Abstract
Postnephrectomy renal arteriovenous fistulas are rare. An arteriovenous fistula of the right renal pedicle was discovered in a 37-year-old woman who had undergone nephrectomy for renal tuberculosis nine months previously, after she had complained of dyspnea and pain in the right flank. The fistula was confirmed on arteriograms. Proximal ligation of the artery and distal ligation of the vein were followed by an uneventful recovery. Twelve months later, the patient was asymptomatic. Even though complete excision of the fistula represents the ideal treatment of this type of lesion, simple ligation can provide good results when the size of the fistula contraindicates embolization.
Similar content being viewed by others
References
BUNTER W. The history of an aneurysm of the aorta with some remarks on aneurysms in general.Med Observ Inquiries 1757:1:323.
TYNES WV. Unusual renovascular disorders.Urol Clin N Am 1984;11:529–541.
LACOMBE M, NUSSAUME O, BRONSTEIN M, JUNGERS P. Les fistules artério-veineuses du pédicule rénal après nephrectomie.Ann Chir Thorac Cardiovasc 1973:12:91–97.
MILLERET P, COMBE J, DREYFUS A, et al. Fistule artérioveineuse du pédicule rénal gauche après nephrectomie.J. Chir 1978:115:541–544.
LANGERON P, THEVENET A, CROCCEL L, et al. Les fistules artério-veineuses du pédicule rénal après nephrectomie.J. Mal Vasc 1980;5:55–62.
LACOMBE M. Renal arteriovenous fistula following nephrectomy.Urology 1985;25:13–16.
CUMMINGS KB, JOLLY PC, GRABER JO, BUMETT LL. Arteriovenous fistula of the renal vessels: surgical management.J Urol 1975:114:776–778.
MATEO A, LARRANAGA J, VAQUERO C, et al. Postnephrectomy arteriovenous fistula.J Cardiovasc Surg 1988;29:491–493.
FELDMAN SL, PRESMAN D, KANDEL GL. Renal arteriovenous fistula following nephrectomy.Br J Urol 1985;57:592.
DUBOST C, PIWNICA A, MATHIS P, FONTANELLE J. Les fistules artério-veineuses du pédicule rénal après néphrectomie.J. Chir 1965;89:5–22.
MALDONADO JE, SHEPS SG, BERNATZ PE, et al. Renal arteriovenous fistula: a reversible cause of hypertension and heart failure.Am J Med 1964;37:499–513.
JOYEUX A, SAINT-AUBERT B, CAMPOS A. Fistule artério-veineuse du pédicule rénal gauche dépistée 30 ans aprés une nephrectomie.J. Chir 1984;121:487–490.
DZSINICH C, SZABO Z, DLUSTUS B, et al. Arteriovenous fistula after partial nephrectomy: successful surgical repair.Thorac Cardiovasc Surg 1984;32:325–328.
CASSIDY MJ, HARRIES-JONES EP, YAN ZYL-SMIT R. Post-biopsy renal arteriovenous fistula. Successfully embolized with a Gianturco minicoil.Postgrad Med J 1982;58:570–572.
COURTHEOUX P, MAIZA D, MANI J, et al. Postnephrectomy arteriovenous fistula of the renal pedicle treated with detachable balloons.Cardiovasc Intervent Radiol 1988;11:340–342.
KERBER CW, FREENY PC, CROMWELL L, et al. Cyanoacrylate occlusion of a renal arteriovenous fistula.AJR 1977;128:663–665.
Author information
Authors and Affiliations
About this article
Cite this article
Matos, A., Moreira, A. & Mendonça, M. Renal arteriovenous fistula after nephrectomy. Annals of Vascular Surgery 6, 378–380 (1992). https://doi.org/10.1007/BF02008797
Issue Date:
DOI: https://doi.org/10.1007/BF02008797