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Reversal of pulmonary hypertension after percutaneous closure of congenital renal arteriovenous fistula in a 74-year old woman.

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Citation: Cardiovascular Revascularization Medicine. 16(5):310-2, 2015 Jul-Aug.PMID: 26051173Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Arteriovenous Fistula/su [Surgery] | *Hypertension, Pulmonary | *Renal Artery/su [Surgery] | *Renal Veins/su [Surgery] | Aged | Arteriovenous Fistula/di [Diagnosis] | Cardiac Catheterization/mt [Methods] | Female | Heart Failure/pp [Physiopathology] | Heart Ventricles/pp [Physiopathology] | Heart Ventricles/su [Surgery] | Humans | Hypertension, Pulmonary/di [Diagnosis] | Hypertension, Pulmonary/et [Etiology] | Hypertension, Pulmonary/pp [Physiopathology] | Treatment OutcomeYear: 2015 Local holdings: Available in print through MWHC library: 2002 - presentISSN:

1878-0938

Name of journal: Cardiovascular revascularization medicine : including molecular interventionsAbstract: We report the case of a large right renal arteriovenous fistula (AVF) in a 74-year old woman who presented with heart failure. Transthoracic echocardiography revealed normal left ventricular size and systolic function (ejection fraction 60-65%), moderately dilated right ventricle with severely depressed systolic function, and severe pulmonary hypertension. Right heart catheterization confirmed the elevated pulmonary pressures and showed a high cardiac output. Physical examination was remarkable for a right flank bruit. An abdominal ultrasound revealed an AVF originating from the distal right renal artery and dilated suprarenal inferior vena cava and hepatic veins. These findings were confirmed with an abdominal MRI. Percutaneous endovascular closure of the right renal AVF was successfully performed, with immediate reduction of pulmonary pressures and normalization of cardiac output. The patient's symptoms improved, and a post intervention echocardiogram revealed normalization of right ventricular size. Copyright © 2015 Elsevier Inc. All rights reserved.All authors: Asch F, Bernardo N, Brar V, Campia U, Suddath W, Weissman GFiscal year: FY2016Digital Object Identifier:

http://dx.doi.org/10.1016/j.carrev.2015.04.013

Date added to catalog: 2016-09-07

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	26051173	Available		26051173

Available in print through MWHC library: 2002 - present

We report the case of a large right renal arteriovenous fistula (AVF) in a 74-year old woman who presented with heart failure. Transthoracic echocardiography revealed normal left ventricular size and systolic function (ejection fraction 60-65%), moderately dilated right ventricle with severely depressed systolic function, and severe pulmonary hypertension. Right heart catheterization confirmed the elevated pulmonary pressures and showed a high cardiac output. Physical examination was remarkable for a right flank bruit. An abdominal ultrasound revealed an AVF originating from the distal right renal artery and dilated suprarenal inferior vena cava and hepatic veins. These findings were confirmed with an abdominal MRI. Percutaneous endovascular closure of the right renal AVF was successfully performed, with immediate reduction of pulmonary pressures and normalization of cardiac output. The patient's symptoms improved, and a post intervention echocardiogram revealed normalization of right ventricular size. Copyright © 2015 Elsevier Inc. All rights reserved.

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