Pediatric Nephrology

, 24:2459 | Cite as

Postrenal biopsy AVM leading to severe hypertension and dilated cardiomyopathy

  • Nao Sasaki
  • Umesh C. Joashi
  • Marcela Vergara
  • Jeffrey M. Saland
  • Barry A. Love
Brief Report


A 3-year-old girl with Alport syndrome presented with decompensated heart failure from hypertension-induced cardiomyopathy 6 months following renal biopsy. Selective renal angiography revealed a large left renal arteriovenous fistula (AVF) with poor perfusion to the left renal parenchyma. The AVF was treated by transcatheter embolization using an Amplatzer vascular plug. Her blood pressure normalized after embolization, and her cardiac function normalized over the following 4 months.


Arteriovenous malformation Renal biopsy Hypertension Dilated cardiomyopathy Amplatzer vascular plug 


Conflicts of interest

There are no financial disclosures or conflicts of interest.


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Copyright information

© IPNA 2009

Authors and Affiliations

  • Nao Sasaki
    • 1
    • 3
  • Umesh C. Joashi
    • 1
  • Marcela Vergara
    • 2
  • Jeffrey M. Saland
    • 1
  • Barry A. Love
    • 1
  1. 1.Mount Sinai Medical CenterDivision of Pediatric CardiologyNew YorkUSA
  2. 2.Division of Pediatric NephrologyNew YorkUSA
  3. 3.Division of Pediatric NephrologyNew YorkUSA

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