Korean Circ J.  2009 Dec;39(12):548-550. 10.4070/kcj.2009.39.12.548.

Hypertension Caused by Renal Arteriovenous Fistula

• An HS
• Kang TG
• Yun HJ
• Kim MJ
• Jung JA
• Yoo JH
• Lee YS

• KMID: 2225644
• DOI: http://doi.org/10.4070/kcj.2009.39.12.548

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.

Keyword

Hypertension; Renin; Arteriovenous fistula

MeSH Terms

Angiography
Arteriovenous Fistula
Blood Pressure
Headache
Hypertension
Peptidyl-Dipeptidase A
Renal Veins
Renin
Seizures
Vomiting
Peptidyl-Dipeptidase A
Renin

Figure

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  Fig. 1 Brain MRI shows ill-defined high signal intensities (arrow) in T2 weighted image at both parieto-occipital cortical area.

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  Fig. 2 Abdominal CT shows focal decreased nephrogram in left kidney lower pole anterior aspect, which indicated early renal infarcion or renal ischemia.

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  Fig. 3 DMSA scan show decreased cortical uptake in the lower pole of left kidney (A: anterror, B: posterior). DMSA: dimercaptosuccinic acid.

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  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).

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