of 61-year-old woman with tuberous sclerosis complex, who developed a fistula between renal artery and renal vein after left-side nephrectomy, was presented. In addition, an abnormal course of inferior vena cava was detected (type 3 Morito). High-flow fistula was causing volume high output heart failure and pulmonary circulation overload with pulmonary hypertension. Because of large size of the fistula, it had to be treated with implantation of Amplatzer II to the renal artery. The procedure was successfully performed using the brachial artery access.
Department of Radiology, Medical University of Łódź, Łódź, Poland.
Ludomir
L
Stefańczyk
Department of Interventional Cardiology, MSWiA Hospital, Łódź, Poland.
Wojciech
W
Religa
Department of Cardiology, Medical University of Łódź, Łódź, Poland.
Jarosław
J
Kasprzak
Department of Radiology, Medical University of Łódź, Łódź, Poland.
Konrad
K
Szymczyk
Department of Angiology, Chair of Anatomy, Medical University of Łódź, Łódź, Poland. Electronic address: michal.polguj@umed.lodz.pl.
Michał
M
Polguj
D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D012077:Renal Artery; D012082:Renal Veins; D014057:Tomography, X-Ray Computed; D014402:Tuberous Sclerosis / Q000150:complications* / Q000175:diagnosis; D054079:Vascular Malformations / Q000150:complications / Q000175:diagnosis; D014682:Vena Cava, Inferior / Q000002:abnormalities*