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Case Reports
. 2013 Nov;27(8):1185.e9-12.
doi: 10.1016/j.avsg.2012.11.006. Epub 2013 Jul 26.

Large renal arteriovenous fistula with left-sided inferior vena cava

Hideaki Obara  1 , Katsunori Tanaka, Kentaro Matsubara, Akira Miyajima, Masanori Inoue, Subaru Hashimoto, Sachio Kuribayashi, Yuko Kitagawa
Affiliations
Case Reports

Large renal arteriovenous fistula with left-sided inferior vena cava

Hideaki Obara et al. Ann Vasc Surg. 2013 Nov.

Abstract

Idiopathic renal arteriovenous fistulas (RAVFs) are uncommon, and a left-sided inferior vena cava (IVC) is also rare. We report a large idiopathic RAVF in a 36-year-old woman who had progressive congestive heart failure. An abdominal computed tomographic scan revealed an enlarged IVC on the left side and a 5.0-×4.5-cm RAVF with a single communication between the left renal artery and vein. Transcatheter embolization was not performed because complete flow control by a balloon catheter could not be achieved. Because of the size of the RAVF and the left-sided position of the IVC, nephrectomy was performed.

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