[Cardiac failure caused by renal arteriovenous fistula fifty years after nephrectomy. A new case and review of the literature].

Service de chirurgie cardiovasculaire, hôpital Hôtel-Dieu de France, Beyrouth, Liban.
Archives des maladies du coeur et des vaisseaux (Impact Factor: 0.4). 10/1997; 90(10):1427-30.
Source: PubMed


Arterio-venous fistulae are rare after nephrectomy. They are the cause of congestive cardiac failure. This case report has two particularities: an exceptionally long interval, 50 years after nephrectomy, and a severe hypertension due to stenosis of the contra-lateral renal artery. Surgical treatment of these fistulae is essential and gives excellent results with rapid regression of the signs of cardiac failure. Percutaneous embolization is an alternative in patients with a high surgical risk. All previously reported cases are reviewed (n = 72) with their aetiological, clinical and therapeutic features.

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