Percutaneous Treatment of a Traumatic Renal-Caval Arteriovenous Fistula Presenting as High Output Cardiac Failure

Handel Robinson, Joseph Shams, Jeffrey Kirk, Nicole Sorrentino, Jonathan Deitch

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

A 67-year-old dialysis-dependent man presented to the cardiology service with worsening high output cardiac failure and was found to have a harsh, right-sided abdominal bruit on examination. Of significance, he had undergone several laparotomies related to a stab wound experienced 7 years earlier. A computed tomography scan revealed right renal artery pseudoaneurysms with fistulous communication to the vena cava. Successful percutaneous coil embolization and cyanoacrylate gluing enabled fistula closure without renal infarction. Symptoms of cardiac failure ultimately resolved following treatment. Catheter-based therapies provide minimally invasive and effective strategies for treating complicated fistulas involving the renal vasculature.

Original languageEnglish (US)
Pages (from-to)256.e9-256.e12
JournalAnnals of Vascular Surgery
Volume23
Issue number2
DOIs
StatePublished - Mar 2009

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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