Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Dec;39(12):548-50.
doi: 10.4070/kcj.2009.39.12.548. Epub 2009 Dec 30.

Hypertension caused by renal arteriovenous fistula

Hye-Sung An  1 , Tae-Gon Kang, Hyun-Jin Yun, Myo-Jing Kim, Jin-A Jung, Jae-Ho Yoo, Young-Seok Lee
Affiliations

Hypertension caused by renal arteriovenous fistula

Hye-Sung An et al. Korean Circ J. 2009 Dec.

Abstract

We describe a case of secondary hypertension caused by renal arteriovenous fistula. An 8-year old girl was hospitalized with a severe headache, vomiting, and seizure. Renal angiography demonstrated multiple renal arteriovenous fistula and increased blood renin concentration in the left renal vein. Thus, left renal arteriovenous fistula and renin induced secondary hypertension were diagnosed. Her blood pressure was well controlled by medication with angiotensin converting enzyme inhibitor.

Keywords: Arteriovenous fistula; Hypertension; Renin.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Brain MRI shows ill-defined high signal intensities (arrow) in T2 weighted image at both parieto-occipital cortical area.
Fig. 2
Fig. 2
Abdominal CT shows focal decreased nephrogram in left kidney lower pole anterior aspect, which indicated early renal infarcion or renal ischemia.
Fig. 3
Fig. 3
DMSA scan show decreased cortical uptake in the lower pole of left kidney (A: anterror, B: posterior). DMSA: dimercaptosuccinic acid.
Fig. 4
Fig. 4
Anterior-posterior and lateral view of renal angiography shows multiple arteriovenous fistula (small arrow) and early visualization of renal vein (large arrow) compared to the right renal vein (A: anterior, B: lateral).
See this image and copyright information in PMC

References

    1. Tullus K, Brennan E, Hamilton G, et al. Renovascular hypertension in children. Lancet. 2008;371:1453–1463. - PubMed
    1. Tarif N, Mitwallil AH, Al Samayer SA, et al. Congenital renal arteriovenous malformation presenting as severe hypertension. Nephrol Dial Transplant. 2002;17:291–294. - PubMed
    1. Muraoka N, Sakai T, Kimura H, et al. Rare causes of hematuria associated with various vascular diseases involving the upper urinary tract. Radiographics. 2008;28:855–867. - PubMed
    1. Gopalakrishnan G, Al-Awadi K, Bhatia V, Mahmoud AH. Renal arteriovenous malformation presenting as haematuria in pregnancy. Br J Urol. 1995;75:110–111. - PubMed
    1. Chen KJ, Chen CH, Cheng CH, Wu MJ, Shu KH. Renal arteriovenous malformation in a young woman presenting with haematuria and hypertension. Nephrology. 2006;11:482–483. - PubMed