Postnephrectomy arteriovenous fistula
The development of the postnephrectomy arteriovenous fistula (PNAVF) between the renal vessels stumps is rare. Here we present a case report of PNAVF, and review the diagnosis, treatment and prevention.The most common clinical features include a loud murmur over the previous nephrectomy scar, and he...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000300008&lng=en&tlng=en |
| _version_ | 1818353776110600192 |
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| author | José Carlos Costa Baptista-Silva Luiz Francisco Poli de Figueiredo Marcos Joaquim Castro Marcos José Martins Veríssimo André Luiz Guimarães Camara |
| author_facet | José Carlos Costa Baptista-Silva Luiz Francisco Poli de Figueiredo Marcos Joaquim Castro Marcos José Martins Veríssimo André Luiz Guimarães Camara |
| author_sort | José Carlos Costa Baptista-Silva |
| collection | DOAJ |
| description | The development of the postnephrectomy arteriovenous fistula (PNAVF) between the renal vessels stumps is rare. Here we present a case report of PNAVF, and review the diagnosis, treatment and prevention.The most common clinical features include a loud murmur over the previous nephrectomy scar, and heart failure resistant to common medical treatment. A 58-year-old white woman was admitted to the hospital for a complete evaluation of an unexplained congestive heart failure with no response to common medical treatment. She had had a right nephrectomy for pyonephrosis 13 years before. The diagnosis of PNAVF was suspected because over the right lumbar region a definite trill was palpated, and on auscultation a harsh, machinery-like murmur was heard.The diagnosis was confirmed by aortogram and selective renal arteriography. In May 1989, the right arteriovenous was excised through a right subcostal transperitoneal approach. The renal vessel stumps were individually ligated and sutured separately close to aorta and vena cava. The patient's postoperative course was entirely uneventful in the following seven years. We conclude that during nephrectomy, the renal vessels should be ligated separately, and the transfixation in mass of the stumps avoided to prevent arteriovenous fistula. |
| first_indexed | 2024-12-13T19:14:54Z |
| format | Article |
| id | doaj.art-bdffd6bae2504972aeffaf7e9e82c497 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-13T19:14:54Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-bdffd6bae2504972aeffaf7e9e82c4972022-12-21T23:34:19ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-946011531444144710.1590/S1516-31801997000300008S1516-31801997000300008Postnephrectomy arteriovenous fistulaJosé Carlos Costa Baptista-Silva0Luiz Francisco Poli de Figueiredo1Marcos Joaquim Castro2Marcos José Martins Veríssimo3André Luiz Guimarães Camara4Beneficência PortuguesaBeneficência PortuguesaBeneficência PortuguesaBeneficência PortuguesaBeneficência PortuguesaThe development of the postnephrectomy arteriovenous fistula (PNAVF) between the renal vessels stumps is rare. Here we present a case report of PNAVF, and review the diagnosis, treatment and prevention.The most common clinical features include a loud murmur over the previous nephrectomy scar, and heart failure resistant to common medical treatment. A 58-year-old white woman was admitted to the hospital for a complete evaluation of an unexplained congestive heart failure with no response to common medical treatment. She had had a right nephrectomy for pyonephrosis 13 years before. The diagnosis of PNAVF was suspected because over the right lumbar region a definite trill was palpated, and on auscultation a harsh, machinery-like murmur was heard.The diagnosis was confirmed by aortogram and selective renal arteriography. In May 1989, the right arteriovenous was excised through a right subcostal transperitoneal approach. The renal vessel stumps were individually ligated and sutured separately close to aorta and vena cava. The patient's postoperative course was entirely uneventful in the following seven years. We conclude that during nephrectomy, the renal vessels should be ligated separately, and the transfixation in mass of the stumps avoided to prevent arteriovenous fistula.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000300008&lng=en&tlng=enArteriovenous fistulaRenal vesselsNephrectomyHeart failure |
| spellingShingle | José Carlos Costa Baptista-Silva Luiz Francisco Poli de Figueiredo Marcos Joaquim Castro Marcos José Martins Veríssimo André Luiz Guimarães Camara Postnephrectomy arteriovenous fistula São Paulo Medical Journal Arteriovenous fistula Renal vessels Nephrectomy Heart failure |
| title | Postnephrectomy arteriovenous fistula |
| title_full | Postnephrectomy arteriovenous fistula |
| title_fullStr | Postnephrectomy arteriovenous fistula |
| title_full_unstemmed | Postnephrectomy arteriovenous fistula |
| title_short | Postnephrectomy arteriovenous fistula |
| title_sort | postnephrectomy arteriovenous fistula |
| topic | Arteriovenous fistula Renal vessels Nephrectomy Heart failure |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000300008&lng=en&tlng=en |
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