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High-output heart failure caused by arteriovenous fistula long after nephrectomy

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Abstract

A 70-year-old Japanese woman was admitted to our hospital because of anasarca. At 32 years of age, she had undergone nephrectomy for renal tuberculosis. A continuous abdominal bruit was heard. The chest X-ray showed cardiomegaly and dilatation of the pulmonary artery. Abdominal three-dimensional computed tomography scanning clearly revealed an arteriovenous fistula. Cardiac catheterization disclosed cardiac output of 9.2 l/min and a step-up of oxygen saturation at the renal vein level of the inferior vena cava. Surgical closure of the fistula promptly decreased her cardiac output and improved the heart failure. This is a rare case of an arteriovenous fistula developing long after nephrectomy and causing high-output heart failure.

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References

  1. MM Baranda M Perez J DeAndres C DeLaHoz J Merino C Aguirre (1984) ArticleTitleHigh-output congestive heart failure as first manifestation of Osler-Weber-Rendu disease J Vasc Dis 35 568–576

    Google Scholar 

  2. SM Lindenauer NW Thompson RO Kraft WJ Fry (1969) ArticleTitleLate complications of traumatic arteriovenous fistulas Surg Gynecol Obstet 129 525–532 Occurrence Handle5820934

    PubMed  Google Scholar 

  3. AO Sy S Plantholt (1991) ArticleTitleCongestive heart failure secondary to an arteriovenous fistula from cardiac catheterization and angioplasty Cathet Cardiovasc Diagn 23 136–138 Occurrence Handle2070402

    PubMed  Google Scholar 

  4. A Matos A Moreira M Mendonca (1992) ArticleTitleRenal arteriovenous fistula after nephrectomy Ann Vasc Surg 6 378–380 Occurrence Handle10.1007/BF02008797 Occurrence Handle1390028

    Article  PubMed  Google Scholar 

  5. AM Kajbafzadeh B Broumand (1997) ArticleTitleArteriovenous fistula following nephrectomy Eur Urol 31 112–114 Occurrence Handle9032546

    PubMed  Google Scholar 

  6. S Amitani K Miyahara H Miyanohara K Nakamura T Arima Y Morishita A Taira (1992) ArticleTitlePostnephrectomy arteriovenous fistula: a case report Intern Med 31 98–101 Occurrence Handle1568053

    PubMed  Google Scholar 

  7. M Lacombe (1985) ArticleTitleRenal arteriovenous fistula following nephrectomy Urology 25 13–16 Occurrence Handle10.1016/0090-4295(85)90554-0 Occurrence Handle3966275

    Article  PubMed  Google Scholar 

  8. M Okamoto M Hashimoto T Akita T Sueda S Karakawa Y Ohishi N Hamanaka (2001) ArticleTitleCongestive heart failure caused by aortocaval fistula after nephrectomy Intern Med 40 1113–1116 Occurrence Handle11757766

    PubMed  Google Scholar 

  9. H Saita C Ohyama T Higa K Tohyama S Nakada (1987) ArticleTitlePostnephrectomy arteriovenous fistula treated by renal arterial embolization (in Japanese) Jpn J Clin Urol 40 1061–1063

    Google Scholar 

  10. P Courtheoux D Maiza J Mani V Mercier J Theron (1988) ArticleTitlePostnephrectomy arteriovenous fistula of the renal pedicle treated with detachable balloons: a case report Cardiovasc Intervent Radiol 11 340–342 Occurrence Handle3145808

    PubMed  Google Scholar 

  11. DL Robinson GP Teitelbaum MJ Pentecost FA Weaver EJ Finck (1993) ArticleTitleTranscatheter embolization of an aortocaval fistula caused by residual renal artery stump from previous nephrectomy: a case report J Vasc Surg 17 794–797 Occurrence Handle10.1067/mva.1993.40882 Occurrence Handle8464105

    Article  PubMed  Google Scholar 

  12. S Cekirge L Oguzkurt I Saatci F Boyvat F Balkanci (1996) ArticleTitleEmbolization of a high-output postnephrectomy aortocaval fistula with Gianturco coils and cyanoacrylate Cardiovasc Intervent Radiol 19 56–58 Occurrence Handle10.1007/s002709900013 Occurrence Handle8653750

    Article  PubMed  Google Scholar 

  13. K Ozaki H Oda K Hatada K Sakai K Takahashi T Miida N Higuma (2003) ArticleTitleHighly vascular pelvic tumor causing high-output heart failure because of massive arteriovenous shunting: a case report Circ J 67 554–555 Occurrence Handle10.1253/circj.67.554 Occurrence Handle12808277

    Article  PubMed  Google Scholar 

  14. Y Sato M Mitsui H Takahashi T Miyazawa H Okabe F Inoue J Kusama T Horie N Matsumoto Y Hori S Furuhashi M Takahashi K Kanmatsuse (2004) ArticleTitleA giant left circumflex coronary artery – right atrium arteriovenous fistula detected by multislice spiral computed tomography Heart Vessels 19 55–56 Occurrence Handle10.1007/s00380-003-0707-y Occurrence Handle14685758

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Cardiology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi, Niigata, 951-8510, Japan

    Kazuyuki Ozaki, Katsuharu Hatada, Makoto Kodama & Yoshifusa Aizawa

  2. Division of Cardiology, Takeda General Hospital, Aizuwakamatsu, Japan

    Kazuyuki Ozaki, Takaaki Kubo, Hisahito Shinagawa & Takanao Aoki

  3. Division of Cardiovascular Surgery, Takeda General Hospital, Aizuwakamatsu, Japan

    Naoji Hanayama, Satoru Maeba & Kazuhiko Hirata

Authors
  1. Kazuyuki Ozaki
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  2. Takaaki Kubo
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  3. Naoji Hanayama
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  4. Katsuharu Hatada
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  5. Hisahito Shinagawa
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  6. Satoru Maeba
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  7. Kazuhiko Hirata
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  8. Takanao Aoki
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  9. Makoto Kodama
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  10. Yoshifusa Aizawa
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Correspondence to Kazuyuki Ozaki.

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Ozaki, K., Kubo, T., Hanayama, N. et al. High-output heart failure caused by arteriovenous fistula long after nephrectomy. Heart Vessels 20, 236–238 (2005). https://doi.org/10.1007/s00380-004-0814-4

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  • DOI: https://doi.org/10.1007/s00380-004-0814-4

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