Korean Circ J.  1987 Sep;17(3):551-555. 10.4070/kcj.1987.17.3.551.

A Case Report of Arteriovenous Fistula between the Right Renal Artery and the Inferior Vena Cava

• Park SJ
• Kim SG
• Jeong MH
• Yoon YG
• Kang JC
• Park OK

• KMID: 2093222
• DOI: http://doi.org/10.4070/kcj.1987.17.3.551

Abstract

Fistula between the right renal artery and the infereior vena cava is a rare disorder, of which only 7 cases were reported in so far as the authors have reviewed. A 34-year-old man, who had got a stab wound on the abdomen and undergone an abdominal surgery 12 years ago during his military service, visited the hospital because of occipital headache and known hypertension for 5 years. On examination, his blood pressure was 200/140mmhg, and a thrill and loud continuous vascular bruits over the paraumbilical and right loin region were noted. his blood pressure was refractory to usual antihypertensive regimens. The chest X-ray film showed cardiac enlargement and pulmonary congestion. With the aids of abdominal ultrasonogram, static and dynamic renal scanning with (99m)T-DTPA, excretory urogram, aortogram and selective right renal angiogram, he was diagnosed as right renal artery inferior vena cava fistula. After fistulectomy and repair of walls of both vessels, his blood pressure was successfully controlled with drugs.

Keyword

Arteriovenous; Fistula; Renovascular hypertension

MeSH Terms

Abdomen
Adult
Arteriovenous Fistula*
Blood Pressure
Estrogens, Conjugated (USP)
Fistula
Headache
Humans
Hypertension
Hypertension, Renovascular
Military Personnel
Renal Artery*
Thorax
Ultrasonography
Vena Cava, Inferior*
Wounds, Stab
X-Ray Film
Estrogens, Conjugated (USP)