Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian
Congenital renal arteriovenous fistula (rAVF) is a rare and often underdiagnosed clinical condition. Here, we present a case of a large congenital rAVF in an 81-year-old woman with a right flank bruit and high-output heart failure. The rAVF was successfully treated with percutaneous endovascular coi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428719300954 |
| _version_ | 1811214865048535040 |
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| author | Lynn Minarchick, PA-C Eugene Simoni, MD, FACS Katelynn Ferranti, MD |
| author_facet | Lynn Minarchick, PA-C Eugene Simoni, MD, FACS Katelynn Ferranti, MD |
| author_sort | Lynn Minarchick, PA-C |
| collection | DOAJ |
| description | Congenital renal arteriovenous fistula (rAVF) is a rare and often underdiagnosed clinical condition. Here, we present a case of a large congenital rAVF in an 81-year-old woman with a right flank bruit and high-output heart failure. The rAVF was successfully treated with percutaneous endovascular coil embolization. Complications included a small right renal hematoma, mild contrast-induced nephropathy, and small right renal infarct in the lower pole. Postoperatively, the patient had complete resolution of symptoms with salvage of the kidney. She has been observed annually for 5 years with computed tomography scan and ultrasound examination. Keywords: Congenital renal arteriovenous fistula, Coil embolization, High-output heart failure, Renal hematoma |
| first_indexed | 2024-04-12T06:11:38Z |
| format | Article |
| id | doaj.art-644055feda4d4844b73eea9dfe6cd394 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-12T06:11:38Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-644055feda4d4844b73eea9dfe6cd3942022-12-22T03:44:40ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-12-0154419422Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarianLynn Minarchick, PA-C0Eugene Simoni, MD, FACS1Katelynn Ferranti, MD2Correspondence: Lynn Minarchick, PA-C, Division of Vascular Surgery, Penn State Health, Milton S. Hershey Medical Center, 303 Benner Pike, Ste 1, State College, PA 16801; Department of Vascular Surgery, Heart and Vascular Institute, Penn State Health, Milton S. Hershey Medical Center, Hershey, PaDepartment of Vascular Surgery, Heart and Vascular Institute, Penn State Health, Milton S. Hershey Medical Center, Hershey, PaDepartment of Vascular Surgery, Heart and Vascular Institute, Penn State Health, Milton S. Hershey Medical Center, Hershey, PaCongenital renal arteriovenous fistula (rAVF) is a rare and often underdiagnosed clinical condition. Here, we present a case of a large congenital rAVF in an 81-year-old woman with a right flank bruit and high-output heart failure. The rAVF was successfully treated with percutaneous endovascular coil embolization. Complications included a small right renal hematoma, mild contrast-induced nephropathy, and small right renal infarct in the lower pole. Postoperatively, the patient had complete resolution of symptoms with salvage of the kidney. She has been observed annually for 5 years with computed tomography scan and ultrasound examination. Keywords: Congenital renal arteriovenous fistula, Coil embolization, High-output heart failure, Renal hematomahttp://www.sciencedirect.com/science/article/pii/S2468428719300954 |
| spellingShingle | Lynn Minarchick, PA-C Eugene Simoni, MD, FACS Katelynn Ferranti, MD Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian Journal of Vascular Surgery Cases and Innovative Techniques |
| title | Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian |
| title_full | Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian |
| title_fullStr | Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian |
| title_full_unstemmed | Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian |
| title_short | Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian |
| title_sort | successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian |
| url | http://www.sciencedirect.com/science/article/pii/S2468428719300954 |
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