Cor Vasa 2008, 50(5):200-203 | DOI: 10.33678/cor.2008.067
A high-flow right-kidney arteriovenous malformation causing right-heart failure
- 1 Interní oddělení, Šumperská nemocnice a. s., Šumperk
- 2 Kardiologické oddělení, Nemocnice Podlesí a. s., Třinec
- 3 I. interní klinika, Fakultní nemocnice Olomouc a Lékařská fakulta Univerzity Palackého, Olomouc, Česká republika
We present the case report of a 36-year-old man with a 2-year history of cardioverter/defibrillator implantation due to right ventricular dysplasia. He presented to a cardiology outpatient clinic because of dyspnea worsening.
He was diagnosed to have right-heart failure. On a CT scan, we found a high-flow AV malformation shunt which was the cause of the heart failure. There was also right ventricular overload.
After angiographic and echocardiographic investigations, tricuspid annuloplasty and right nephrectomy were performed with a very good outcome.
Keywords: Arteriovenous malformation; Right ventricle; Right-heart failure; Arrhythmogenic right ventricular dysplasia
Published: May 1, 2008 Show citation
References
- Cho KJ, Stanley JC. Non-neoplastic congenital and aquired renal arteriovenous malformations and fistulas. Radiology 1978;129:333-43.
Go to original source... 
Go to PubMed... - Beaujeux R, Saussine C, al-Fakir A. Superselective endovascular treatment of renal vascular lesions. J Urol 1995;153:14-7. Go to original source... Go to PubMed...
- Dinkel HP, Danuser H, Triller J. Blunt renal trauma: Minimally invasive management with microcatheter embolization-experience in nine patients. Radiology 2002;223:723-30. Go to original source... Go to PubMed...
- Mazij M, Szafran B, Lenartowska L, et al. Congestive heart failure and continuous murmur in patient after lumbar disc surgery - a case report. Kardiol Pol 2007; 65:1499-501. Go to PubMed...
- Korn TS, Thurston JM, Sherry CS, Kawalsky DL. High-output heart failure due to a renal arteriovenous fistula in a pregnant woman with suspected preeclampsia. Mayo Clin Proc 1998;73:888-92. Go to original source...
- MacRae JM, Pandeya S, Humen DP, Krivitski N, Lindsay RM. Arteriovenous fistula-associated high-output cardiac failure: a review of mechanisms. Am J Kidney Dis 2004;43:e17-e22. Go to original source... Go to PubMed...
- Smaldone MC, Stein RJ, Cho JS, Leng WW. Giant idiopathic renal arteriovenous fistula requiring urgent nephrectomy urology 2007;69:5761-3.
- Khawaja AT, McLean GK, Srinivasan V. Successful intervention for high-output cardiac silure caused by massive renal arteriovenous fistula - a case report. Angiology 2004;55:205-8. Go to original source... Go to PubMed...