High-output heart failure caused by a huge renal arteriovenous fistula after nephrectomy: report of a case
| Autor: | Yoshiharu Hamanaka, Shinji Hirai, Naohisa Nakamae, Hajime Kumagai, Norimasa Mitsui |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Fistula Arteriovenous fistula Kidney Nephrectomy Aneurysm Postoperative Complications Renal Artery medicine.artery medicine Humans Tuberculosis Renal cardiovascular diseases Embolization Renal artery Cardiac Output High-output heart failure Aged Heart Failure business.industry Hemodynamics General Medicine medicine.disease Surgery Heart failure Arteriovenous Fistula Radiology business Tomography X-Ray Computed |
| Zdroj: | Surgery today. 31(5) |
| ISSN: | 0941-1291 |
| Popis: | Postnephrectomy renal arteriovenous fistula (AVF) with an aneurysmal lesion is a rare clinical entity that may cause high-output heart failure. In this report, we describe the case of a 68-year-old man who had undergone nephrectomy for renal tuberculosis 43 years previously, in whom an acquired large renal AVF presenting as an aneurysm caused congestive cardiac failure. We also discuss the hemodynamic, hormonogenic (human arterial natriuretic polypeptide; hANP), and radiographic findings before and after surgery for the AVF. The AVF with an aneurysmal lesion was clearly visualized by three-dimensional-computerized tomographic (CT) scanning, and proximal ligation of the renal artery was followed by an uneventful recovery. This procedure can produce good results when a fistula is too large to allow safe embolization and when excision would be hazardous due to inflammation surrounding the fistula. |
| Databáze: | OpenAIRE |
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